Anal eczema

　　First, external factors

　　1、Clothing：If the underwear is not cotton or too tight, the sweat around the anus is difficult to evaporate. For women, if there is an increase in leukorrhea, it is easy to have a damp situation, which may lead to anal itching symptoms.

　　2、Food：If there is an excessive intake of foods that are harmful to the intestinal health, such as seafood and spicy foods, it is easy to damage the normal function of the intestines, leading to the occurrence of anal diseases.

　　3. Living conditions:If the living environment is too damp or dry, the body will show certain discomforts.

　　4. Living environment:For those who need to walk or stand for a long time, the chance of developing anorectal diseases is much higher than others. This also increases the risk of developing anal eczema.

　　Secondly, internal causes

　　1. Systemic diseases:For patients with systemic symptoms such as diabetes or hyperhidrosis, due to the disease factors, anal discomfort such as itching may often occur. If the itching symptoms are not well controlled for a long time, it may trigger diseases with symptoms such as anal eczema.

　　2. Anorectal diseases:For common diseases such as hemorrhoids and anal fistula, when symptoms worsen, it is easy to stimulate the perianal skin with secretions or pus, leading to various discomforts.

　　3. Body factors:In most cases, anal eczema is more common in older individuals or those with weak physical conditions. This is mainly related to the degeneration of the normal function of the anal sphincter.

　　4. Mental factors:Long-term stress, tension, or excitement can also stimulate nerve endings, leading to anal itching.

　　1. Inducing inflammation:After the perianal skin is broken and secondary bleeding and infection occur, severe cases may develop cellulitis. Additionally, the pathogenic bacteria of inflammation may spread to the adjacent areas of the anus, causing inflammatory infections of the reproductive organs such as vaginitis, urethritis, and prostatitis, and even severe cases may lead to sexual dysfunction problems such as impotence and premature ejaculation in men.

　　2. Inducing systemic symptoms:Long-term anal eczema that does not heal can also lead to systemic symptoms in patients, such as indigestion, constipation, abdominal distension, dizziness, insomnia, and restlessness.

　　3. Inducing local anal lesions:Generally speaking, anal eczema is a complication of some anorectal diseases, but it can also be a trigger for other anorectal diseases. If anal eczema is not treated for a long time, it may trigger conditions such as hemorrhoids, anal fissures, and anal sinusitis.

　　Anal eczema is a non-communicable skin disease. After infection, the main symptoms are exudation, papules, and itching around the anal area. Some may experience papules, erythema, erosion, scabs, and desquamation around the anal area. The skin around the anal area may thicken and become very rough over a long period of illness, appearing dark red or gray-black, similar to lichen. Some anal margins may crack, making itching more severe or causing pain.

　　The clinical symptoms of anal eczema mainly manifest as itching, pain, anal erythema, moisture, anal perianal skin erosion, and can also cause symptoms such as indigestion, abdominal distension, constipation and diarrhea, dizziness, insomnia, and irritability. Anal eczema has acute and chronic types, with chronic anal eczema being more common. The difference from anal pruritus is that anal pruritus is usually itchy first, without exudation, and only after scratching does it lead to erosion, bleeding, and exudation; eczema is characterized by exudation, papules, erythema, and erosion first, followed by itching.

　　1、瘙痒：1. Itching:

　　It is the main symptom of perianal eczema. It presents with intermittent severe itching, and scratching the local area can cause skin damage and exacerbate pain and itching; when the itching is unbearable, it can affect learning, work, sleep, etc.2. Anal erythema:

　　Due to moisture, friction, or scratching, the perianal skin or skin folds become pale pink and edematous.3. Anal moisture:

　　Exudate can cause anal moisture and discomfort, soiling of underwear, and skin abrasion.4. Pain:

　　The skin around the anus can break due to scratching, leading to fissures, infection, often causing anal pain and pain during defecation.5. Other:

　　How to prevent perianal eczema

　　1. Actively treat diseases that may cause perianal eczema: Many chronic inflammatory diseases (such as tonsillitis, sinusitis, etc.), anorectal diseases (hemorrhoids, anal fissure, anal sinusitis, etc.) may cause perianal eczema, and it is necessary to actively treat them.

