Anal itching is a disease that affects more than 5 percent of the world's population. Statistics say that anal pruritus is more common in men than in women. In most people, the symptoms worsen in the summer. Such a burning sensation interferes with proper work, rest, interrupts sleep, and often causes emotional disturbances.
Health problems associated with diseases in a given area often cause the patient to have low self-esteem and limited social contacts. He withdraws into himself, becomes nervous, irritable, prone to unreasonable outbursts of anger. Because of the disease, not only the patients themselves suffer, but also the people around them.
This disease, as well as all related to this area of the body, belong to the group of "awkward", which many of us do not want to admit and are ashamed to admit even to a doctor. For this reason, many people suffer sometimes over a long period of time. The problem needs and can be treated, so it is very important to find the causes of itching near the anus in women and men.
Laboratory tests are not required to determine anal pruritus. The doctor will simply talk to the patient, look at the crotch - the skin here is red or heavily filled with blood, thickened, filled with serous fluid.
A more difficult task is to determine the factor that causes itching. This will require a large number of general and specialized research. In the process of diagnosis, the patient will have to visit not only the therapist, but to contact a dermatologist, gynecologist, surgeon and possibly other narrow specialists.
The itching of the anus, like any other part of our body, causes a burning sensation, tingling, or pain, and requires an immediate, urgent, subconscious need for mechanical stimulation, usually with the help of various instruments of the anal area, which temporarily alleviates the symptoms.
The anus itch is characterized by reddening of the skin and the presence of lesions in this area in the form of scratches, sometimes in the form of bacterial superinfection.
Itching of the anus can intensify to such an extent that it will interfere with the daily activities of the patient. This leads to insomnia, chronic fatigue and reduced efficiency from his work. Patients try to limit their contacts, because it becomes awkward for them to be in the company of other people. This leads to a deterioration of mood, and in some cases, the development of depression.
Anus itch - a consequence of diet, disease, external factors?
The medical community discusses what causes itching anus. Some doctors say that the disease appears more often in people who consume large amounts of chocolate, cheese, citrus fruits, alcohol, coffee, spicy foods, beer, cola or milk.
It is believed that vitamin A and D deficiency also contributes to the occurrence of the problem, as well as the tendency to excessive sweating in this area of the body. However, this does not exhaust the list of possible perpetrators of the disease. There are a lot of them.
In order to facilitate the diagnosis and treatment of the causes of anal itching, the reasons were divided into local and general in nature.
Causes of local character
This includes all that provoke increased excretion of moisture from the anus, for example: fistula, anal fissure, hemorrhoids, inflammatory bowel disease, cancer of the rectal mucosa, prolapse of the rectum.
Local reasons also include neglect of hygiene, excessive sweating, dermatitis caused by allergies to soap or bath foam, laundry detergent, deodorants, and underwear made from artificial fibers.
This group also includes hygienic diseases with abundant vaginal discharge and perianal infections, for example, thrush.
These include: diabetes, hepatitis, allergy, psoriasis, gout, chronic liver disease, kidney disease, endocrine dysfunction, thyroid, pancreas, ovarian, including hormonal disorders (for example, during menopause), hematological disorders ( leukemia, lymphoma), as well as diseases caused by parasites, for example, oxyurosis (oats), scabies, lice.
But it is not always possible to establish the cause of the disease. When, after conducting all kinds of research and testing, the cause remains unknown, they speak of a spontaneous itch that is difficult to treat. Similarly, it is difficult to determine if itching appears on the nerves of the soil.
Anal itching and skin diseases
Proctological diseases occupy an important place among the causes of itching of the anus, these are hemorrhoids, prolapse and anal fissures. The skin during anal discharge is irritated and inflamed in the anus. In this case, the treatment of anal itching is carried out by doctors and surgeons, proctologists.
The cause of anal itching can also be skin diseases, mainly psoriasis and lupus, and skin changes during these diseases can be located in the anal area. Treatment of patients in this group is carried out by a doctor, a specialist in dermatology.
Allergic diseases are always associated with a sense of itching anus. In the area of the anus, contact allergy is most often seen, which is a response to stimuli contained in powders, creams and preparations for intimate hygiene. In the case of anal pruritus caused by allergies, the treatment is to eliminate the factor responsible for the symptoms that have occurred. What matters is the pharmacological treatment (medication).
