Treatment of anal itching today is quite difficult. It requires patience and perseverance from both the patient and the doctor. Treatment depends mainly on the shape of the anal itch and its causes. It is therefore important diagnosis of anal itching. If successful, the elimination of the disease, which has been identified, anal itching, as it is a symptom, as is.
Initial treatment of anal itching is directed simply to alleviate feelings of irritation and burning sensation in the anus. It is important to keep this area clean and dry, that is, to observe good personal hygiene. It is recommended to avoid using ordinary soap, as it can cause irritation. Do not use rough toilet paper, and especially wool.
After each act of defecation should be undercut by water and treat the area around the anus with a damp cloth, for example, for children. If the anus is perpetually moisture, it is recommended to use a damp cloth between acts of defecation.
In identifying intestinal dysbiosis treatment of anal itching is combined with the use of drugs that restore the natural intestinal microflora (eg, bifidumbacterin).
The special characteristic of perseverance during those forms of anal itching, when his cause is not identified, and clinical and laboratory studies did not reveal any pathology.
For the symptomatic treatment of anal itching is often used local anesthetics, which allow to eliminate burning sensation, irritation and pain in the anus. Local anesthetics act by "blocking" the nerve endings in the anus, resulting in numbness, as though this area. Note that on their own local anesthetics may cause skin irritation, so increasing the symptoms of anal itching should stop using these tools.
Among the local anesthetics that are used for the treatment of anal itching include:
5% -20% benzocaine,
5% -20% benzilalkogol (in conjunction with pramoxine)
0.25% -1.0% dibucaine,
0.5% -1.0% diklonin,
2% -5% lidocaine,
1% pramoxine,
0.5% -5.0% tetracaine.
These drugs can be used generally in the form of ointments.
In addition to local anesthetics are also used corticosteroids (eg, hydrocortisone), as well as an ointment. However, these drugs should not be used more than 5-7 days.
Another group of drugs that are used in the treatment of anal itching - is vasoconstrictors. Vasoconstrictor effect is vasoconstriction. When applied as an ointment into the anus, this leads to a reduction of edema, and thanks to its small anesthetic effect, they are slightly reduce pain and itching.
Protectors - a group of drugs which, when applied to the anus to the skin creating a protective barrier to which it prevents irritation of the external factors, such as mucus from the anus, feces, sweat, etc. This also helps reduce itching, pain and irritation.
These drugs include:
Aluminum hydroxide gel,
Cocoa butter,
Glycerol,
Kaolin,
Lanolin
Mineral oils,
Vaseline,
Starch
Zinc Oxide
Cod liver oil with vitamin A.
The next group of drugs, which is used for the treatment of anal itch - a binding drugs. Their effect is similar to the effect of certain drugs, as described above. They affect the skin, creating on the surface protective film. Astringent preparations dried skin of the anus, thereby eliminating the itching. By astringent drugs include:
5% -25% calamine,
5% -20% zinc oxide.
Analgesics, as well as anesthetics have analgesic effects, and eliminate itching and irritation. These include menthol, camphor and juniper tar.
In cases where none of the primary methods of treatment of anal itching does not work, one has to resort to more radical methods, for example, operational. He is at the intersection of the nerve branches in the perianal area, who are responsible for the sensitivity (in particular, resection of the genital nerves). In addition, there is also evidence of the successful treatment of persistent anal itching by injection into the anal area of methylene blue. However, this method was not included in the broad practice, as evidence of its effectiveness so far is not enough.
