Common anorectal conditions: Part I. Symptoms and complaints. (1/17)
Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions. Although most conditions are benign and may be successfully treated by primary care practitioners, a high index of suspicion for colorectal cancer should be maintained, and all patients should be appropriately investigated. Inspection, palpation and anoscopic examination using an Ive's slotted anoscope provide adequate initial assessment. Pruritus ani usually represents a self-perpetuating itch-scratch cycle and is uncommonly due to infection. The history, as well as the physical examination, can distinguish anal pain due to hemorrhoids, fissure, abscess, cancer or proctalgia fugax. The most frequent causes of rectal bleeding are hemorrhoids, fissures and polyps. Diagnoses associated with difficulty in passing stool can range from constipation to fecal incontinence. (+info)Don't forget your toothbrush! (2/17)
Patients with rectally inserted foreign bodies can present to accident and emergency departments or general medical practitioners. Rarely dentally related objects are inserted because of their ready availability in the domestic environment. There are many reasons given for their presence in the rectum, most commonly accidental insertion, assault, and psychosexual motives. This case is the first reported incident of a patient using a toothbrush to relieve his pruritus ani and subsequently losing it up into the rectum. (+info)Capsaicin and menthol in the treatment of itch and pain: recently cloned receptors provide the key. (3/17)
Topical capsaicin is reported to be an effective treatment for idiopathic intractable pruritus ani. While both capsaicin and menthol application produce a transient perianal burning sensation, only capsaicin relieves itching. Classical observations on functional desensitisation of nociceptors by capsaicin may explain the beneficial effects but the recent discovery of a range of receptors which respond to capsaicin, menthol, and temperature, and their expression in subsets of sensory nerve fibres, provides an exciting prospect towards advancing our understanding and treatment of sensory dysfunction. (+info)Topical capsaicin--a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study. (4/17)
PURPOSE: Pruritus ani is a common and embarrassing proctological condition which can be very difficult to treat. We report the results of a double blind placebo controlled study of treatment with capsaicin. METHODS: Firstly, a pilot open study was carried out on five patients to establish which of two doses was the most acceptable by comparing effectiveness and side effects. Secondly, a double blind, placebo controlled, crossover study of topical capsaicin was performed. This study involved two four week treatment phases separated by a one week washout phase. Forty four patients were randomised to receive locally either active capsaicin (0.006%) or placebo (menthol 1%) ointment over a four week period (22 patients per group). After four weeks of treatment and a one week washout period, the placebo group began to receive capsaicin while the treated group received placebo (menthol 1%) for another four weeks. At the end of the controlled study, responders from both groups continued with capsaicin treatment in an open labelled manner. RESULTS: Thirty one of 44 patients experienced relief during capsaicin treatment periods and did not respond to menthol; all patients not responding to capsaicin also failed on menthol (p<0.0001). In 13 patients, treatment with capsaicin was unsuccessful: eight patients did not respond to capsaicin treatment, one responded equally to capsaicin and placebo, and four others dropped out because of side effects. During the follow up period (mean 10.9 (SD 5.8) months), 29 "responders" needed a mean application of capsaicin every day (1.6 (SD 1.2); range 0.5-7 days) to remain symptom free (or nearly symptom free). CONCLUSION: Capsaicin is a new, safe, and highly effective treatment for severe intractable idiopathic pruritus ani. (+info)Anorectal drug products for over-the-counter human use. Final rule. (5/17)
The Food and Drug Administration (FDA) is issuing a final rule establishing that any over-the-counter (OTC) drug product containing a combination of hydrocortisone and pramoxine hydrochloride (HCl) for anorectal use is not generally recognized as safe and effective and is misbranded. This combination product is not currently marketed OTC. This final rule discusses data on the combination of hydrocortisone and pramoxine HCl that were still under review when an earlier final rule on OTC anorectal drug products was issued. This rule is part of FDA's ongoing review of OTC drug products. (+info)Itching in the ear canal due to hypocerumenosis. An effective method of treatment. (6/17)
Itching of the ear canal, with oozing, edema and cracking of the skin due to absence or insufficiency of wax was treated in more than 200 cases by instructing the patient to massage the ear canal with a cotton tip applicator soaked with a hydrocortisone preparation and inserted a half to three-quarters of an inch beyond the meatus. Some 95 per cent of patients reported good to excellent results in three to four days after the beginning of treatment. In the remainder results were fair. (+info)Idiopathic perianal pruritus: washing compared with topical corticosteroids. (7/17)
BACKGROUND: Idiopathic perianal pruritus is a poorly managed condition. Topical corticosteroids are effective in idiopathic perianal pruritus, but they may cause some side effects. In this study, the effectiveness of topical steroids were compared with perianal cleansers in the treatment of idiopathic perianal pruritus. PATIENTS AND METHODS: Seventy two patients with the complaint of perianal pruritus were evaluated; 60 of the 72 patients were found to be idiopathic. Twenty eight patients were treated with topical steroids and 32 patients were treated only with a liquid cleanser. RESULTS: At the end of this two week period, cleansers were found to be as effective as topical corticosteroids. CONCLUSION: This study shows that perianal cleansers can be used as a safe first step treatment in idiopathic perianal pruritus. (+info)Pruritus ani. (8/17)
BACKGROUND: Pruritus ani is a common presenting problem in general practice, one that is particularly distressing to patients. However, there is little available research on which to base management OBJECTIVE: This article discusses the causes and management of this distressing symptom based on thecurrent available evidence. DISCUSSION: Perianal itch probably arises from localised inflammation. This may be the result of anorectal disease, skin disorders, excessive cleaning, application of local irritants or other causes. In children, perianal itch may be caused by intestinal hermetic Infection such as pinworm. Whatever the initial cause, the problem may at times become chronic, with scratching inflaming the area and more itching resulting. Avoiding trauma from excess washing, toilet paper and topical agents is important. Treatments likely to be effective are emollients such as sorbolene, a short course of topical hydrocortisone cream and capsaicin cream. (+info)Pruritus ani is a medical condition characterized by intense itching around the anal area. The term "pruritus" means itching, and "ani" refers to the anus. It can cause significant discomfort and affect a person's quality of life due to the constant urge to scratch the affected area.