If the cause of the itch is a general illness, such as diabetes, it is necessary to begin its proper treatment.
Women, in the period of perimenopause, can bring relief hormone replacement therapy. If the causes of itching are local, they usually inject painkillers and anti-inflammatory drugs in the form of a gel and ointment for itching in the anus.
Stress and nerves
If the cause of the itch is psychological, then sedatives should be taken. In the case of mental disorders, patients scratch and rub the skin of the anus until scratching occurs. In a group of these patients, bacterial superinfection occurs in a short time, caused by skin defects in places of scratching and frequent personal hygiene in this group (changing clothes, baths). This is a kind of vicious circle, because the itch intensifies because of scratches, and they, in turn, contribute to the infection, the itch intensifies.
Anal itching is often observed in patients with depressive disorders, anxiety, and chronic neuroses.
In extreme cases, an operation is performed to remove a small skin nerve located in the anal area. In folk medicine, ethyl alcohol is used to relieve pain and reduce sensitivity in this area.
After testing and appropriate diagnostic tests, the doctor determines what causes the itch and recommends appropriate treatment. For example, the treatment of fungal infections requires the use of a special local ointment with antifungal activity. In the case of pubic lice, it may be ointments, shampoos and suppositories. Usually, local treatment is enough to get rid of most diseases that cause itching in the anus.
In most cases it is very difficult to determine what really causes an itch of the anus. If itching in the anus in women, only a gynecologist or another specialist can determine the cause and treatment. In addition to treatment, it is possible to relieve itching, reduce discomfort, improve the condition of the skin near the anus (reduce scratches and scratches, which usually cause secondary inflammation) by taking a chamomile sit-down bath.
- personal hygiene of intimate places with mild detergents and soft towels;
- replacing products that cause irritation, including washing powder;
- use of anti-inflammatory and analgesic gels for the treatment of anal itching, if the above methods do not work.
Depending on the cause, the treatment for anal pruritus may be different, but in each case the strongest emphasis is on personal hygiene. It is recommended to wash the anal area always in the morning and in the evening, after each bowel movement. To do this, use warm, clean water and a mild soap. It is imperative that the crotch area remains dry after taking a bath. Therefore, thoroughly and carefully dry the anal area with a soft, non-irritating skin tissue.
Extremely important role played by the choice of underwear. People suffering from anal itching should choose underwear made from natural materials, preferably cotton, and not wear anything made of synthetic, impervious to air, as it increases sweating in these areas and thereby worsens itching. It is also important to take care of the normal rhythm of the bowels, constipation and diarrhea can aggravate the symptoms.
If anal pruritus is extremely burdensome, and these methods are not effective, it is best to consult a doctor who will prescribe the necessary diagnostic tests and procedures.
7 principles to be followed by patients suffering from anal itching
- Take care of the purity of the anal area. Rinse after each act of defecation, as well as morning and evening.
- Do not use regular soap and hard sponges. Rinse with running water, preferably with a hand or soft cloth, such as a flannel. Crotch to dry (do not rub) with a soft terry cloth or disposable paper towel. If you can afford it, you have time, then after taking a bath, it is worth lying down, spreading your legs to thoroughly dry (ventilate) your skin.
- Use delicate soft tissue of sanitary napkins to wipe the anal area (as for babies), which are saturated with lanolin.
- Try to keep moisture from accumulating around the anus during the day. Do not wear too thick underwear, especially from man-made fibers, as it contributes to overheating and misting around the anus. It is forbidden to wear a thong. Avoid compressing tight clothes, especially those containing lycra.
- Do not use powders or talc.
- Use only ointments and creams that the doctor advised you to put on the affected areas. Do not apply the ointment with steroids on your own, as they may cause erythema or atrophy of the skin around the anus.
- Take care of regular bowel release. The chair must be soft so that the release is done without undue effort and pressure. To achieve this goal, your daily diet should be high in fiber, fruits, and vegetables. Eat a grated raw apple with yogurt or kefir. After consulting a doctor, you can use drugs that facilitate and relax the stool.
If itching symptoms persist, continue to eat right and do not neglect your health. First of all, remember that you should not irritate the mechanically sensitive skin of the anus. For example, rough toilet paper. If the itch worsens, apply a cold compress to the anus - you will feel relief. In any case, to solve the problem, you must consult a doctor!