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ITCHING OF THE ANUS. (Itching Piles) (Pruritus ani).Causes

Category: 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

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.


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

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.

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