Severe Itching Around the Anus: Managing Hemorrhoids and Skin Irritation - Surgery

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Severe itching around the anus and the development of small growths associated with hemorrhoids?


Due to the inconvenience of seeing a doctor while abroad and with a flight back to Taiwan in May, I am experiencing severe itching and redness around the anal area every night (especially around the hemorrhoids), accompanied by a prickling sensation that prevents me from sleeping well.
Currently, I am applying the well-known hemorrhoid cream "Proctosedyl" from Australia.
I would like to know if it is safe to apply it to the surrounding itchy and swollen skin.
Since I just started my menstrual period, I cannot take a warm sitz bath.
Are there any special precautions I should be aware of?

Niming, 20~29 year old female. Ask Date: 2017/04/21

Dr. Yu Mingchang reply Surgery


Hello: Please take a moment to check the colorectal surgery department at Changhua Hospital, Ministry of Health and Welfare, as they care about you.

Reply Date: 2017/04/21

More Info


Severe itching around the anus, particularly in the context of hemorrhoids, can be quite uncomfortable and distressing. It is important to understand that this symptom can arise from various causes, including irritation from hemorrhoids, skin conditions, infections, or even dietary factors. Given your situation, where you are currently abroad and unable to see a doctor until your trip back to Taiwan, managing your symptoms effectively is crucial for your comfort.

The use of Proctosedyl, a well-known hemorrhoid treatment, can be beneficial. This medication typically contains a combination of a local anesthetic and a corticosteroid, which can help reduce inflammation and alleviate itching. However, it is essential to apply it carefully. You can apply Proctosedyl to the affected area around the anus, but be cautious not to apply it excessively or too frequently, as overuse can lead to skin thinning or further irritation.

In addition to using Proctosedyl, here are some recommendations to help manage your symptoms:
1. Maintain Hygiene: Keep the anal area clean and dry. After bowel movements, gently clean the area with mild soap and water. Avoid using harsh soaps or wipes that contain alcohol or fragrances, as these can exacerbate irritation.

2. Avoid Scratching: Although it may be tempting, try to avoid scratching the area, as this can lead to further irritation or even infection. If the itching is severe, consider using a cold compress to soothe the area.

3. Dietary Considerations: Pay attention to your diet. Spicy foods, caffeine, and alcohol can sometimes worsen hemorrhoid symptoms and anal itching. Increasing your fiber intake can help prevent constipation, which can aggravate hemorrhoids.

4. Over-the-Counter Treatments: In addition to Proctosedyl, you may consider using over-the-counter hydrocortisone creams or ointments specifically designed for anal itching. These can provide temporary relief from inflammation and itching.

5. Avoid Irritants: Be mindful of any products that may irritate the area, such as scented toilet paper, soaps, or laundry detergents. Opt for unscented products whenever possible.

6. Warm Baths: While you mentioned that you cannot take warm baths due to your menstrual cycle, if you can find a way to do so safely, soaking in warm water can provide relief. If not, consider using a sitz bath after your period ends.

7. Monitor Symptoms: Keep track of your symptoms, including any changes in the severity of itching, the appearance of the skin, or any new symptoms. This information will be helpful when you see a doctor upon your return to Taiwan.

8. Consult a Doctor: Once you return to Taiwan, it is advisable to consult a healthcare professional. They can provide a thorough examination and determine if there are underlying conditions that need to be addressed, such as infections or skin disorders.

In summary, while Proctosedyl can help manage your symptoms, it is essential to maintain proper hygiene, avoid irritants, and monitor your condition closely. If your symptoms persist or worsen, seeking medical advice as soon as you are able will be crucial for effective treatment and management.

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