Overview
Pruritus ani is a condition involving itchiness of the anal area. There are
many possible causes, so there are likewise many different treatments.
In many cases, scratching may exacerbate the symptoms and lead to
thickening of the skin in the affected area
Wikipedia
Please see
conventional, complimentary and alternative medical treatments
for important background information regarding the different types of medical treatments discussed on this page.
Naturopathic, Complimentary and Alternative treatments that may be considered include:
Nutritional Medicine
Hydrotherapy
Herbal Medicine
Treat the cause
Signs and Symptoms Itching, and occasional burning, of the skin around the rectum.
Examination may reveal excoriations, hyperemia, and lichenification.
Etiology
Dysbiosis .
Diarrhea .
Hemorrhoid .
Anal fistula .
Anal fissure .
Fecal incontinence (leakage).
Fungal skin infection (rare).
Parasites such as pinworms.
Lice.
Psoriasis.
Skin tags.
Abrasion of frequent or vigorous cleaning.
Excess moisture.
Occlusive clothing.
Irritating laundry products.
Foods: spices, hot sauce, tomato, dairy, chocolate, beverages.
Systematic disorders: diabetes type I
or type II , jaundice, lymphoma, uremia,
HIV-1 , etc.
Diagnosis Anal exam and anoscopy.
Treatment Find and treat the cause.
Symptomatic relief:
Corticosteroids (topical or systemic).
Local anesthetics (lidocaine, etc.).
Local analgesics (camphor, menthol, etc).
Emollients (glycerin, petroleum jelly, etc).
Astringents (witch hazel, etc).
Prevention Practice good anal hygiene:
Gentle cleaning with damp wipe (baby wipe or Tucks).
Keep area dry by wearing cotton undergarments and consider placing a
small roll of cotton or tissue between butt-cheeks.
Do not scratch or wipe vigorously.
ICD-9 Codes
ICD-9 Code Description Comments
698.0 Pruritus ani
References
[Shacket_puritisani]   Hemorrhoid.net
Pruritus Ani. Full text:
http://www.hemorrhoid.net/pruritisani.php
Accessed: 11/01/2019.
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