How is anal itching?

Soften your feces by adjusting your diet.

Keep the anus clean and dry.

In many wisecracks, this part of the body often becomes the laughing stock of people. But, no matter what, it can still laugh at the end.

If your anus feels itchy, swollen, painful or bleeding, it may affect your sleep and make your life a mess.

"Treat your anus well, otherwise, it will bring you a lot of trouble. It's itchy, giving off unpleasant gas from time to time, and causing pain. So you should be kind to your anus, "said Dr. Robert Cham, an associate professor and gastroenterologist at the University of California, Davis School of Medicine.

Be kind to anus

When defecating, your abdominal cavity contracts to squeeze the feces into the rectum at the end of the colon for temporary storage, and then the feces enter a tube about 1.5 inches long, which is the anus. Anal sphincter, a kind of annular muscle, relaxes, excretes feces, and then tightens until the next defecation. The frequency of defecation also varies from person to person. Some people do it every few hours, and some people do it every three or four days.

The structure of the anus is very simple, so if you keep the anus clean and dry, there will be few problems. Osny Surijian, a colorectal surgeon in Portland, Oregon, said, "Generally speaking, there is nothing wrong with the anus unless it is overworked, pulled too tightly or rubbed too hard." .

However, many American men have anal problems. Why? American eating habits are the main reason. Most of us like to eat refined low-fiber foods, which often produce hard and dry feces. This kind of feces is difficult to excrete, and the anal sphincter may be pulled or broken due to excessive force. In addition, this fecal residue is more likely to stick to the ass, so it is more laborious to lift it, which further stimulates the anus.

"The ideal feces should be fluffy and soft. It's easy to be excreted, and it doesn't need to be wiped after defecation, "said Dr. Zhan. "The key is to adjust the diet. Proper diet makes defecation easier. This reason is very simple. " These are some suggestions that Dr. Zhan gave us. Follow these eating habits, and you won't have defecation problems.

Drink water, drink water, drink water again. Water and fruit juice can soften feces and reduce the friction on the inner wall of anal sphincter during excretion. Dr. Cham suggested drinking 6- 18 glasses of water every day, about 8 ounces each.

Eat more foods rich in fiber. Eat more fruits and vegetables, because these foods are rich in plant fiber, easy to digest, produce soft and fluffy feces, and will not cause trouble to your anus. Doctors recommend eating about 25 grams of plant fiber every day. But most Americans only consume 15-20g of plant fiber every day. Doctor Cha said that you should eat at least six meals a day, such as steamed bread, rice or bread, and at least five servings of vegetables, fruits or beans.

Chew carefully. Large and hard fibrous foods, such as nuts or hard beans, may not be digested if swallowed without adequate chewing, and may cause damage to the anus during excretion. Dr. Shom said. Chew your food carefully.

Several common anal diseases

If you find that your stool is asphalt, black or dark, or bloody, or you feel a lump near the anus, see a doctor as soon as possible. Generally speaking, there are two kinds of anal diseases:

1. Hemorrhoids: I can't say.

Hemorrhoids are really a source of pain and trouble. They are not only itchy, but also painful, sometimes swollen badly.

"Many patients suffer from hemorrhoids. It seems that hemorrhoids have become the number one enemy of anus, "said Dr. David E. Baker, director of colorectal surgery at O 'Connor Medical Center in New Orleans.

Although there may be many minor diseases in anus, such as anal fissure (skin rupture around anus), cyst, rectocele, polyp or infectious diseases. This will also bring a lot of trouble. Hemorrhoids are still the most common anal disease.

Hemorrhoids are a group of viscous blood vessels in the anus, which usually prevent feces, gas and mucus from being discharged from the rectum. If one of the blood vessels expands or falls off from its original place, it may cause difficulty in defecation. It will make you feel itchy, painful and even bleeding.

Here are some suggestions that may be beneficial to prevent or treat hemorrhoids.

Don't treat the toilet as the toilet of the group library. Toilets are used to treat feces, not library seats. You can read books, magazines or newspapers there. Dr. Baker said that going to the toilet for too long will make your anal sphincter tense and make you more prone to hemorrhoids. If you are used to reading in the toilet, you'd better put a cushion behind the toilet to reduce the burden on your hips.

