Dear Friends,
I have been suffering from "Burning Sensation" in Perineum and Buttock Groove for the past 2 months.I am unable to sit for more than 2-3 minutes.Extreme Burning,but no itching.The area is slightly red.No patches/flakes/pimples/pustules etc...I had been to Dermatologists all these days,but to no avail.Your suggestions are mandatory to soothen me.
1.Initially,the Dr suspected CD[Contact Dermatitis]and prescribed Corticosteriod[Mometasone]Cream.I applied for 2 weeks,but no improvement.
2.Then the Dr suspected "Herpes Simplex[Genital]" and prescribed a full course of acyclovir [Zovirax]tabs and cream,but no improvement.
3.Then the Dr suspected as Fungal Infestation and prescribed a full course of Fluconazole caps and and cream.but no improvement.
4.All these days i am taking 'Multivit-mineral' and Probiotic tab,each.
5.I have also tried antibiotic cream 'Fusidin' and also Vaseline.
Note:The following have been ruled out.
a.Worms
b.Cancer
c.STD
For your kind information,I took a full course of 'Azithromycin' for URT Infection,a week before the onset of burning in perineum.May it be a side effect of Azithromycin?
I don't know what to do?;Sleepless nights and depressed activities.
Just give your suggestions.
BHAI.
I have been suffering from "Burning Sensation" in Perineum and Buttock Groove for the past 2 months.I am unable to sit for more than 2-3 minutes.Extreme Burning,but no itching.The area is slightly red.No patches/flakes/pimples/pustules etc...I had been to Dermatologists all these days,but to no avail.Your suggestions are mandatory to soothen me.
1.Initially,the Dr suspected CD[Contact Dermatitis]and prescribed Corticosteriod[Mometasone]Cream.I applied for 2 weeks,but no improvement.
2.Then the Dr suspected "Herpes Simplex[Genital]" and prescribed a full course of acyclovir [Zovirax]tabs and cream,but no improvement.
3.Then the Dr suspected as Fungal Infestation and prescribed a full course of Fluconazole caps and and cream.but no improvement.
4.All these days i am taking 'Multivit-mineral' and Probiotic tab,each.
5.I have also tried antibiotic cream 'Fusidin' and also Vaseline.
Note:The following have been ruled out.
a.Worms
b.Cancer
c.STD
For your kind information,I took a full course of 'Azithromycin' for URT Infection,a week before the onset of burning in perineum.May it be a side effect of Azithromycin?
I don't know what to do?;Sleepless nights and depressed activities.
Just give your suggestions.
BHAI.
Dear Bhai,
பதிலளிநீக்குDont worry much, you will be alright. Please consult a good indian general physician. In gulf most of the specialists are egyptians and their treatment is well known to all but people here dont have any other options. Or go on a short visit to chennai where you have a lot of specialists and you can get the diagnosis done fast and correct.(it mat cost you more but considering your anxiety, it is worth).
Kumaran.
Bhai..
பதிலளிநீக்குI also feel that you are confining your problem related to dermal origin.It may be the external manifestation of piles,irritable bowl syndrome,piles or ulcerative colitis which will be further worsen when we are under stress and anxiety.Pls go to a good general physician or gastro enterlogist and take ultra sound scan or colonoscopy if required.
May be related to food allergy also.Screen your food habits .Any changes recently..?
How is your bowl movements and stools.
Don't worry.You will be alright soon
Chocks
Bhai - what about haemarrhoids? Do you have any mild fever accompanying these symptoms?
பதிலளிநீக்குYes Bhai My first thought was hemarrhoids too, see if that is a problem. There are good treatments for those also change your food habits to mild soft foods and see.
பதிலளிநீக்குGFK
Hello bhai ;
பதிலளிநீக்குI also read about Pudendal neuriris causing symptoms similar to yours
http://www.tipna.org/info/SymptomsInfo.htm
please go to this website.hope this helps.
GFK
Hi Friends,
பதிலளிநீக்குThankyou so much.
1.I am consulting an Indian Dermatologist only,working in Apollo Hospital of Qatar.
2.Piles,haemarrhoids,Fistula,ulcerative colitis ...all have been ruled out.No fever at all.I never had fever.
3.Yes,I am a chronic IBS [with constipation] patient.But,these 2 years years ,I am feeling better from IBS because of strict food habits[seperate bland dishes for me in home,never dines in restaurents] and concommitent Probiotic intake.Recently,I went for Thyroid Function tests,ultra sound,CT scan ,Endoscopy and colonoscopy in Chennai.All were absolutely normal studies.
4.Moreover,my immune system is weak.I get sinusitis every 45 days,for which i have to take antibiotics.[I will be operated for this in Chennai ,later this year,by EFSS].As you all know,administration of frequent antibiotics may lead to fungal/yeast infestation.
5.I already visited Pudendal Neuralgia website;but I have only one symptom..i..e..Burning sensation.Ironically,nobody here know about Pudendal Neuralgia .I may have to go to India for Diagnosis .
Note:
My fluconazole dosing is every Monday.After taking the second dose yesterday,I feel better;burning much reduced.Still two more doses are there.Let us hope for the best.
Could anybody throw light on "Perianal Candidiasis" and Dosage of Fluconazole for that.Dr.Manish may be of help.
Do reply to this post.
BHAI.
Bhai:
பதிலளிநீக்குFluconazole dosage is 150mg PO once a week,
for 2 to 4 weeks.
Hope this helps,
GFK
Bhai - IBS is an autoimmune response which I am sure you know by now obviously. But I suppose when you have flares of the problem.
பதிலளிநீக்குMy speculation: you may have auto: antigen-antibody complexes deposited in a subcutaneous fashion (sort of what happens in lupus) which may result in rash/irritation and subsequently burning. Topical application may not help as youy have tried already and corticosteroids are not good for immunusuppression when it is an antigen-antibody complex because corticosteroids are only good for inhibiting T-cell activation. I would say that when you have those flares, you may have to change your diet to even more blandness and I can forward some literature to you on this..
Gujili
Thanks GFK and Gujili.
பதிலளிநீக்குBHAI.
I will be happy to get enough Probiotic samples from Chocks Biological Ltd.
பதிலளிநீக்குBHAI
Hi Ibrahim
பதிலளிநீக்குhope u feel better with God Almighty's grace/help
has the doctor rule out cpps(chronic pelvic pain syndrome) or chronic prostatitis?,u can visit the website www.netdoctor.co.uk
hope this may be useful as u mentioned ur immune system is weak and ur age suggests something
ma salama for now
Bhai - I also e mailed you a review article. I am not sure how much it is relevant but I thought that it was interesting and may throw some light on the issue.
பதிலளிநீக்குGujili
Thanks to all.Feeling better these days with anti-fungal treatment.
பதிலளிநீக்குBHAI
Konjam ..yellaa maattu vaththiyargalum Bhaiya overaa payam kaatura maathiri theriyuthu.
பதிலளிநீக்குNo need to confuse.Leave it to GOD.
Chocks