​What is the situation of itchy butt

I believe that many people often feel itchy buttocks. In fact, itchy buttocks are anal itching, which is usually caused by anal fistula, worms or hemorrhoids, inflammation and other diseases. Antibiotics and antibacterial drugs are usually needed for treatment. Pay attention to personal hygiene. If there are local wounds and the itching is severe, it needs to be treated slowly.

Treatment

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.

1. Treat primary diseases or complications such as hemorrhoids, anal fistula, pinworm disease, etc. Give appropriate antibiotics or antibacterial drugs to treat concurrent infections.

2. Avoid inappropriate self-treatment. Many patients with anal pruritus are reluctant to go to the hospital for treatment and adopt inappropriate self-treatment, such as scalding with hot water, applying high-concentration corticosteroids or drugs containing antagonists, purchasing some crude home therapy devices for self-treatment, etc. These methods have more disadvantages than advantages and can only temporarily suppress itching. Over time, the disease will persist and worsen. Patients should be advised to stop using them.

3. Pay attention to hygiene, do not eat or eat less irritating food, such as spicy food, strong tea and coffee, strong liquor, etc. Clothes should be loose and fit well, and underwear should preferably be made of cotton.

4. The drug treatment of localized anal pruritus should be based on local external application. Various drugs used in systemic treatment, such as corticosteroids, anti-inflammatory mediator preparations, various sedatives, etc., have no obvious antipruritic effect on anal pruritus, but they all have many side effects or adverse effects and should be avoided without clear indications.

5. For those with only local itching and normal anal skin, clean and cold compress the anus with boric acid water. If ice cubes are added, the water temperature should be around 4 to 5 degrees Celsius for cold compress. The patient can squat and apply cold gauze or cotton wool to the anus to relieve itching immediately. Apply once in the morning and evening every day, each time for about 5 minutes. After the cold compress, wipe the area dry with a dry towel, sprinkle with ordinary talcum powder and keep dry. This type of anal itching is not suitable for external application of ointment, as the ointment hinders heat dissipation and increases sweating, which can easily induce itching. It is advisable to use cool and dry lotions, such as white lotion, calamine lotion, etc.

6. Patients with rough, thickened lichenified lesions on the anal skin often have concurrent infections. Appropriate antibiotics or antibacterial agents can be used. After the infection is controlled, local encapsulation therapy can be performed. After cleaning the local area, disinfect it with alcohol or chlorhexidine solution, and use a syringe to drip the medicine solution of prednisolone injection or triamcinolone injection onto the affected area with a syringe needle. Make sure the lesions are fully immersed in the medicine solution. The patient will feel the itching is relieved, and the local medicine solution will dry. Then, apply ordinary adhesive tape or ointment containing antipruritic agents according to the size of the lesion. You can also use a film-forming agent or gel containing a drug for film encapsulation. This method should be performed before going to bed. After 6 to 8 hours, remove the plaster or film-forming encapsulation, clean the area, and apply dry lotion or antipruritic aerosol spray. This method is very effective in relieving itching and promoting the regression of lichenification lesions.