There are problems that most people prefer to keep silent, usually believing that it's embarrassing to talk about it.
For example, people hesitate to go to see a doctor, experiencing a constant burning in the anorectal area.
And, by the way, the reasons for such feelings can be very serious.
And to determine what causes feelings of discomfort in the anus, only a specialist can do at personal examination and after the tests, on the basis of which the treatment will be prescribed.
Contents
- What could be the cause?
- Personal hygiene - everything is good in moderation
- Proctologic diseases - the main factor
- Other causes
- Small patients
- What do men risk?
- Female question
- Concomitant clinical picture
- Diagnosis and patient questioning
- Approach to treatment
- Do not give a hemorrhoids any chance
- Help yourself!
- Preventive measures
What could be the reason?
Burning and anal itching can be a symptom of various pathologies.
There are primary and secondary burning sensations:
- primary is a separate disease, it is often impossible to establish its cause, therefore it is difficult to treat;
- secondary, is a symptom of another disease, cured which can be eliminated and from the discomfort in the anorectal area.
Personal hygiene - everything is good in moderation
Non-observance of personal hygiene of the anorectal area can cause burning, itching and other unpleasant sensations.
This refers to a rare wash, the use of coarse toilet paper after the emptying of the intestines, infrequent change of underwear.
This is especially dangerous in case of problems with defecation: the anus and so is regularly traumatized by hard feces, which increases the risk of anal fissures, and with such unsanitary conditions there are good conditions for the reproduction of bacteria and fungi in the perianal zone.
In this case, burning in the anus can be evidence of the attachment of a secondary infection.
On the other hand, burning in the anus can cause excessive hygiene of the anorectal area: frequent washing, use of various disinfectants and degreasers.
At the same time, local immunity decreases in this area and it becomes easy for microorganisms to penetrate the rectum.
Proctological diseases - the main factor
Diseases of the rectum that are accompanied by severe burning:
- Chronic proctosigmoiditis , which is characterized by inflammation of the rectum, affecting some organs of the abdominal cavity. Quite often in this disease, an accurate diagnosis is problematic, since failures in the work of individual organs lubricate the overall clinical picture. One of the signs of pathology is severe burning in the anus. Benign and malignant neoplasms of the rectum .
- Not the last cause of burning in the anorectal area is the hemorrhoids , which increases the sensitivity of the lower intestinal area, and also does not allow anal pomity to normally close. In this disease, the patient will also have pain in the rectum, which is strengthened by the act of defecation, and bleeding, and with external hemorrhoids, the nodes can be easily probed. Sometimes burning in the anus is caused by an allergy to antihemorrhoidal ointments or suppositories. Also, an allergic reaction can be on any hygiene products for the perianal area.
- Often unpleasant subjective sensations are observed due to of anal cracks of .In this case, it is especially aggravated during or after defecation. This is due to the hit on the open wounded surface of stool and bacteria. Also, with cracks in the rectum, there is a disruption in the anal sphincter, which increases the sensitivity of the mucosa of the lower intestine and intensifies burning sensations.
Other causes of
The causes, not related to proctological pathologies, can cause pain, burning and itching in the anus:
- Diabetes mellitus .
- Diseases that the dermatologist treats : scaly lichen, genital herpes, eczema, seborrheic dermatitis.
- Shaving in the intimate zone , the appearance of ingrown hairs.
- Intestinal dysbiosis , as a result of which feces change their chemical composition and can strongly irritate the perianal zone.
- Burning may appear due to a violation of the contractile function of the anal sphincter , for example, because of the near-anus polyps and genital warts.
- Failures in the liver, pancreas, gallbladder, bile duct due to various diseases, for example, Giardiasis. As a result, the feces become fat, oily, easier to stand out, irritating the area near the anus. Fat feces can be used when taking medications for weight loss based on orlistat.
- Sexual infections .Pubic pediculosis.
- Burning of the neurogenic nature of , it usually occurs in patients with mixed skin diseases and CNS( neurodermatitis, diathesis and others).
- Often, the cause of unpleasant sensations in the perianal zone are the intertrigo .Most often they appear in those who sweats strongly, in people with excess weight or excessive hair around the anus, in young children, for example, because of poor-quality diapers.
- Side effect of taking oral antibacterial drugs or from salt laxatives.
Small patients
In children, and sometimes in adults, burning in the anorectal zone can be caused by infection with worm-eaters( enterobiasis).With this disease, nothing but scratching, can not be seen on the skin.
When pinpointing with pinworm symptoms, the child can be observed grinding his teeth in a dream, disturbed only by night sleep, lethargy, decreased concentration of attention and memory, abdominal pain, loose stools.
What do men risk?
