Itchy on both sides of the anus_Itchy on both sides of the anus

The itching on both sides of the anus is caused by a variety of medical reasons. There are many anal diseases that will show this symptom, so it is necessary to treat the primary disease first, so that the symptom can be effectively improved. You can also use cold compresses and clean your anus to appropriately improve the degree of anal itching so that it will not become more serious.

Itching on both sides of the anus

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. 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.

3. 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 4-5℃ 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.

4. Patients with rough and thick lichenified anal skin often have concurrent infection. Appropriate antibiotics or antibacterial agents can be used. After the infection is controlled, local encapsulation treatment can be performed. After cleaning the local area, local disinfection with alcohol or chlorhexidine solution is performed, and the injection of prednisolone injection or triamcinolone injection is dripped onto the lesion with an injection needle.

Make sure the skin lesions are fully immersed in the medicine, the patient feels the itching is relieved, the local medicine solution is dry, and then apply ordinary adhesive plasters or ointments containing antipruritic agents according to the size of the lesions. You can also use film-forming agents or gel agents containing drugs 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.