Pruritus ani can have several causes, including:
1. Skin conditions: Dermatitis (inflammation of the skin), psoriasis, seborrheic dermatitis, or contact dermatitis may lead to pruritus ani.
2. Infections: Bacterial, fungal, or parasitic infections like candidiasis, pinworms, or threadworms can cause itching in the anal region.
3. Hygiene issues: Excessive cleaning or using harsh soaps, perfumed wipes, or toilet paper may irritate the skin and result in pruritus ani.
4. Moisture: Perspiration or moisture from feces can lead to maceration (softening of the skin) and itching.
5. Systemic diseases: Conditions like diabetes mellitus, liver disease, or kidney failure may cause pruritus ani as a secondary symptom.
6. Medications: Certain medications, such as some chemotherapy drugs, can lead to pruritus ani as a side effect.
7. Dietary factors: Consuming spicy foods, caffeine, or alcohol may exacerbate symptoms of pruritus ani in some individuals.
Treatment for pruritus ani typically involves addressing the underlying cause and implementing good hygiene practices. This may include using gentle, fragrance-free soaps, avoiding scratching, wearing breathable underwear, and making dietary changes if necessary. Topical treatments like corticosteroid creams or antihistamines may also be recommended to alleviate symptoms.
Pruritus is a medical term derived from Latin, in which "prurire" means "to itch." It refers to an unpleasant sensation on the skin that provokes the desire or reflex to scratch. This can be caused by various factors, such as skin conditions (e.g., dryness, eczema, psoriasis), systemic diseases (e.g., liver disease, kidney failure), nerve disorders, psychological conditions, or reactions to certain medications.
Pruritus can significantly affect a person's quality of life, leading to sleep disturbances, anxiety, and depression. Proper identification and management of the underlying cause are essential for effective treatment.
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Test and Tubes
Hemorrhoids4
- Past medical history should identify known conditions associated with pruritus ani, particularly prior anorectal surgery, hemorrhoids, and diabetes. (msdmanuals.com)
- Grades II, III, or IV internal hemorrhoids usually present with painless bleeding but also may present with complaints of a dull aching pain, pruritus, or other symptoms due to prolapse. (medscape.com)
- also for hemorrhoids, anal fissures and pruritus ani. (freezingblue.com)
- We also treat anal fistulas, anal fissures, external hemorrhoids of the thrombus, and pruritus ani, but the diagnosis may be different from your own judgment, so an appropriate medical examination is necessary first. (shibaangel.com)
Anal fissures1
- Anal fissures and perianal dermatitis (pruritus ani) are easily visible without internal probing. (medscape.com)
Perianal3
- For pruritus ani of unknown cause (idiopathic pruritus ani) treatment typically begins with measures to reduce irritation and trauma to the perianal area. (wikipedia.org)
- citation needed] Pruritus scroti Pruritus vulvae Perianal candidiasis James WD, Berger T, Elston D (2006). (wikipedia.org)
- Pruritus ani is characterized by anal/perianal itching and/or burning. (5minuteconsult.com)
Rectal1
- 1] Symptoms can range from mildly bothersome, such as pruritus, to quite concerning, such as rectal bleeding. (medscape.com)
Idiopathic1
- A successful treatment option for chronic idiopathic pruritus ani has been documented using a clean, dry and apply (if necessary) method. (wikipedia.org)
Pruritis ani2
- What is pruritis ani? (lacolon.com)
- Itching around the anal area, called pruritis ani, is a common condition. (lacolon.com)
Symptoms2
- In case of long-lasting symptoms, above all in patients over 50 years of age, a colonoscopy is useful to rule out a colonic polyp or tumor, that can show pruritus ani as first symptom. (wikipedia.org)
- The common symptoms of piles include bleeding, itching around the anus (Pruritus Ani) or feeling of lump outside the anus. (selfgrowth.com)
Diagnosis1
- Pruritus ani: diagnosis and treatment. (5minuteconsult.com)
Itch2
- Some authorities describe "psychogenic pruritus" or "functional itch disorder", where psychological factors may contribute to awareness of itching. (wikipedia.org)
- Pruritus ani usually represents a self-perpetuating itch-scratch cycle and is uncommonly due to infection. (aafp.org)
Anus4
