Hi, I am 39 year old from chennai. 1) skin itching - I am facing a itching in my hand and leg during evening and night time. Can you advise. 2) anus - I see like a anus swelling near to anus hole and using soframycin cream for past two days. Please advise to continue or any other ointment.

Dr. Sneha Mariam VargheseDermatologist6yrs exp

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Hello hope you are keeping safe 1) from your brief history, there are many things to rule out from - urticaria / hives - photosensitivity - dermatitis (probably due to dust mites/ pollen allergy) - atopy (genetic tendency for allergy) although, it mostly looks like an acute onset of urticaria. 2) here are the few reasons you can develope an itching due to urticaria - dental caries - urinary tract infection - frequent stomach pains - ear infections - any drug intake induced allergy - food allergy -. Allergy to any lotions or other products - any contact allergy 3) you can use - any antihistamines for itching like montelukast, levocetrizine, atarax, cetrizine or a combination therapy - emollients containing calamine + aloe vera - non-soap cleanser for bath 4) please note that these medications are only for symptomatic treatment and the problem will persist if there a root untreated cause. 5) you can do the following investigations. - complete blood routine - esr - ige levels - dental follow up to rule out caries - urine routine 6) you can avoid these foods for a few days - meat and poultry products - dairy products - fish - pineapple - citrus fruits - nuts and chocolate - eggs - soy and wheat items - any self - suspected food 7) the swelling near the anus could mostly be of haemarrhoids / piles.- you can eat foods that relieve constipation, that contain a lot of fibre like legumes, whole grains and cereals, berries, banana, apples, pears,green leafy vegetables - avoid dairy products, breads, meat and processed food - you can apply some anaesthetic ointments like lidocaine gel or creams containing hydrocortisone to relieve the pain and inflammation. - follow sitz bath routine for 20 minutes several times a day - drink more than 10 glasses of water per day, approximately 2-3l. - have some painkillers like paracetamol to relieve the pain and inflammation you should also rule out a possibility of an anal abcess / infections, if present, you should take a course of antibiotics. Hope your query is cleared thank you and take care.  

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