Home Surgeon Profile Locations Contact Us   Links    News   FAQ's  Glossary 
Common Bowel Problems
 Anal Abscess / Fistula
 Anal Cancer
 Anal Fissure
 Anal Warts
 Colonoscopy
 Colorectal Cancer
 Constipation
 Crohn's Disease
 Diverticular Disease
 Haemorrhoids
 Irritable Bowel Syndrome
 Peri-anal Haematoma
 Pilonidal Disease
 Polyps of the Colon & Rectum
>Pruritus Ani
 Rectal Prolapse
 Screening & Surveillance for Colorectal Cancer
 Ulcerative Colitis
Keyhole Surgery
 Gallstone Disease and Laparoscopic Cholecystectomy
 Incisional Hernia
 Inguinal Hernia
 Keyhole Surgery


www.bowelandkeyholeclinic.com


Pruritus Ani

WHAT IS PRURITUS ANI?

This condition is probably best described as an itchy bottom.  This itching around the anal area, called pruritus ani, is a common condition.  Although seen often to be a humorous condition, is very problematic to some patients.  The irritated anal skin which occurs, results in an irresistible urge to scratch the area. It may be most noticeable and bothersome at night or after bowel movements.

WHAT CAUSES THIS CONDITION?

Several factors may be at fault. A common cause is excessive cleaning of the anal area. Moisture around the anus, from excessive sweating or from moist, sticky stools, is another possible cause. In some people, a loose and/or irritating stool may be caused by a high intake of liquids.

In addition drinking certain beverages, including some alcoholic beverages - especially beer -milk, citrus fruit juices and drinks containing caffeine, such as coffee, tea and cola, may be aggravating for some people. Similarly, some foods that may be a problem include chocolate, fruits, tomatoes, nuts and popcorn.

Other rare causes of pruritus ani may include pinworms, psoriasis, eczema, dermatitis, haemorrhoids, anal fissures, anal infections and allergies.

DOES PRURITUS ANI RESULT FROM LACK OF CLEANLINESS?

Cleanliness is occasionally a factor.  However, the natural tendency once a person develops this itching is to wash the area vigorously and frequently with soap and a washcloth.  This almost always makes the problem worse by damaging the skin and washing away protective natural oils.

WHAT CAN BE DONE TO MAKE THIS ITCHING GO AWAY?

A careful examination by a colorectal  surgeon or GP may identify a definite cause for the itching.

Treatment of pruritus ani may include these four points.

1. AVOID TRAUMA to the affected area:

Do not use soap of any kind on the anal area.

Do not rub or scrub the anal area with anything even toilet paper.

For hygiene use wet toilet paper, baby wipes or a wet washcloth to blot the area clean.

Try not to scratch the itchy area. Scratching produces more damage to sensitive skin, which in turn makes the itching worse.

2. AVOID MOISTURE in the anal area

Apply either a few wisps of cotton or small gauze pad

Avoid all medicated, perfumed and deodorant powders

3. USE ONLY MEDICATIONS PRESCRIBED BY YOUR PHYSICIAN

Apply prescription medications sparingly to the skin around the anal area and avoid rubbing.

4. AVOID EXCESS FLUIDS AND THE FOODS PREVIOUSLY MENTIONED.

In most instances, a maximum of six glasses of fluid daily is reasonable. There is not usually any health benefit to drinking more fluid than this in the course of a day.

HOW LONG DOES THIS TREATMENT USUALLY TAKE?

Most people experience some relief from itching within a week if above strategies are followed.  Complete cure can in some cases be difficult to achieve.

If you wish to arrange an appointment with Dr. Rob Churchat Al Zahra Hospital Dubai

Contact Al Zahra Call Center on +971 4-378-6666