5 doctors weighed in:
Chronic itching & fissure in perianal area, tried fluzan, doxepin, trental (pentoxifylline) pills & mycoster, cicalfate creams nothing worked.Any new stuff other cures?
5 doctors weighed in

Dr. Arthur Heller
Internal Medicine - Gastroenterology
2 doctors agree
In brief: Psoriasis?
Perianal psoriasis, lichen planus and other derm conditions can occur, lead to some of the above.
May not be primary fissure, or fungal (what you have been rx'd for based on med list). Unlikely std, but if that is a consideration, then it is a consideration. See derm, maybe GI or colorectal surgeon afterward.

In brief: Psoriasis?
Perianal psoriasis, lichen planus and other derm conditions can occur, lead to some of the above.
May not be primary fissure, or fungal (what you have been rx'd for based on med list). Unlikely std, but if that is a consideration, then it is a consideration. See derm, maybe GI or colorectal surgeon afterward.
Dr. Arthur Heller
Dr. Arthur Heller
Thank
1 comment
Dr. Eric Kaplan
I would reduce or eliminate your caffeine intake completely and increase other fluids. Also use plain cornstarch powder, no soap directly in the anal area, cotton underclothes, loose fitting. This should clear up. Stop all creams for now.
Dr. Jan Rakinic
Surgery - Colorectal
1 doctor agrees
In brief: Get evaluated
See a colorectal surgeon for proper diagnosis.
The most worrisome thing this could be is a skin cancer in that region. If it is just really bad itching inthat area (which does happen), and other topical treatments don't help, capsaicin cream may help.

In brief: Get evaluated
See a colorectal surgeon for proper diagnosis.
The most worrisome thing this could be is a skin cancer in that region. If it is just really bad itching inthat area (which does happen), and other topical treatments don't help, capsaicin cream may help.
Dr. Jan Rakinic
Dr. Jan Rakinic
Thank
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