Many people always feel that the area around their anus is very moist. If this continues for a long time, bacteria will breed and cause unbearable itching. Anal itching is not a very complicated disease, and most of the time it is caused by some infectious bacteria. Anal itching is a skin disease, which is also divided into primary and secondary. After anal itching occurs, you can choose appropriate medication to treat it slowly. Disease diagnosis: Based on the typical history of anal itching combined with clinical symptoms and signs, this disease is not difficult to diagnose, but it is more difficult to determine the cause. Generally, if there is a primary disease in the local area of the anus, it will become secondary pruritus, otherwise it will become primary pruritus. In addition, a full physical examination should be conducted, and necessary laboratory tests should be performed in a targeted manner, such as routine blood, urine, and stool tests, liver and kidney function tests, urine sugar, blood sugar, glucose tolerance tests, and biopsy and smear tests. According to the cause, it can be divided into primary pruritus and secondary pruritus. 1. Primary pruritus Primary pruritus is not accompanied by primary skin lesions, with itching as the main symptom. 2. Secondary pruritus Secondary pruritus arises from primary diseases and various skin diseases, accompanied by obvious specific skin damage and primary lesions. Itching is often a symptom of the primary lesions. Anal itching caused by anal fistula, anal eczema, warts, neurodermatitis, anorectal tumors, pinworms, etc. belongs to this category. Anal itching is mild at the beginning, with no obvious changes in the anal skin, and is mostly paroxysmal. Patients with long-term illness have severe itching that lasts longer, especially at night. Excessive scratching or mechanical stimulation causes the perianal skin to proliferate, thicken and roughen, the anal folds to deepen, and there are local scratches, blood scabs, and exudate. Fecal dirt remains in the folds. In more serious cases, infection may occur, with pus bubbles or purulent secretions, and redness and swelling. The lesions may extend to the perineum, scrotum, female vulva and even the skin of both buttocks. Clinical examination may reveal internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, and anal fistulas, or laboratory tests may reveal diabetes, pinworm disease, Candida albicans infection, etc. Prevention of anal itching 1. Clothing: Underwear and underwear should be kept clean. Underwear should be soft, loose and wide, preferably made of cotton. Avoid wearing chemical fiber clothing close to the body. 2. Food: Pay attention to adjusting gastrointestinal function, and eat light, vitamin-rich fresh vegetables and soy products; avoid irritating foods such as tobacco, alcohol, chili, strong tea, coffee, etc.; keep the bowels open. 3. Living: Adjust the indoor temperature to 16℃~20℃ and the relative humidity to 30%~40%. When the relative humidity is lower than 20%, the indoor air is too dry and allergenic substances such as dust are easily blown away. Therefore, water should be sprinkled on the ground, and a humidifier can be activated if conditions permit. The toilet paper should be soft to keep the anus clean and fresh. 4. Exercise: People with sensitive skin should not only reduce their activities appropriately, but also pay attention to not taking a bath too often and the water temperature should not be too high, otherwise the sebum on the skin surface will be washed away, making the skin drier and more prone to itching. In addition, do not scratch when itching occurs to prevent the epidermal cells from undergoing proliferative changes and becoming rough and thickened. The result is that the more you scratch, the itchier it becomes, forming a vicious cycle. |
>>: Self-examination of the anus
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