Pruritus

A. Pruritus ani is characterized by the intense desire to scratch the skin around the anal orifice. It occurs in 1% of the population. Pruritus ani may be related to fecal leakage.

B. Patients report an escalating pattern of itching and scratching in the perianal region. These symptoms may be worse at night. Anal hygiene and dietary habits, fecal soiling, and associated medical conditions should be sought.

C. Examination reveals perianal maceration, erythema, excoriation, and lichenification. The practitioner should perform a digital rectal examination and anoscopy to assess the sphincter tone and look for secondary causes of pruritus. Patients who fail to respond to 3 or 4 weeks of conservative treatment should undergo further investigations such as skin biopsy and sigmoidoscopy or colonoscopy.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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