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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29245
Experience:  MD
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Hi there, almost every time before the period I feel like pain

Resolved Question:

Hi there, almost every time before the period I feel like pain in the area of anus or vagina. Feels like inflammation under skin which later allocates in more narrow area- pain disappears and appears several small ulcers. Usually close to anus or on the skin between anus and vagina, this time close to vagina. After several days it disappears. What can it be?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

Do you have any irregular bowel habits?

Dr Basu :

Also is your period normal?

Customer:

Period is normal, don't think I have irregular bowel habits, however, sometimes I fell like stomach pain and have to run to the toilet))) but not often

Dr Basu :

ok

Dr Basu :

any blood mixed with stool?

Customer:

no

Dr Basu :

ok

Dr Basu :

are these ulcers painful?

Dr Basu :

any pus drainage?

Dr Basu :

So far, based on your description this is likely hormone influence related.

Dr Basu :

The pain and the ulcers appear from progesterone influence.

Dr Basu :

This can be a manifestation of Crohn's disease as well.

Customer:

ulcers painful cause it like the skin opens, looks like small red dots

Dr Basu :

However, irregular bowel habits also are part of Crohn's

Dr Basu :

If no Crohn's which is diagnosed by endoscopy, then this is just hormonal.

Customer:

what is Crohn's?

Dr Basu :

YOu can abort them by considering oral contraceptives by reducing the period or stopping them.

Dr Basu :

Crohn's is an inflammatory bowel disease.

Dr Basu :

This causes inflammation of the bowel lining from body'simmune system attacking the lining.

Dr Basu :

Crohn's also can cause perianal ulcers

Customer:

Now I don't take any contraceptives, for the last 1,5-2 years

Dr Basu :

did you see these problem while taking contraceptives?

Customer:

maybe was the beginning but that time was very rare, now almost every month

Dr Basu :

yes as I explained this is entirely hormone related influence.

Dr Basu :

you will see dramatic improvement with contraceptives again.

Dr Basu :

or an IUD device

Customer:

I am trying to get pregnant, did all analyses, they show positive for

Ac Anti-Citomegalovírus (CMV). Can it be something related?

Customer:

but my husband does not have anything

Dr Basu :

Not at all.

Dr Basu :

CMV antibody positive is very common in population.

Dr Basu :

this is not clinically signficant.

Customer:

can I use any medicine to reduce the appearance, to make it less often?

Dr Basu :

Yes you can

Dr Basu :

you can try proctosol ointment.

Dr Basu :

This is topical hydrocortisone ointment.

Customer:

is it a cream or..how should I take it?

Dr Basu :

yes it is a cream to be applied at the area.

Customer:

it will sort the situation or will increase the time between appearances? how does it work?

Dr Basu :

It will treat it immediately.

Dr Basu :

this is anti inflammatory in nature.

Dr Basu :

so it will reduce the symptoms.

Dr Basu :

may prevent also in future.

Customer:

it was very helpful and I definitely will try the cream. You helped a lot, I was worried. I use this service first time, how can I contact you later...basically so far I have not had any other problems

Dr Basu :

Very welcome

Dr Basu :

It was my pleasure to help you today.
I am Dr Basu experienced in Metabolic Diseases.
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Customer:

great!!! thank you

Dr Basu :

Best wishes

Customer:

for you as well.

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