- Pruritus ani is the irritation of the skin at the exit of the rectum, known as the anus, causing the desire to scratch. (wikipedia.org)
- Pruritus ani refers to itchiness of the skin surrounding the anus. (sydneycolorectalsurgery.com.au)
- Pruritus Ani is a medical condition that refers to a persistent feeling of itchiness in and around the area of the anus. (dermoscribe.com)
- The production of mucus from the anus tends to irritate the surrounding skin and may cause pruritus ani (itching of the anus). (tommonte.com)
Skin2
- Anal itching or pruritus ani is a skin condition that presents as intense itching in your anal area. (medicinenet.com)
- Pruritus (itching of the skin) can be caused by certain cancers or cancer treatment. (nih.gov)
Condition1
- This condition is also known as pruritus ani. (msdmanuals.com)
Hemorrhoids7
- Past medical history should identify known conditions associated with pruritus ani, particularly prior anorectal surgery, hemorrhoids, and diabetes. (msdmanuals.com)
- Anal itching is also referred to as pruritus ani which could be triggered by a number of conditions aside from hemorrhoids. (hemorrhoidstalk.com)
- If we discover hemorrhoids are the cause of your pruritus ani, we may be able to prescribe an ointment or hydrocortisone cream that will temporarily relieve the itching while you heal. (lacolon.com)
- Lidocaine 3% - Hydrocortisone 0.5% Cream is indicated for the anti-inflammatory and anesthetic relief of itching, pain, soreness, and discomfort due to hemorrhoids, anal fissures, pruritus ani and similar conditions of the anal area. (prescriptiondrugs.com)
- Product is used for the anti-inflammatory and anesthetic relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness and discomfort due to pruritus ani, pruritus vulvae, hemorrhoids, anal fissures and similar conditions of the skin and mucous membranes. (prescriptiondrugs.com)
- Does Pruritus Ani Cause Hemorrhoids to Smell Bad Too? (senvie.com)
- Pruritus ani can also contribute to cause of the smell associated with hemorrhoids. (senvie.com)
Known as pruritus1
- This condition is also known as pruritus ani. (msdmanuals.com)
Vulvae3
- The allergic aspect of pruritus ani and vulvae. (nih.gov)
- Essential Pruritus vulvae: Neurosis or hysterical Reaction]. (nih.gov)
- Pruritus Ani et Vulvae. (materiamedica.info)
Nocturnal pruritus1
- Itchy skin at night, also known as nocturnal pruritus, is a condition where individuals experience intense itching sensations primarily during nighttime hours. (dailyglamor.com)
Brachioradial pruritus1
- The most recognized are postherpetic itch, brachioradial pruritus, trigeminal trophic syndrome, and ischaemic stroke-related itch. (medscape.com)
Anal Itching1
- Anal itching, or pruritus ani, is a common complaint. (lacolon.com)
Irritation1
- Pruritus ani is irritation around the anal opening due to the build up of small mucus and stool particles. (senvie.com)
Piles1
- Pruritus ani and piles. (homeopathybooks.in)
Chronic2
- What we suggest is using Pruritus Ani ointments such as Pranicura , which relieves and prevents chronic itching. (bloggymoms.com)
- Pruritus may be acute or chronic, localized or generalized, and is often accompanied by skin changes like redness or rash. (urbanskinhairclinic.com)
Hemorrhoid1
- The solution to this dilemma is not to wipe excessively, as that would cause further bleeding, but to gently push the protruding hemorrhoid back through the opening, lessening the risk of pruritus ani. (senvie.com)
Symptom2
- Pruritus, or itching, is a common and distressing skin symptom that compels scratching. (urbanskinhairclinic.com)
- The primary symptom of pruritus, or itching, is that undeniable urge to scratch your skin in search of relief. (urbanskinhairclinic.com)
Conditions1
- Pruritus ani can be a side effect of a number of other medical conditions, as well. (lacolon.com)
Common2
- Pruritus Ani is a common issue among men and women. (bloggymoms.com)
- There are several common foods and beverages including coffee, colas, tea, chocolate, tomatoes and beer that are related to pruritus ani. (wirralsurgeon.co.uk)
Scratch1
- If persons with pruritus ani do not need to scratch after these steps they are instructed to do nothing else. (wikipedia.org)
Type1
- This type of pruritus can be perplexing, but our experts are here to decode its origins and offer suitable solutions. (urbanskinhairclinic.com)
Code1
- Zij dragen de opdruk Pfizer en de code FLU200 in zwarte inkt. (ultimateunderground.com)