Whether anal pruritus should be treated by an anorectal department or a dermatology department?

You cannot go to the dermatology department because it is not a dermatology disease.

Ying just went to the anorectal department.

The symptom of itching in the anal canal, the skin around the anus and the perineum is called anal pruritus, which is a common anal disease.

It is different from itching in other parts of the body. It is characterized by severe itching and long duration. It is more common in young and middle-aged people aged 20 to 40 years old.

Although anal itching is not a fatal disease, it can be extremely itchy when it attacks, which often makes people upset and restless. If it is scratched for a long time and does not heal, the skin will become rough and thickened, resulting in anal fissures and even infection, causing flushing, swelling and pain. The lesions can also spread to the perineum, scrotum, vulva, and even the skin of both buttocks, which makes it even more unbearable.

Anal itching is mostly related to anal and rectal diseases, or is secondary to anal and rectal diseases. Fungal infections, neurodermatitis and other skin diseases can cause anal itching. Eating spicy food can also irritate the perianal skin and induce itching. Wearing underwear that is too tight or wearing chemical fiber underwear can also cause anal itching. Anal pruritus in children is mostly caused by pinworms. Lymphoma, diabetes, vitamin A and vitamin D deficiency, obstructive jaundice and other systemic diseases are also important causes of anal itching.

In order to seek temporary pleasure, people often scratch and rub the perianal skin, or often wash it with hot water, or apply corticosteroids and other drugs for a long time. Although it can alleviate the symptoms of itching, over time, it will be affected by the bacterial flora. Disorders may aggravate anal itching.

Traditional Chinese medicine believes that anal itching can be prevented and treated, mainly from the following aspects:

1. Timely treatment of local and systemic diseases that cause anal pruritus, such as internal hemorrhoids, Anal fissure, anal fistula, diarrhea, diabetes, parasitic diseases, etc.

2. Keep the anus clean and dry, and clean the anus once every night as much as possible. It is advisable to use warm water to clean the anal area. Generally, soap is not used, especially highly alkaline soap. Towels and wash basins used for cleaning must be used exclusively by dedicated personnel to avoid cross-infection.

3. Underwear should not be too tight or too hard. It is advisable to wear loose and well-fitting underwear made of pure cotton instead of man-made fiber underwear. Wash and change frequently.

4. Pay attention to the balance between work and rest, keep a happy mood, avoid excessive tension and anxiety, do not scratch the anus, and do not wipe the anus with hard objects.

5. Eat more fruits and vegetables, and avoid or eat less irritating foods, such as peppers, strong tea, coffee, high alcohol, etc. People with allergies should eat less allergenic foods, such as fish, shrimp, etc., and avoid contact with chemicals that cause allergies.

6. If the itching of the anus persists but the skin is not damaged, you can immerse gauze or absorbent cotton in 4 boric acid liquid. The water temperature should be kept at about 45°C. Take it out and twist it until there is no dripping, and apply it around the anus. Stops itching immediately. Apply once every morning and evening for about 5 minutes each time. After applying, pat dry and apply talcum powder.

7. Traditional Chinese medicine believes that itching in the anus is caused by fire in the heart meridian, and heat in the blood causes wind; or there is a deficiency of both qi and blood, and the blood does not nourish the wind, and the liver wind arises internally, and if the wind prevails, it will itch; or it is caused by dampness and heat. , caused by wind evil that has been lingering for a long time and turns into heat and dryness. For external use, use 30 grams of Sophora flavescens, 15 grams of Cnidium monnieri, 15 grams of pomegranate peel, and 15 grams of alum. Decoct in water and wash the affected area 1 to 2 times a day. If there are pinworms, you can use 30 grams of Baibu decoction for enema.

8. Wash thoroughly after defecation and apply propolis, and the effect will be seen in one go. After using it 2-3 times in a row, the symptoms improved significantly. After using one pill, the symptoms will basically disappear. Use another pill to consolidate the effect. The itching will be cured after just two pills