Itching In Anus

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Itching In Anus
Body Parts: Buttocks
Medical Subjects: Skin
Overview

What Is Anal Pruritus

What does anal pruritus mean?

Anal pruritus refers to the unpleasant sensation of desire to scratch on the skin of the anus. In mild cases, it can be manifested as burning sensation and ant crawling sensation. In severe cases, it can be manifested as paroxysmal itching. Drinking, mood swings, clothing bedding friction and other factors may cause itching attack or aggravation, makes people restless, symptoms can aggravate at night, make people can't sleep at night, and even appear neurasthenia and other mental disorders. Scratches and scabs can be left on the part scratched with pruritus, and repeated scratching for a long time may also cause skin hypertrophy, lichenoid change or eczema-like change. The specific mechanism of anal pruritus attack is currently unclear. In many case, anal pruritus is just one of that symptoms exhibit by the disease.

Cause

What Is The Cause Of Anal Pruritus

Anal pruritus is what reason?

  • Local factors:

    Perianal skin lesion, such as anal leukoplakia, seborrheic dermatitis, contact dermatitis, anal eczema, or skin diseases cause by pathogenic microorganisms, such as perianal folliculitis caused by bacterial infection, wart caused by human papillomavirus, and tinea cause by dermatophytes, and parasites such as enterobiasis parasites can cause anal pruritus.

    Skin damage is caused by imbalance of normal flora of skin around anus, for example, the normal flora of skin is damaged due to excessive cleaning of anus with various lotions, resulting in overgrowth of other pathogenic bacteria, thereby damaging the skin around anus and causing anal pruritus.

    Anorectal diseases, common anal diseases such as hemorrhoids, rectocele, anal incontinence, anal fissure, anal fistula, etc., anorectal diseases such as anal sinusitis, rectal angiitis, rectal tumor can cause increased secretion around the anus, damp environment and clothing bedding friction can cause anal pruritus.

    Vaginal discharge irritation of gynecological diseases such as vaginitis, uterine prolapse, etc. causes adjacent anal pruritus.

    Systemic factors:

    Systemic disease factors:

    Endocrine and metabolic diseases, such as diabetes, hyperthyroidism, etc.;

    Hepatobiliary diseases, such as liver cirrhosis, cholelithiasis, bile duct tumor diseases, etc.;

    Kidney diseases, such as chronic renal insufficiency (uremia stage), etc.;

    Rheumatic immune diseases, such as systemic lupus erythematosus;

    Hematological diseases, such as iron deficiency anemia;

    Malignant tumors, such as lymphatic system tumors, gastric cancer, liver cancer, ovarian cancer, and prostate cancer, all of which cause itchy skin all over the body, including anal pruritus.

    Allergic reaction: such as contact with animal fur, mites, pollen, raw lacquer, eating some protein (fish, eggs, shrimp, crab, etc.), excitant food (chili, wine, mustard, spices, etc.), taking some drugs such as antibacterial drugs, etc., can make the body produce too much histamine, cause the anus skin itching.

    Drug factors: adverse reactions of anal pruritus may occur with some drugs (such as morphine, quinine, and narcotic drugs).

    Mental factors: If the patient is in a poor mental state such as neurasthenia, long-term depression, overexcitation, excessive tension, anxiety, and fear, itchy skin can appear throughout the body or it can be limited to the skin around the anus. In this case, the patient may enlarge the extent of the itching psychologically.

    Other factors:

    Poorly dressed, tight underwear or tight pants, uncomfortable and rough underwear.

    The toilet paper used to wipe the perineum and anus is too rough, or too hard when wiping the anus.

    Chemical irritation caused by residual feces in the skin around the anus.

    Anal pruritus can be induced by factors such as excessively dry or damp skin, or sudden changes in skin temperature due to the alternation of seasons.

Symptom

What Are The Symptoms In Anal Pruritus

What does anal pruritus mean?

