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ITCHING OF THE ANUS. (Itching Piles) (Pruritus ani).CausesCategory: Digestive Organs An inherited or an acquired nervous constitution. Disease of the colon, rectum or anus. Improper diet. Skin affections in that region. Operations about the rectum and anus with resulting discharge sometimes. Diseases in the neighboring organs. Disease of the general system. Diarrhea, discharge of mucus and pus, fissure, etc. Irregular habits and dissipation. Over-seasoned foods such as lobster, salmon, shell-fish and foods containing much grease or starch are especially conducive to it; the same is true of tea, coffee, cocoa, strong alcoholic drinks. Skin diseases, lice, pin worms often cause it. After Operations. Some part has not healed, and there is left an irritating discharge. Symptoms. There is intense itching at the anus, increased by warmth, and contact of the buttocks. The itching grows worse after the patient becomes warm in bed. It may spread and extend to the scrotum, down the limbs and sometimes over the lower back. PHYSICIANS' TREATMENT FOR ITCHING OF ANUS. Preventive and Palliative. DIET. May Take. Strong drink must be prohibited; tea, coffee, cocoa, if used at all should be sparingly used. A light diet such as bread, milk, eggs, nourishing soups, kumiss and a little fresh fish, broiled steak, etc., may be used. May Not Take--Hot cakes, pastry, parsnips, cheese, pickles, beans, cucumbers, cabbage, oatmeal, pork, shell-fish, salmon, lobster, salt fish, confectionery and starchy or highly seasoned foods are to be prohibited. Regular meals, no lunches between meals, and the patient must not over-eat at any time. Long course dinners and over-indulgence in highly seasoned foods and wines aggravate it. Remedies for Bath. The bowels should move daily and the parts should be kept clean. The parts should be bathed with hot water or weak solutions of carbolic acid, alcohol or listerine, the heat being especially soothing. Bathing the parts with bran, oatmeal, flaxseed, salt, rice, slippery elm teas, or tar water adds much comfort to these parts. Do not wash much with soapy water. 1. Separate the Buttocks with Gauze, a thin layer of cotton or a piece of soft cloth. This eases the soreness, pain and itching by absorbing the secretions and preventing irritations while walking. The patient should not scratch the parts. Direct pressure over the itching parts with a soft cloth, or by drawing a well oiled cloth across the sore parts several times gives relief. 2. Dr. Allingham Recommends the introduction of a bony or ivory nipple-shaped plug into the anus before going to bed. It is self retaining, about two inches in length, and as thick as the end of the index finger. He claims it prevents the night itching by pressing upon the many veins and terminal nerve fibres of the parts. When the rawness is extensive and the parts are highly inflamed, the patient should be kept to bed and kept on his back with the limbs separated until the irritation is allayed. 3. Local Applications. Soothing remedies: These can be used when the parts are inflamed and raw. Lead and opium wash, or boric acid, or linseed oil, or starch, or cocaine, and zinc stearate with boric acid. This form of zinc adheres to the parts when rubbed on, and is thus more valuable. 4. The following is good to dust in the parts:-- Boric Acid 2 drams Stearate of Zinc 2 drams Talcum 1 dram Apply as a dusting powder. 5. The following is good for the raw parts:-- Carbolic Acid 1 scruple Menthol 10 grains Camphor 10 grains Suet enough to make 1 ounce Mix. Apply freely two or three times daily after cleansing the parts. Melt the suet and when partially cold, add the other ingredients. 6. The following is good for the itching and to heal the raw surfaces:-- Carbolic acid 1 dram Zinc oxide 1 dram Glycerin 3 drams Lime water 8 ounces Mix and apply once or twice daily to relieve the itching. 7. Carbolic acid 1 dram Calamin prep 2 drams Zinc oxide 4 drams Glycerin 6 drams Lime water 1 ounce Rose water enough to make 8 ounces Mix. Keep in contact with the itching area by means of gauze or cotton while the itching is intense. 8. For injections into the rectum for rawness of the mucous membrane, the following is well recommended. Use three drams of this at one time. Fluid extract Witch Hazel 2 ounces Fluid extract Ergot 2 drams Fluid extract Golden Seal 2 drams Compound tincture Benzoin 2 drams Carbolized Olive or Linseed Oil 1 ounce Carbolic acid 5 per cent Mix and shake well before using. 9. For the same purpose:-- Ichthyol 1 dram Olive oil 1 ounce Mix and apply in the rectum on a piece of cotton. Next: PILES. (Hemorrhoids) Previous: Constipation Corrections of Errors in Diet
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