How to treat perianal eczema
Nov 13, 2024
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Perianal eczema may be caused by factors such as friction and irritation, psychological factors, endocrine disorders, functional gastrointestinal diseases, anal fissures, etc. It can be treated under a doctor's guidance through general management, medication, and other methods. To prevent perianal eczema, it is important to keep the perianal skin clean and dry, avoid wearing tight pants and prolonged sitting, and maintain a positive mood.
In general, perianal eczema may be caused by factors such as friction and irritation, psychological factors, endocrine disorders, functional gastrointestinal diseases, anal fissures, etc. Treatment under the guidance of a doctor may include general management and medication. Specific analyses are as follows:
1. Friction and Irritation
Wearing tight pants, non-breathable underwear materials, prolonged sitting, or using harsh cleansers to wash the perianal area can all damage the skin barrier around the anus, thereby triggering eczema. Patients should keep the perianal skin clean and dry, avoid excessive friction and irritation, wear loose and breathable underwear, and avoid sitting for long periods.
2. Psychological Factors
Emotional factors such as stress, anxiety, and depression may lead to autonomic nervous system dysfunction, thereby causing or exacerbating perianal eczema. Patients should maintain a positive mood, avoid excessive tension and anxiety, and engage in appropriate psychological regulation and relaxation exercises.
3. Endocrine Disorders
Endocrine disorders are usually caused by genetic factors or chronic sleep deprivation. These may lead to abnormal hormone levels in the body, affecting the normal physiological function of perianal skin and inducing eczema. Symptoms may also include menstrual irregularities, increased thirst, and frequent urination. It is recommended that patients follow medical advice to take medications such as Xiaoyao Pills, Zhibai Dihuang Pills, or Danggui Tiaojing Granules.
4. Functional Gastrointestinal Diseases
Functional gastrointestinal diseases are typically caused by psychological factors or gastrointestinal abnormalities, which may lead to poor nutrient absorption or abnormal bowel movements, thus triggering perianal eczema. Symptoms may also include abdominal pain, diarrhea, and constipation. It is recommended to use medications such as Bifidobacterium Tetra Probiotic Tablets, Smectite Powder, or Compound Digestive Enzyme Capsules under medical supervision.
5. Anal Fissure
Anal fissures can be caused by improper diet, local infection, reduced blood supply, or anal stenosis. These conditions may increase perianal secretions, which over time irritate the surrounding skin and lead to eczema. Other symptoms may include rectal bleeding and pain during defecation. Patients may use medications such as Erythromycin Ointment, Compound Carrageenan Suppositories, or Diyu Huaijiao Pills as directed by a physician.
To prevent perianal eczema, it is important to maintain cleanliness and dryness of the perianal skin, avoid wearing tight clothing and prolonged sitting, maintain a positive mood, and avoid excessive stress and anxiety.
