$Unique_ID{BRK00172}
$Pretitle{}
$Title{How to Treat Anal Pruritus}
$Subject{itch anus treatment Digestive System Anal Pruritus itches itching
Hemorrhoids piles idiopathic primary anorectal ani fissures ulcers skin tags
dermatitis psoriasis bacterial fungal infection infections fissure ulcer}
$Volume{I-13}
$Log{}

Copyright (c) 1991-92,1993   Tribune Media Services, Inc.


How to Treat Anal Pruritus


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QUESTION:  I have an itch in my bottom (anus) that I can only describe as
"ferocious".  I thought it was piles, but my physician assured me this was not
the case, and that I had nothing to worry about.  What can it be, and what can
I do?  I am sure many of your other readers could profit from an answer to
this question.

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ANSWER:  You're right!  Questions about this distressing condition, anal
pruritus, are frequent.  Your physician is correct too.  Hemorrhoids or piles
alone are not one of the causes of this itch.  Actually, in the majority of
cases, from 40-70%, no cause can be found.  In such cases it is labeled
"idiopathic" or "primary" and this diagnosis is made when a careful history
and physical examination fail to turn up any skin disease or findings in the
anorectal area.  In patients with positive findings (secondary pruritus ani)
25% have conditions such as fissures, ulcers and skin tags, while 65% suffer
from skin disorders, such as dermatitis, psoriasis and bacterial or fungal
infections.  The other 10% have other disorders, such as diabetes, or have
developed the condition as a result of diet.  When a local condition provokes
an itch, patients scratch as a response, exchanging the "weak" pain we call
itch for a more endurable "strong" pain.  However this scratching can break
the skin, leading to more irritation, and of course more itch-scratch actions.
More than any other factor, moisture in this area can lead to the development
of a skin irritation, leading to a chronic situation.  Though opinions vary,
here are a number of good tips to end the cycle of itch-scratch-itch.  The use
of icy cold compresses can provide cooling and immediate relief.  If itching
is more severe at night, a pitcher of ice water can be kept by the bedside.
Proper cleansing after a bowel movement can also be accomplished by patting
(not wiping) with a moistened tissue, followed by careful blotting and drying.
Avoid any foods that seem to bring on attacks.  Since stress seems to worsen
the condition, a good plan for stress management should be part of the
treatment program.

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The material contained here is "FOR INFORMATION ONLY" and should not replace
the counsel and advice of your personal physician.  Promptly consulting your
doctor is the best path to a quick and successful resolution of any medical
problem.