Pruritis (Itchy) Anus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
This book describes Pruritis (Itchy) Anus, Diagnosis and Treatment and Related Diseases
Pruritis anus or pruritis ani is a term meaning “itchy anus” and is described as an unpleasant sensation of the skin around the anus (i.e., rectal opening) that induces the desire to scratch.
This is the sense of constant perianal itching, producing a desire to scratch the anus.
It is a symptom and NOT a diagnosis.
Pruritis ani can be classified as primary or secondary.
1.The primary form is the classical syndrome which may have an unknown cause (idiopathic)
2.The secondary form has an identifiable, and often often treatable, cause.
The slightest stimulation of the skin may cause itching.
The resultant scratching may cause injury to the skin which produces a bigger area of irritated skin.
Persistent scratching induces the need to scratch more, making the problem worse.
Anal itching happens when the skin around the anus becomes irritated by some agent.
The person may feel an intensive itch around and just inside the anus.
The discomfort of the skin around the anus, inducing an absolute need to have to scratch, can have many causes.
The region around the anus is hot and humid.
Indeed, there is no ventilation around this area.
There may be excessive sweating, which stimulate the irritating environment.
Finally, a micro-organism infection may form around the anus.
Pruritis ani is a frequent medical problem involving children, men and women
Pruritis ani most often involves adults, affecting from 1% to 5% of people in the general population.
Men are more often affected than women with a 4:1 ratio.
The disorder is most frequent in people age 40s to 60s.
Causes
Anal itching may be caused by:
1.Spicy foods, caffeine, alcohol, and other irritating foods and beverages
2.Scents or dyes in toilet paper or soap
3.Diarrhea
4.Hemorrhoids, which are swollen veins in or around the anus
5.Sexually transmitted infections (STIs)
6.Taking antibiotics
7.Yeast infections
8.Parasites, such as pinworms, which more often happen in children
This symptom of pruritis or itching is frequent to many anorectal disorders.
One must consider hemorrhoids, excessive skin tags, fecal soiling or incontinence, anal fistulae (abnormal passageways between the bowel and an organ or skin surface), anal fissures (painful clefts or grooves) and anal warts as possible causative agents.
It is not always clear what causes the long-standing history of primary pruritis ani.
It is thought that an irritating secretion from the anal canal may induce the itching.
Occasionally, itching may also be psychogenic (symptoms from the mind, as opposed to physical).
Other possible causes of irritation are moisture from sweat, stool and mucus.
Studies have indicated that the relief of symptoms can happen instantly after the stool has been cleansed from the perianal area, suggesting that stool is likely an irritant cause of itching.
Besides inadequate hygiene, overzealous hygiene with the use of many irritating soaps, scents, and lotions may cause pruritis ani, resulting in this disorder occasionally being referred to as “polished anus syndrome.”
Dietary factors may also have a part in pruritis ani.
Coffee is believed to be a major causative factor.
An office biopsy with a small 3 or 4 mm sample of tissue may also be taken to help with diagnosis
Treatment:
Scratching always make the itch worse
Do not scratch
The person should keep dry with a clean, soft towel or plain toilet paper.
A short course of a steroid ointment may be used to control symptoms
The methylene blue can be combined with topical anesthetics and injected into and below the involved perianal region
This is usually used as a last resort.
TABLE OF CONTENT
Introduction
Chapter 1 Pruritis (Itchy) Anus
Chapter 2 Causes
Chapter 3 Sympt
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Pruritis (Itchy) Anus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Pruritis (Itchy) Anus,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2019 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Pruritis (Itchy) Anus, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Pruritis (Itchy) Anus)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Pruritis (itchy) Anus
This week I have a few mothers who brought their children to consult me because of persistent scratching of the skin around the anus because of itch.
Pruritis anus or pruritis ani is a term meaning itchy anus
and is described as an unpleasant sensation of the skin around the anus (i.e., rectal opening) that induces the desire to scratch.
This is the sense of constant perianal itching, producing a desire to scratch the anus.
It is a symptom and NOT a diagnosis.
Pruritis ani can be classified as primary or secondary.
1. The primary form is the classical syndrome which may have an unknown cause (idiopathic)
2. The secondary form has an identifiable, and often treatable, cause.
The slightest stimulation of the skin may cause itching.
The resultant scratching may cause injury to the skin which produces a bigger area of irritated skin.
Persistent scratching induces the need to scratch more, making the problem worse.
Anal itching happens when the skin around the anus becomes irritated by some agent.
The person may feel an intensive itch around and just inside the anus.
The discomfort of the skin around the anus, inducing an absolute need to have to scratch, can have many causes.
The region around the anus is hot and humid.
Indeed, there is no ventilation around this area.
There may be excessive sweating, which stimulate the irritating environment.
Finally, a micro-organism infection may form around the anus.
Pruritis ani is a frequent medical problem involving children, men and women
Pruritis ani most often involves adults, affecting from 1% to 5%