　　2. Pay attention to the cleanliness and hygiene of the perianal area: Avoid excessive scratching of the skin around the anus, do not use some刺激性 chemical substances to clean the anus, especially after diarrhea, especially keep the perianal skin clean and dry.

　　3. Try to eat less spicy and刺激性 food, drink less white wine. Keep away from various items that may cause skin allergies.

　　4. Eat less spicy food and white wine. Analyze the items, utensils, and chemicals that may cause sensitization and remove them.

　　5. In the process of taking medication, if local redness, itching, and other suspected allergic symptoms appear, medication should be discontinued immediately.

　　1. Physical examination:Perianal eczema, in terms of appearance, has the following characteristics: Firstly, the diversity of skin lesion morphology, initially manifested as redness and swelling of the affected skin, spreading to healthy skin, presenting as 'erythema eczema'; followed by scattered or patchy papules of millet size, presenting as 'papular eczema'; continuing to develop, the papules fill with serous fluid, forming vesicles or bullae, presenting as 'vesicular eczema'; after infection, forming pustules, presenting as 'pustular eczema'; after rupture, the wound surface exudes fluid and becomes eroded, presenting as 'erosive eczema'; after drying of the exudate, forming crusts, presenting as 'crustal eczema'; after treatment, inflammation subsides, the skin is covered with scales, presenting as 'scaly eczema'. Various skin lesions can coexist in one location. Secondly, the diffuseness of skin lesions. Regardless of which type of skin lesion, there is no obvious boundary, and it can spread to the surrounding healthy skin. Thirdly, the atrophy of skin lichen. Regardless of which type of eczema, due to repeated attacks, the affected skin can eventually show decreased or lost elasticity, thickening of the skin, lichenoid changes, hyperpigmentation or hypopigmentation.

　　2. Laboratory examination:Non-specific, the number of eosinophils in the blood may increase.

　　Perianal eczema food therapy

　　1. Mung bean and red bean decoction:Mung bean 30 grams, red bean 15 grams, cooked together with water until the beans are soft, add sugar to taste, taken in the morning and evening.

　　2. Sheum decoction:Fresh sheum 30-60 grams, decocted, taken in fractions several times a day, and can be used externally.

　　3. Winter melon soup:Winter melon with skin 250 grams, cut into pieces, boiled into soup for eating.

　　4. Cucumber decoction:Cucumber skin 30 grams, boiled in water for 3 minutes, add sugar to taste, 3 times a day, divided into servings.

　　5. Green bean and kelp porridge:Green beans 30 grams, dried kelp 50 grams, sugar to taste, glutinous rice to taste. Boil green beans in water.

　　1. Pay attention to diseases:When the body is not feeling well or the anus has an uncomfortable feeling, the patient should actively seek medical treatment. Many patients in clinical practice do not take the disease seriously at the initial stage of the disease, resulting in missing the best treatment time and leading to the deterioration of the disease and triggering a series of diseases.

　　2. Rational and regular diet:Regular and scientific diet can have a good preventive effect on diseases. In addition to effectively matching the diet, it should be minimized to intake spicy, alcoholic, and other stimulating foods. In addition, it should also be avoided to take drugs containing allergens. When taking medicine and the skin appears uncomfortable, the medication should be stopped immediately, and timely hospital examination should be conducted.

　　3. Keep the anal hygiene clean:In addition to cultivating good hygiene habits, it is also necessary to keep the anus clean. The habit of washing the anus after defecation can promote the blood circulation of the buttocks well, effectively preventing the occurrence of the deterioration of the disease.

　　4. Positive physical exercise:Exercising the body can effectively enhance the body's resistance to diseases and immunity, and can also help to exercise the normal function of the intestines well.