Wipe with liquid medicine. Dr. Su Lifan suggested that a clean cloth be dipped in glycerin and ethanol solution of Hamamelis bark distillate and applied to the anus for about an hour. He reminded that this medicine is only suitable for external use, glycerin is used to absorb water and reduce swelling, and witch hazel ethanol solution is a mild disinfectant and hemostatic drug, which can relieve itching of skin near anus. Dr. Su Lifan said: "For patients with acute hemorrhoids, this medicine is the best."

Dr. Baker said that if your hemorrhoids are already serious, cold compress may relieve your pain. Put some ice cubes in a plastic bag, wrap the ice pack with a towel and apply it to the affected area 15 minutes.

Fill a basin with warm water until the water is just high enough to immerse the buttocks (about 3-4 inches), and soak for 10- 15 minutes. Dr Gilad Giroli said that this method can clean your ass and relieve the pain caused by hemorrhoids. He is a physician in Denver, and once wrote a medical monograph called "Treatment of Chronic Digestive Diseases". If possible, you can soak in the basin two or three times a day. As long as the water temperature is not too hot.

2. anal pruritus: Awkward itching.

Nothing is more annoying and embarrassing than anal pruritus. However, for many people, anal pruritus is indeed a terrible enemy.

Dr Su Lifan said that men are four times more likely to have anal pruritus than women. The reason for anal pruritus is usually difficult to determine. It may be an infection caused by hemorrhoids, burning insects, anal fissure, anal warts or bacteria. However, adjusting diet and developing good defecation habits are the fundamental ways to prevent these diseases, Dr. Su Lifan said. He also mentioned the following suggestions:

Timely defecation If you feel nauseous in the morning shower, don't wait until after the shower to go to the toilet. Instead, Dr. Giroli suggested going to the toilet first, and then carefully cleaning the anus with a hot water nozzle.

Wash but don't apply soap. Dr. Su Lifan said, don't put soap on your anus when you take a bath or shower. Soap is a strong alkaline compound, and its residue easily stays on the fine lines of the skin, causing inflammation.

Don't use scented toilet paper. The scent or perfume of high-grade toilet paper will irritate your anus, making it itchy and even inflamed. You should stick to the ordinary double-layer network.

Wipe the anus with a wet cotton ball first. Dr. Su Lifan suggested cleaning the anus with a wet cotton ball or facial tissue after going to the toilet, and then patting (not wiping) the anus with toilet paper to keep it dry. Be sure to pat it dry, not rub it. Friction will irritate the skin and make it more itchy.

Dr. Su Lifan said that if you feel itchy after going to the toilet, you can use a ball washer to clean it, and 3-4 ounces of warm water is enough. In addition, he once again stressed that it should be dried after washing.

Absorbing dry waves and protecting the anus with gauze or cotton are beneficial to absorb sweat or mucus that causes itching, said Dr. Su Lifan. You can also remove some corn flour or baby powder from the gauze, which is more conducive to absorption.

Pay attention to some foods in the macro diet, which can easily make the anus secrete some itchy mucus; Such as curry, citrus fruits such as oranges and lemons, beverages such as milk, coffee, beer, and other beverages containing ethanol. If your anal pruritus is caused by these foods, your symptoms will disappear immediately after you stop eating these foods.

References:

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First of all, you need to know. In fact, it is as common as a cold. There is no need to be so nervous, but you should pay attention at ordinary times. Let me tell you what mycotic vaginitis is first! Isn't there a saying that knowing yourself and knowing yourself is invincible?

Which groups of people are prone to fungal vaginitis?

According to statistics, about 10% ~ 20% of healthy women have candida albicans in their vaginas. So under what circumstances will these candida albicans multiply into pathogenic bacteria?

(1) Extensive use of broad-spectrum antibiotics: Usually, there are many bacteria in the vagina of women, and these different flora restrict each other to form a state of * * *, which is not pathogenic. The extensive and long-term application of broad-spectrum antibiotics makes vaginal flora disorder, mutual inhibition changes, and Candida albicans can multiply in large numbers. With the increasing use of antibiotics, the incidence of fungal vaginitis has also increased.

(2) Pregnancy: The level of sex hormones during pregnancy is significantly higher than usual, which will increase the content of glycogen in vaginal epithelial cells and increase the acidity of vagina, thus forming an environment conducive to the growth of Candida; At the same time, pregnancy will reduce the immunity of cells and make candida easy to cause disease. According to statistics,13 of pregnant women have candida in vagina, and the incidence rate is about 15%.

