Itus itching: cause, treatment of anal pruritus

"Itus itching: cause, treatment of anal pruritus"

1 to 4% of the general adult population complains of anal pruritus.Development, toiletries, skin folds, multiple factors promote the appearance of itching.Explanations from Dr. Higuero, proctologist and member of the board of directors of the French National Society of Gastro Enterology.

Definition

Anal pruritus is defined as all skin sensations (itching or burning) per-anal leading to the need to scratch the anus, even the anal canal.It is a symptom of which around 4 % of the general adult population complains and 18 % of patients consulting in proctology."Anal pruritus is frequent because the anus is a region conducive to pruritus. The anus is the external orifice of the digestive tract, located at the level of the perineum between the external genitals and the inter-filth groove", describes Dr.Higuero, proctologist and member of the board of directors of the French National Society of Gastroenterology.Before continuing: "It follows the anal canal (area ranging from the bottom rectum to the anal margin) and is bordered by the anal margin (skin zone with pleated appearance and pigmented of color darker than the surrounding skin)."

Risk factors

The anus has a very developed sensitive innervation.Its immediate environment exposes it to local irritation factors: defecations, default toiletries or excess, skin folds.In addition, urological and gynecological problems such as urinary incontinence and vaginal losses, the wearing of unsuitable underwear promoting maceration are also promoting factors.

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Causes: Vers, MST ...

If pruritus is four times more frequent in men than in women, the cause is unknown once in two.This is called essential pruritus.However, two types of diseases should be sought during a clinical examination: those of the anus and those of the skin.But, other main causes exist:

Symptoms: itching, pimples, hemorrhoids ...

Anal pruritus is manifested by precise symptoms which are a feeling of irritation, burns and itching that will cause scratching."The feeling of pruritus will be triggered by the aggression of sick skin or in contact with oozing or flows (pus, stools, vaginal mucus ...). It will cause scratching at the origin of skin lesions that can infected, irritating the skin which becomes more sensitive to itching, "explains Dr. Higuero.And then added: "A vicious circle settles with a self -maintained mechanism. We sometimes end up scratching because it itches while the initial cause has disappeared".

How to calm itching?

Dr. Higuero distills some tips to relieve anal pruritus.The important thing is to treat the cause if it was found and then the consequence.These two elements that are to make the pruritus disappear due to the self-maintained mechanism of itching."Proctological treatment will be adapted to the anatomical presentation. Dermatological treatment will be of the anti-infectious type or by dermocorticoids depending on the diagnosis", details Dr. Higuero.In addition, if a drug is responsible for these itching it will be interrupted.

To relieve itching, treatment uses common sense: having a clean and dry anus in the event of wet and hydrated anus in the event of skin drought and certain drugs (dermocorticoids)."In the event of failure, anti histamines, anti-depressants, capsaicin, hypnosis," recommends the specialist.

Anal pruritus or itching anus: what to do and what treatments?

To limit the risk of anal pruritus, it is recommended to take care of this region.The anus can be "attacked" in the period surrounding defecation as outside it.Dr. Higuero lists some simple hygiene rules to remember:

Thank you to Dr. Higuero, proctologist and member of the board of directors of the French National Society of Gastroenterology.

Definition of risk -to -riskSymptômescalmer The itching: what to do? Definition the anal pruritus is defined as the set of skin sensations (itching or burns) ...

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Gastroenterology