How to treat anal eczema?

The treatment and prevention of anal eczema should be carried out in a timely manner. The cause must be found out so that the disease can be solved symptomatically. Because this disease may be related to the work environment, living habits, or poor diet, we need to pay attention to developing good living and eating habits and use medications scientifically.

1. General principles of prevention and control

(1) To find the cause of the disease as much as possible, it is necessary to have an in-depth understanding of the patient's work environment, living habits, diet, hobbies, thoughts and emotions, and conduct a comprehensive examination of the whole body to check for chronic lesions and internal organ diseases in order to eliminate possible pathogenic factors.

(2) Avoid various external stimuli, such as hot water washing, violent scratching, excessive washing, and other substances that the patient is sensitive to, such as fur products.

(3) Avoid foods that are allergenic and irritating, such as fish, shrimp, strong tea, coffee, alcohol, etc.

(4) Explain the key points of protection to the patient in detail, guide the use of medication, and encourage the patient to cooperate with medical staff to give full play to the patient's subjective initiative.

2. Internal Therapy

Western medicine can use antihistamines to relieve itching. In case of acute or subacute generalized eczema, 5% calcium bromide, 10% calcium gluconate or 10% sodium thiosulfate solution can be injected intravenously once a day, with 10 times as a course of treatment. For patients with widespread infection, effective antibiotics should be used in combination. In addition, B vitamins, vitamin C and drugs that regulate nerve function are also helpful.

Oral or injected glucocorticoids are generally not recommended. Although hormones have a quick effect on reducing inflammation, itching and reducing exudation, they quickly relapse after discontinuation, and long-term use can easily cause many adverse reactions.

3. External Therapy

The principles are the same as for the treatment of contact dermatitis. Choose appropriate dosage form and medicine according to the condition of skin lesions. For small-scale subacute eczema, the application of glucocorticoid cream and tar preparations for external use is more effective.