(3) Diabetes: After suffering from diabetes, the body's glucose metabolism is disordered, blood sugar is increased, the content of glycogen in vaginal epithelial cells is increased, and the acidity in vagina is also increased. Candida is suitable for growth and reproduction.

(4) Application of corticosteroids: Long-term application of corticosteroids will reduce the phagocytosis of white blood cells and reduce the immunity of the body; At the same time, corticosteroids can also increase the body's blood sugar level and increase the possibility of fungal vaginitis.

(5) Application of immunosuppressants: It will reduce the body's immunity and is prone to fungal vaginitis.

(6) Application of estrogen: Estrogen can deposit glycogen in vaginal epithelial cells. These glycogen are decomposed into lactic acid under the action of Lactobacillus vaginalis, which increases the acidity of vagina and is beneficial to the growth of Candida.

(7) Fungal vaginitis is also prone to occur when severe diseases lead to decreased resistance, or when vitamin B complex is lacking.

In addition, some people think that oral contraceptives will increase the incidence of fungal vaginitis.

Can fungal vaginitis be contagious?

Although 10% ~ 20% of healthy women carry candida in vagina, and some special situations in life, such as long-term use of antibiotics and diabetes, can induce vaginal candidiasis infection, but many times fungal vaginitis can also be infected from the outside. When women have sexual contact with men with positive candida culture, the infection rate is 80%; About12 of men will be infected if they have sexual contact with women with fungal vaginitis. In other words, fungal vaginitis can be transmitted through sexual behavior, which is why when a woman suffers from fungal vaginitis, her spouse should also receive treatment at the same time. In addition, indirect contact infection is also a route of transmission of fungal vaginitis. Contact with mold, hit the cheek, set up a tomb? * * * Toilets, bathtubs, bath chairs, towels, and dirty toilet paper can spread. Fungal vulvovaginitis can occur when the number of candida in infected vulva and vagina reaches a certain level.

What are the clinical manifestations of fungal vaginitis and how to diagnose it?

The most common symptom of fungal vaginitis is pruritus vulvae, and leucorrhea is obviously increased. The patient's itching symptoms are sometimes mild and sometimes severe, and sometimes stop. Vaginitis caused by fungal vaginitis is generally more obvious than trichomonal vaginitis, and those with severe itching are restless and insomnia. Patients will also have vaginal burning sensation, especially when urinating. When the inflammation is serious, there will be frequent urination, dysuria and sexual pain. Leucorrhea is another major symptom of this disease. Leucorrhea is generally sticky in texture, white or yellow in color, or thin. The leucorrhea of typical fungal vaginitis is bean curd residue-like or milky white block. See you during gynecological examination: according to the severity of the disease, the labia minora and vaginal mucosa have different degrees of congestion and labia minora edema. There are many sticky leucorrhea in vagina or vaginal mucosa covered with white membrane. Wipe off the white membrane, the exposed mucosa is red, swollen, erosive or superficial ulcer can be seen.

If the symptoms are typical, it is not difficult to make a diagnosis, but it must be combined with routine laboratory tests to make a diagnosis. The commonly used method is hanging drop method: drop a drop of physiological saline or 10% potassium hydroxide solution on the glass slide, and take a small amount of secretion and put it under a microscope for direct examination. If pseudohyphae and spores are found, it means that Candida is in a pathogenic state at this time and can be diagnosed as fungal vaginitis. If the patient's symptoms are suspicious, but no false hyphae are found by direct microscopic examination for many times, bacterial culture should be done.

How to treat fungal vaginitis?

Mycotic vaginitis can be treated by simple western medicine or by combination of traditional Chinese and western medicine.

(1) General treatment: actively treat other diseases that can cause fungal vaginitis and exclude susceptible factors. Keep vulva clean and dry, and avoid scratching. Sexual life is forbidden during treatment. Not suitable for spicy food.

(2) Changing the pH value of vagina: The most suitable pH value for candida growth is 5.5, so washing vulva and vagina with alkaline solution and changing the pH value of vagina will inhibit the growth and reproduction of mold. Vagina can be washed with 2% ~ 4% baking soda water, 1 ~ 2 times a day, and 2 weeks is 1 course of treatment. After washing, dry the vulva and keep it dry to inhibit the growth of candida.