Anal pruritus refers to the unpleasant sensation of desire to scratch on the skin of the anus. In mild cases, it can be manifested as burning sensation and ant crawling sensation. In severe cases, it can be manifested as paroxysmal itching. Drinking, mood swings, clothing bedding friction and other factors may cause itching attack or aggravation, makes people restless, symptoms can aggravate at night, make people can't sleep at night, and even appear neurasthenia and other mental disorders. Scratches and scabs can be left on the part scratched with pruritus, and repeated scratching for a long time may also cause skin hypertrophy, lichenoid change or eczema-like change. The specific mechanism of anal pruritus attack is currently unclear. In many case, anal pruritus is just one of that symptoms exhibit by the disease.

Detect

How To Check For Anal Pruritus

When does anal pruritus go to the hospital?

Seek medical attention immediately if:

Anal pruritus recurred with progressive exacerbation of pruritus;

Severe itching has obviously affected the normal daily life;

Anal pruritus with other symptoms, such as abdominal pain, hematochezia, fever, jaundice, anemia, etc.;

In addition to the anal pruritus, itching spread to the perineum, scrotum, sacrum, labia, and even the whole body;

Anal pruritus accompanied by the surrounding skin can touch the nipple-like, vegetable pattern protrusions, or a foreign body protruding from the anus, or the anus skin ulcer formation, bleeding, pain, exudation of secretions, and even moss-like changes or eczema-like changes.

Prevention

How To Prevent Anal Pruritus

How can anal pruritus be alleviated or eliminated?

  • Keep good personal hygiene habits, after defecation with soft toilet paper gently wipe the anus, keep the anus clean and dry, try every night with warm water to clean the anus, avoid hot water scalding, alkaline soap cleaning. At the same time should pay attention to avoid sharing with others towels, washbasin and other daily necessities, to specialist special.

    Underwear should not be too tight, texture should not be too rough, appropriate to wear cotton loose breathable underwear, wash frequently change, ventilation to dry, and wear less tight pants.

    Adjust dietary habits, avoid eating spicy excitant food (chili, spirits, mustard, spices, coffee, etc.). People with allergic constitution should avoid contacting substances that can cause allergy and try to eat less food that is easy to be allergic, such as fish, eggs, shrimp and crab. Can eat more vegetables, fruits and coarse grain, keep defecate unobstructed.

    When the seasons alternate (especially the autumn and winter season), pay attention to prevent cold and keep warm when going out to avoid sudden changes in skin temperature. At the same time to avoid the skin is too dry or wet, indoor activities will maintain the temperature at 16℃ ~ 22℃, the relative humidity maintained at 30%–40%.

Treatment

How To Treat Remission Anal Pruritus

How can anal pruritus be alleviated or eliminated?

  • Keep good personal hygiene habits, after defecation with soft toilet paper gently wipe the anus, keep the anus clean and dry, try every night with warm water to clean the anus, avoid hot water scalding, alkaline soap cleaning. At the same time should pay attention to avoid sharing with others towels, washbasin and other daily necessities, to specialist special.

    Underwear should not be too tight, texture should not be too rough, appropriate to wear cotton loose breathable underwear, wash frequently change, ventilation to dry, and wear less tight pants.

    Adjust dietary habits, avoid eating spicy excitant food (chili, spirits, mustard, spices, coffee, etc.). People with allergic constitution should avoid contacting substances that can cause allergy and try to eat less food that is easy to be allergic, such as fish, eggs, shrimp and crab. Can eat more vegetables, fruits and coarse grain, keep defecate unobstructed.

    When the seasons alternate (especially the autumn and winter season), pay attention to prevent cold and keep warm when going out to avoid sudden changes in skin temperature. At the same time to avoid the skin is too dry or wet, indoor activities will maintain the temperature at 16℃ ~ 22℃, the relative humidity maintained at 30%–40%.

Life

What Should Anal Pruritus Patients Pay Attention To In Life

  • Active exercise, enhance physical fitness, improve immunity, and avoid sitting for a long time, and regularly do the levator ani movement, thereby enhancing the anal sphincter contraction function.

    Adjust the state of mind, relax, maintain a pleasant mood, avoid exultation, emotional excitement, anxiety and other bad mental state.

    If none of the above measures can alleviate the anal pruritus, or anal pruritus further exacerbated by the need to promptly go to the hospital to further clarify the cause.

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