Anal Itching Remedies
What Causes Anal Itching?
The majority of cases are caused by skin
irritation from fecal soilage. In older people, or in anybody with diarrhea,
seepage of fecal matter may occur. Also, as people grow older, anal skin
becomes more irregular and harder to clean. People with hemorrhoids (which
may trap small fecal particles) are more prone to itching.
At any age, not taking the time to wipe
thoroughly may contribute to poor hygiene, which causes itching and irritation.
Then, too, being overzealously hygienic, such as rubbing energetically with dry
toilet paper, can injure the skin. Another precipitating factor may be the hard
stools of constipation, which can
irritate the anal area.
Once the itch starts, many factors can
exacerbate it. Hot weather and sweating, tight clothes that compress the
buttocks, and nonabsorbent nylon panty hose and underpants may make matters
worse, as can activities such as walking, sitting—particularly prolonged
sitting on a plastic seat, which hampers the evaporation of any sweat—and bike
riding. Some experts think stress may also be a factor in anal itching.
What If You Do Nothing?
Until the cause of anal itching is
eliminated, the condition may persist indefinitely.
Home Remedies for Anal Itching
·
Clean carefully. Meticulous,
gentle cleaning provides relief. One option is to regularly use premoistened
wipes. You can also wash the anal area gently—in a shower or bath or over the
toilet—with soap and water. Take care to rinse thoroughly, then gently pat the
area dry with a towel or cotton ball.
·
Control the itch. Corticoid
lotions or creams can be effective if used for a short time. Avoid the “-caine”
creams sold for topical relief, since they can further inflame sensitive skin.
·
Don’t scratch. It
only causes additional irritation and invites infection.
·
Consider changing your toilet tissue. Use
plain, unscented, noncolored tissues.
·
Eat foods high in fiber, such as
cereals, fruits and vegetables. Consume
prunes, spicy food, orange juice, figs, coffee and beer only in moderation.
·
Be prepared. When
away from home, carry a few premoistened, individually packaged wipes—the kind
you use for a baby.
·
Manage leakage. If
you are bothered by leakage, wear a small cotton pad against the anal opening
and change it frequently. Wear undergarments with a cotton crotch and generally
avoid tight clothing.
·
Don’t schedule long bike rides—at least
until the problem is resolved. Also, avoid
other activities that may cause excessive perspiration.
Anal Fissure
An anal fissure is an
elongated ulcer—or crack—in the skin lining the anal canal. Fissures usually
result from constipation and the passage of hard stool, stool that is
inadequately emptied, or in association with hemorrhoids. Subsequent bowel
movements can irritate the fissure and cause spasms of the sphincter
muscle—which can be extremely painful—and sometimes bleeding.
The best way to treat anal fissures is to
avoid constipation by eating a diet high in fiber along with drinking plenty of
fluids.
If you experience pain during bowel
movements, or notice any bleeding, don’t simply assume it’s an anal fissure.
Contact your physician to rule out potentially more serious problems. If your
doctor diagnoses anal fissure, avoiding constipation can help make it less
likely to cause pain. Warm baths can help ease the pain of spasms. Your doctor
may prescribe stool softeners. Cleaning the anal area after each bowel movement
is also important: use moistened cotton (and soap if necessary), then pat dry
with dry cotton. A fissure will usually heal within two to three weeks.
Prevention
·
Bathe regularly. Wash
your anal area with soap and water and dry thoroughly.
·
Make use of moistened tissue. After
a bowel movement, cleanse carefully with tissues moistened with vegetable or
mineral oil. Several brands of premoistened varieties are now available in
stores. You can also use toilet tissue that you’ve moistened and lightly
soaped, then rinse with plain wet tissue and dry the area.
·
Avoid tight underclothing. Choose
roomy, breathable underwear made of cotton rather than synthetics. This will
keep the anal area ventilated and relatively dry.
Beyond Home Remedies: When To Call Your
Doctor
Contact your physician immediately if anal
itching occurs along with bleeding or any unusual pain. Very rarely, persistent
anal or rectal itching may be a sign of serious infection, so if it does not
respond to simple treatments or the passage of time, contact your physician. Scabies and pinworms are possible
causes that require a doctor’s advice.
What Your Doctor Will Do
Your doctor will make a careful physical
examination that may include a close inspection of the anal area using a
plastic device known as an anoscope. You may also be examined for pinworm eggs
or scabies.