(3) Vaginal medication: Vaginal medication of imidazole suppository has a good effect on fungal vaginitis. Clotrimazole suppository every night 1 capsule, washed and put into vagina. The course of treatment is 1 from 10 to 14 days. Or take dakening suppository 1 capsule every night, and apply the medicine to the vagina after cleaning, with a course of treatment of 1 for 7 days.

(4) Ointment for external use: Clotrimazole ointment or dyclonine ointment can be used externally to treat vulvitis caused by mold infection and relieve pruritus and pain of vulva. For external use several times a day for 2 weeks. Yifuqing ointment is made of econazole as the main medicine and a small amount of topical steroid therapy, which has good antipruritic effect and is more suitable for patients with mycotic vulvitis and vaginitis. External use of vulva, morning and evening 1 time.

(5) Oral medication: Because fungal infection can spread between husband and wife through sexual life, both parties can take oral medication and inhibit intestinal candidiasis. Oral fluconazole: 150 mg once, once. Or take spironolactone orally: if it is the first time to be infected with candidal vaginitis, take 200mg each time, after breakfast and dinner, only 1 day; For recurrent fungal vaginitis, the dose of Spirillum should be increased, which can be 200 mg each time, 1 time/day for 3 days, or twice a day, 100 mg each time for 3 days. Take medicine after meals.

(6) Chinese herbal medicine treatment: decocting and fumigating vulva with traditional Chinese medicine with the functions of clearing away heat and toxic materials, killing insects and relieving itching can not only relieve symptoms, but also inhibit the eradication of candida. Because the symptoms of pruritus and burning pain in vulva are obviously relieved after fumigation and washing, it is more suitable for women with acute mycotic vaginitis and can alleviate the pain of patients. In addition, Chinese herbal medicines can be made into powder or suppository, and can also be used in vagina.

Prescription 1: 30g of Cortex Dictamni, 30g of Cortex Phellodendri, 30g of Radix Sophorae Flavescentis, 30g of Fructus Cnidii and 3g of Borneolum Syntheticum. Wrap the medicinal white cloth, decoct 2000 ml of juice, smoke the vulva with hot water, and sit in the bath for 20 minutes after the liquid medicine cools, once a day 1 ~ 2 times. Take out the medicine bag and dry it before fumigation, which can be reused 1 time. 7 days is 1 course of treatment. After soaking and cleaning, put 1 clotrimazole suppository or dyclonine suppository into vagina, and apply the above ointment to vulva.

Prescription ② (practical dermatosis prescription): clove 12g Pogostemon 30g Coptidis Rhizoma 15g rhubarb 30g gentian 20g alum 15g mint 15g borneol1g.

This prescription has the functions of clearing away heat, eliminating dampness, killing insects and relieving itching, and has a strong inhibitory effect on Candida albicans, other superficial skin fungi and gonococcus. Usage: daily 1 dose, decoct in water and soak vulva 1 ~ 2 times, 30 minutes each time. It can also be made into lotion and cream for external use. Married women can wash their vagina with liquid medicine 1 time every day. Continuous medication 12 days is 1 course of treatment.

Prescription ③ (latest treatment of sexually transmitted diseases): Radix Sophorae Flavescentis 30g, Fructus Cnidii 30g, Radix Gentianae 20g, Stemonae 15g, Cortex Pseudolaricis 15g, Cortex Phellodendri 15g, and Fructus Kochiae 15g.

Add 2000 ~ 3000 ml of water, fry for 30 ~ 40 minutes, remove residue, smoke and wash, and take a bath. 1 time one night, 20 ~ 30 minutes each time.

Prescription ④ (practical dermatology and venereal diseases): Sophora flavescens 30g, Fructus Cnidii 30g, Rhizoma Coptidis 30g, Cortex Phellodendri 30g? Sichuan pepper 10g dried alum 10g borneol 3g?

* * * is fine powder, which is sterilized for later use. When in use, the vulva and vagina are washed with 3% soda water, and then an appropriate amount of medicinal powder is sprinkled on the vagina and vulva, once a day 1 ~ 2 times. Five times is 1 course of treatment.

After the above treatment, the clinical symptoms of patients will be improved quickly, but it is not certain that fungal vaginitis has been cured. Patients should insist on completing the course of treatment, and then go to the hospital to review symptoms, do gynecological examination and test vaginal secretions. If there is no abnormality, it means that it has been cured recently. After my menstruation is clean every month, I will go to the hospital to review the above examination contents 1 time for three consecutive months. If they are all negative, they are completely cured.