This disease is associated with chronic itching of the skin around the anus. The skin of the perirectal area gets exposed to the irritating digestive products in the stool and this might lead to an itchy rash when stools are frequent. It is common in both adults and children.
Pruritis ani is common and affects both sexes and individuals of all ages. Individuals with diabetes may be at greater risk of developing this condition. It is most commonly detected by observation of the symptoms.
There are another various causes, including:
- Due to excessive cleaning of the anal area;
- Due to moisture around the anus, from excessive sweating or from moist, sticky stools;
- A loose and/or irritating stool, caused in turn by a high intake of liquids;
- Due to certain beverages, such as beer, milk, citrus juices, coffee, tea and cola;
- Due to Certain foods and beverages such as chocolate, tomatoes, peppers, spices, shellfish, coffee, tea, and cola tend to cause itching.
Its common symptoms are itching. Itching particularly started at night. Skin changes occur which are due in part to scratching hyperemia, excoriations, abrasions, thickening, and lichenification. Pain or other symptoms such as bleeding from the bowel, mucus discharge, or lumps around the anus are not symptoms of straightforward pruritus ani. See a doctor if these or other symptoms develop in addition to itch. It may create problem if ill person late to go in hospital.
Your doctor may recommend medications to treat anal itch. An over-the-counter cream or ointment containing hydrocortisone applied it sparingly to the affected area once or twice a day, for up to 2 to 3 weeks. It may reduce inflammation and itching. Doctors treat pinworm infection and other parasitic infections with prescription oral medications to relieve anal itch.
Keep the area clean, cool, and dry. You may use over-the-counter cortisone ointment or cream to control the itch. You should apply it three times a day and rub in gently until the medication disappears. You should stop using the cortisone when the itching stops.
Foods suspected of causing pruritus ani should be eliminated from the diet. Clothing should be loose, and bed clothing light. After bowel movements, the patient should cleanse the anal area with absorbent cotton or plain soft tissue moistened with water. Eat plenty of high fibre foods (cereals, fruit and vegetables). Straining stool causes cracks in the anus which are irritable and harbour bacteria. Avoid excessively loose or otherwise irritating motions.
Medications which have been succesful for this are Lotrimin cream mixed with hydrocortisone 1% cream applied daily. Both of these are available over the counter at your local drug store.