How to treat perianal folliculitis

Since I graduated from school and started working, I have rarely had time to exercise. I feel that my health is not as good as before, especially since I have to sit in front of the computer every day. Recently, I feel pain in my buttocks when I sit down. After examination, I found that it is perianal folliculitis. I am very worried. Will this disease affect my future life and will it leave any consequences? How to treat it?

Anal folliculitis is a subacute suppurative folliculitis and perifolliculitis caused by bacteria invading the hair follicles. It can be primary or a complication of other skin diseases.

1. Etiology and pathology

The pathogens are Staphylococcus or Streptococcus, mainly Staphylococcus aureus; the disease can occur when the body's resistance is weakened, the skin is unclean, or the skin is damaged by scratching.

Symptoms and Diagnosis

At the beginning, red follicular papules ranging in size from a needle tip to a mung bean appear at the opening of the hair follicle. After 1-2 days, a small yellow-white pus head quickly forms on the top of the papule, surrounded by an inflammatory red halo. There are often hair follicles running through the center. There are many papules, with a scattered layout and no fusion. There is mild pain and obvious itching, but generally no systemic symptoms. After several days, the pus head bursts, discharges a small amount of pus and gradually heals. After the scab falls off, some pigmentation remains temporarily. If it recurs and lasts for several weeks, it will become chronic folliculitis. In diagnosis, it should be differentiated from anal furuncle: folliculitis is shallow and small; anal furuncle is deep folliculitis and perifolliculitis with central pus plug.

Treatment

(I) Clearing away heat, detoxifying, dispelling wind and removing dampness: The commonly used prescription is Phellodendron 9g, Honeysuckle 30g, Viola yedoensis 30g, Forsythia suspensa 12g, Rhubarb 9g, Licorice 4g, Radix Dioscoreae 9g, Mung Bean 30g, Periostracum Cicadae 5g. Decoction in water, one dose per day.

(ii) If necessary, tetracycline or sulfonamide drugs can be taken orally, or broad-spectrum antibiotics can be injected, and sufficient amounts of B vitamins can be given at the same time. For patients with recurrent attacks, placental tissue fluid or placental tissue slurry can be injected intramuscularly 2-3 times a week.

(III) External medications: 2.5% iodine tincture, 10% ichthyol ointment, coptis ointment, neomycin ointment, etc.

The treatment of perianal folliculitis is not just relying on medication, but also requires attention to dietary treatment and proper exercise. Only in this way can you better improve your physical fitness, and naturally there will be fewer diseases.