- Afterjucken: Description
- Afterjucken: causes and possible illnesses
- Afterjucken: When do you need to see a doctor?
- Afterjucken: What does the doctor do?
- Afterjucken: You can do that yourself
After itching (Medical: pruritus ani) is a very unpleasant symptom, which means a lot of suffering for many sufferers. For some, the scratchiness increases at night into the unbearable. There can be many causes behind after-itching. A short-term itching on the anus does not necessarily require treatment. If the itching persists, consult a doctor.
Causes and possible diseases
When do you have to go to the doctor?
What does the doctor?
You can do that yourself
Afterjucken is characterized by an intense itching at the anus and in the area of the anus and may be the leading symptom of numerous - sometimes serious - illnesses.
A short-term, mild itching on the anus does not necessarily have to be treated medically. Mostly standing allergic reaction on foods and skin irritation behind the Afterjucken.
However, if afterjuicing lasts longer and it becomes distressing and tormenting, you should consult a doctor. The right contacts are proctologists and dermatologists. An itching on the anus may conceal a (possibly serious) disease. On the other hand, the sinks life quality enormous, also because restless nights lead to exhaustion. The causes for the after-effects range from physical illnesses (for example diabetes mellitus) and mental illnesses to tumors.
Itching on the anus means a physical, but also a mental problem for many people affected. Sufferers report an almost obsessive urge to scratch themselves, which can become stronger at night.
Afterjucken can be so uncomfortable that those affected use tools for scratching (for example, toothbrushes) to rid themselves of the itching. The itching on the anus is often felt by those suffering as extremely distressing and distressing, and more painful in its character than pain. The scratching relieves the itching only for a short moment, which is why almost permanently scratched. Patients feel exhausted and feel a personal humiliation. At some point, sufferers can no longer distinguish the itch from pain.
Afterjucken is one of the most common symptoms that leads sufferers into the prokotlogische practice. There are no exact numbers of annual new cases, as the majority of patients with less severe itching at the anus visit no doctor.
- It is believed that about one to five percent of the population suffers from afterjucken.
- Men of all ages suffer from itching on the anus two to four times more often than women, with most people between 40 and 50 years old. Children are also among those affected.
- The majority of patients complain of a symptom duration of more than twelve months.
Patients who go to the office for anal complaints also report other anal symptoms in addition to itching on the anus. For the Afterjucken rarely a single cause is responsible. Common side effects of anal itching are:
- Foreign body sensation and
- abnormal defecation
Afterjucken: causes and possible illnesses
Afterjucken may be the symptom of various anal / anorectal or dermatological diseases, as well as internal diseases. A slightly milder itching triggers food, false toiletries and too low or excessive anal hygiene. In addition, infections or medications lead to itching on the anus. Not infrequently causes more than just a basic disease afterjucken. A relief of the itch on the anus then sets in only after treatment of all causes.
A harmless cause of after-effects is food. It is believed that consumed in large quantities Food and beverages potential causes of itching on the anus. Caffeinated drinks (for example, coffee, tea, kola) and alcoholic beverages (for example, beer) are suspected of being responsible for after-effects. Strongly spicy foods, especially spicy foods, but also salty, nuts, chocolate, dairy products or citrus fruits are among the possible causes of food-related itching on the anus.
Intolerance reactions chemicals (for example, perfumes, soaps, moist toilet tissue) and drugs (eg local anesthetics, antihistamines, antibiotics) can cause irritation of the skin and itching in the anal region.
Another cause of after-pain can be lack of hygiene be after the bowel movement. But beware: If you suffer from anal itching, you should get one exaggerated hygiene avoid.Increased hygiene with wet wipes and soaps damages the anal skin and can be infected by bacteria. The itching on the anus is thereby reinforced.
Much more serious are diseases such as hemorrhoids or fecal incontinence, A constantly moist environment irritates the skin and causes itching. Gastrointestinal diseases, such as Ulcerative colitis and Crohn's disease can promote long-lasting diarrhea. The increased contact with stool and more frequent wiping after using the toilet favors itching on the anus. Diarrhea, constipation, Injuries in anal skin (anal fissures), fistulas or a Anal or rectal prolapse also cause skin irritation and thus Afterjucken.
New growths of body tissue (neoplasms) such as polyps, Bowen's disease / Paget, colorectal / anal carcinoma are also among the proctological causes of the itch.
In about half of all patients with anal itching, there are dermatological or infectious causes. The Perianalekzem is an inflammatory reaction of the skin, which is usually associated with after-itching. Therefore, perianal eczema, like after-itching, is not a cause, but also a symptom. When diagnosing a perianal eczema, it is therefore necessary to continue searching for the underlying disease. An analgesic can be triggered by scratching, rubbing, damp, chemicals and medications.
Other skin diseases such as psoriasis inversa, lichen planus, lichen sclerosus et atrophicus, acne inversa or autoimmune bullous dermatoses also cause itching on the anus.
The common metabolic disease Diabetes mellitus comes first in the internal causes of afterjuicing. Rare internal causes can be:
- On disturbed immune system (e.g., due to HIV); associated with it often infections by staphylococci and streptococci, herpes zoster, fungal infections or sexually transmitted infections.
- Liver, blood and thyroid diseases are among the possible causes for Afterjucken.
Afterjucken in children
Afterjucken, but also itching in the vagina area (pruritus vulvae) is a common problem in girls. A common reason: The anatomical proximity of the anus and vagina often leads to contamination of the vagina by stool remains. The vaginal and anal skin are still thin and vulnerable in childhood. In addition, the vaginal flora is pH-neutral, which promotes bacterial infections first in the vagina, then on the anus.
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Afterjucken: When do you need to see a doctor?
In the case of a short afterjury, harmless triggers such as food or contact allergies to chemicals (washing lotion, toilet tissue, etc.) could be the cause. In that case you do not necessarily have to go to the doctor. If the itching lasts longer and also tormenting, the rapid course to the physician is recommended. The right specialists are proctologists or dermatologists. Afterjury can also be caused by serious diseases such as diabetes mellitus or a tumor.
Diseases with this symptom
- Crohn's disease
- Cradle cap
- Abdominal influenza
- Diabetes mellitus
- Ulcerative colitis
- Metabolic syndrome
- nail fungus
Afterjucken: What does the doctor do?
The doctor will first want to know in a conversation, which complaints you have (itching, burning, moaning, etc.). In addition, it will ask you how long the itching will last, when it will occur, and how pronounced it will be. Chair irregularities and pre-existing diseases of the intestine give further indications of the cause. He will then proceed with the clinical examination of the anal region (palpation of the anal region and endoscopic proctoscopy). He also examines the skin and mucous membranes to detect or exclude dermatological or infectious diseases. If a suspected diagnosis, further investigations are carried out accordingly.
Afterjucken: You can do that yourself
If you are from an unpleasant After itching take care of a careful care of the anus. Unfortunately, the symptoms are not immediately averted, so be patient with your body. The following tips will help you to get rid of the symptoms:
- After bowel movements, during menstruation and before and after sexual intercourse, cleanse the genital area with clean water and pat dry with very soft toilet paper.
- Use soap-free washing lotion.
- Avoid moist toilet wipes due to allergic reactions to chemical additives in the wipes.
- You should refrain from creams. If you find it difficult, you can use Vaseline without additives (note the package leaflet!).
- Wear cotton underwear (no synthetic underwear) to keep it from getting too hot and damp in the genital area.
- Seat baths and anti-inflammatory creams should only be used on short notice and in consultation with the attending physician.
- Avoid spicy foods, salty foods, nuts, chocolates, dairy products or citrus, as well as caffeine and alcoholic beverages.