I have been experiencing an itchy bottom for several months, especially at night. Despite washing the area regularly and using hydrocortisone cream, the itching persists. What could be causing this discomfort?

Dr. Ellie suggests that this could be a sign of parasitic threadworms, commonly found in feces and around the anus. These threadworms are more prevalent in young children but can also affect adults in close contact with infected individuals. Treatment involves taking a tablet called mebendazole. Other potential causes of itching in this area include fungal and yeast infections, which thrive in warm and moist environments. These infections can typically be treated with antifungal cream and hydrocortisone to reduce inflammation and itching.

To prevent further infections, it is essential to keep the bottom dry. Using a barrier cream like Sudocrem can help maintain dryness and prevent chafing. Some individuals find relief from itching by taking antihistamines. Consulting a GP for an examination can help determine the cause of the itch, and pharmacists can recommend over-the-counter treatments.

High cholesterol is a significant concern as it increases the risk of heart attacks and strokes. Lifestyle changes such as regular exercise and a healthy diet are often recommended to lower cholesterol levels. If these measures are ineffective, doctors may prescribe statins, which are effective in reducing cholesterol levels. However, individuals with a genetic form of high cholesterol may not respond to lifestyle changes and may require statin therapy. It is crucial for anyone with raised cholesterol levels to consult their GP for personalized advice.

Omeprazole, a proton pump inhibitor used to treat heartburn, should not be taken long-term due to potential side effects such as kidney problems and osteoporosis. If heartburn symptoms worsen while taking omeprazole, it may indicate an underlying issue that needs attention. Consulting a GP for a review of long-term omeprazole use is recommended to ensure its necessity and address any escalating symptoms.

Dyslexia is a common learning difficulty that often goes undiagnosed in children, leading to misconceptions about intelligence. Early diagnosis and specialist support can significantly improve learning skills for children with dyslexia. Health supplements like D-mannose have shown some success in helping patients with urinary tract infections (UTIs) manage symptoms like urination frequency. While supplements are not a replacement for medicine, they can offer relief for some individuals.

Have you tried any bladder supplements for UTIs? Share your experience via email with Dr. Ellie Cannon for further insights.