At times Xylocaine Ointment can also be prescribed. ![]() One has to be careful not to overuse these, since they will thin out the skin and actually make the problem worse. Men with prostate problems should go very slowly, because this can sometimes make that worse.Īt times, a hydrocortisone cream or suppositories may also be prescribed. One can actually take up to a 100 mg of Atarax at bedtime. If we could just eliminate the nighttime scratching, things often improve. Many times, the scratching of the anal area makes the problem worse. Subsequently, I recommend that people take 25-50 mg an hour before bedtime. It is actually a strong antihistamine, and its only side effect is that it can cause drowsiness. The final thing that we do to manage this problem is to prescribe a drug called Atarax. If it does not, you can go back to them later. Try eliminating foods to see if it makes things better. Common items are coffee, anything spicy, and acidic items. You should really avoid any offending foods. In addition, the herb echinacea (available at food stores and health food stores) taken 2-3 times per day is also helpful. I always recommend a good multivitamin, a total of 1000 mg of vitamin C per day, and 400 IU units of vitamin E. I like to help the immune system as much as possible to resolve the situation. An extra rinse may be necessary when washing underwear if people really have sensitive skin. In addition, white cotton underwear is essential. The colored dyes in toilet tissue can exacerbate the problem. It is important to use only white toilet tissue. For those who really have problems, they will also need to get a hypoallergenic shampoo. Anything that states that it is hypoallergenic would probably suffice. I like to recommend Aveeno, Oilatum, or Lever 2000 soaps. They are very sensitive to perfumes and dyes. ![]() Many people with this condition have fair skin. It is important to use hypoallergenic soaps and shampoos. A less expensive method is to use baby wipes that do not contain alcohol. After having a bowel movement, either wash with a washcloth and warm water or use Tucks Medicated Wipes. Many times, it is over-cleansing that causes the problem. Many people feel that their itching is due to being “dirty down there”. If yours are the ones that are more visible, then this handout is appropriate for you. ![]() Your physician will be able to determine at the exam which type of fissure you’ve had and what the appropriate treatment is. Other fissures are situated more deeply inside. Some fissures are more external on the skin and readily visible. On physical exam, physicians often find an area that is very sore and irritated with very fine cracks in the skin. Others come thinking they have hemorrhoids, because they have experienced bright red rectal bleeding. Many patients present to our office with symptoms of severe itching around the anus.
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