Burning in the anus in men can be due to an infectious prostatitis. Bacteria from the genitourinary system enter the intestine and cause irritation in the anorectal area.
In this case, I may have other symptoms: difficulty urinating, pain when emptying the bladder, nocturia, decreased sexual activity.
Female question
Burning in the anus in women is due to various infectious diseases of the urinary system.
Other symptoms may include vaginal discharge, unpleasant odor, abdominal pain, trouble urinating.
Quite often, discomfort in the anus may appear due to thrush, this disease is easily diagnosed and given to treatment, unlike most gynecological infections.
Concomitant clinical picture of
Depending on what causes burning, the clinical picture of the disease will be different:
- With hemorrhoids , in addition to burning and itching, there is pain during defecation, swelling of the anorectal zone, bleeding of varying intensity from traces of blood on toilet paper to permanent discharge of blood, the sensation of a foreign object in the anus, with external hemorrhoids prolapse of hemorrhoids.
- With anal fissures of , pain is exacerbated by problems with bowel movement and when solid feces move. In parallel, the scarring of the anus is seen from the anus. Burning in the anus after stool is associated with irritation of cracks by caloric masses. In chronic cracks, discomfort and pain can occur not only during bowel movement, but also during movement, changes in the position of the body.
Diagnosis and questioning of the patient
To accurately establish the cause of the burning sensation in the anus, a complete history should be collected:
- when there is burning in the interannual area;
- how intense it is;
- how long it lasts;
- if there are any other symptoms( pain in the anus, bleeding after defecation);
- at what time of day it appears.
After the survey, a specialist appoints a number of tests.
To determine the cause of burning in the anorectal zone will help:
- blood test for determining blood glucose levels;
- general stool analysis with decoding( coprogram);
- analysis of stool for the presence of pathogenic microflora in them, as well as the number of bifido- and lactobacilli;
- scraped on egg-worm;
- smear from the genitals;
- visual examination of a gynecologist, urologist, proctologist.
Colonoscopy, angiography of the pelvic blood vessels may be prescribed.
Treatment Approach
Treatment of anal burning depends on the cause of the ailment:
- for diabetes mellitus prescribes medications to lower blood glucose levels( oral hypoglycemic drugs, for example, metformin or insulin injections);
- for sexually transmitted diseases antibacterial or antifungal agents;
- in the presence of parasites prescribed anthelmintic drugs( Pirantel, Decaris);
- for dysbacteriosis - drugs normalizing the intestinal microflora( Acipol, Lineks);
- for diaper rash - ointments with antibiotics( Levomekol);
- with the appearance of burning sensation as a result of nervous disorders shows the course of sedative pharmaceuticals.
Do not give a hemorrhoids any chance
If the cause of burning in the anal canal is hemorrhoids or rectal fissures, rectal ointments and suppositories are used.
Once the hemorrhoidal cones subsided and the rectal cracks healed, the burning will pass.
All acute and salty foods, alcoholic beverages are excluded during treatment. To eliminate pain, candles with bellies, Betiol, suppositories and Proctozan ointment are used.
Ointment is applied to external hemorrhoids after hygiene of the anorectal zone. Suppositories are inserted into the anus after defecation or enema.
. Metiluracil and sea-buckthorn candles, Actovegin ointment, Levomekol, Bepanten have a healing effect.
If you have problems with defecation, you can use laxatives, for example, suppositories with glycerin. They will soften the stool, resulting in less injury to the anorectal area.
Help yourself!
Self-medication for this symptomatology at home is not permissible, but first aid is necessary.
Before applying for medical help, you need:
- after going to the toilet, you do not have to wipe yourself off, but wash yourself with warm water without using any hygiene products and get a syrup or a soft towel through the interannual zone;
- to exclude the use of medicines for the treatment of diseases of the rectum;
- can treat the anorectal zone with decoction from the oak bark, mixing it with an equal amount of baby shampoo, of course, if it is not allergic;
- not wear synthetic underwear.
If it is precisely established that the cause of burning is anal fissures from folk methods, you can use aloe. He renders wound healing and antibacterial action. To do this, a cut sheet of aloe is applied to the damaged area.
You can cut the leaves into several pieces, freeze them and then insert them into the rectum.
Seated baths with decoction of chamomile and calendula are shown, they have a soothing, anti-inflammatory and antimicrobial effect.
. Precautionary measures.
. Observance of personal hygiene, wearing clean and ironed cotton linen, using soft toilet paper without perfume and dyes, preventing constipation, eliminating excessive sweating, timely treatment of concomitant diseases all this will minimize the risk of burning in the perianal zone.
If there is discomfort in the rectum, do not feel shame and do self-medication, but you should immediately contact a specialist because it can be a symptom of a dangerous disease.