Perianal eczema

　　Perianal eczema can cause anal itching and recurrent attacks, and it can occur at any age. The etiology of perianal eczema is also very complex, including constitution factors, dietary factors, and anal diseases. The triggering factors of perianal eczema include:

　　1, Constitution factors, some people believe that poor quality is closely related to the disease.

　　2, Dietary factors such as fish, shrimp, crab, beef and mutton, eggs, scallion, garlic, and alcohol.

　　3, Anal diseases such as hemorrhoids, anal fistula, anal fissure, anal incontinence, and anal epithelial defect.

　　4, Drug effects such as sulfonamide drugs, certain antibiotics, and strong acids and bases and other chemical drugs.

　　5, Mental factors such as stress, fatigue, depression, and insomnia can also cause the condition.

　　6, Climatic factors such as heat, humidity, cold, and sunlight are also pathogenic factors.

　　7, Allergens such as pollen, dust, wool, synthetic fibers, balsam, dyes, soap, and others.

　　8, Factors such as endocrine disorders, liver and kidney dysfunction, intestinal parasitic diseases, dyspepsia, excessive leukorrhea in women, pinworm disease, and others can cause or worsen the condition.

　　Perianal eczema is a common non-communicable skin disease, with lesions mostly localized around the anal skin, but occasionally extending to the buttocks, perineum, and clitoris. Local redness, erythema, erosion, exudation, scabbing, and desquamation may occur. The course is long, and the skin around the anus is often thickened, with a grayish or dark red color, rough texture, leading to cracks, exudation, itching, and recurrent attacks as the main characteristics. It can occur at any age. Long-term moisture around the anus is not a trivial matter. If left untreated for a long time, it may lead to complications such as internal hemorrhoids and anal fistula. Patients should seek treatment early to avoid future problems.

　　First, condyloma acuminatum: This disease is a type of sexually transmitted disease, which can be scattered or connected in a patch, resembling cauliflower with a small amount of secretion and an unpleasant smell.

　　Second, internal hemorrhoids:If the internal hemorrhoids are large and the anus is relaxed, the entire bowel movement can be prolapsed, and it is often semi-prolapsed outside the anus. The secretions from the mucosa also cause moisture around the anus.

　　Third, anal fistula:One or several hard nodules can be palpated around the perianal area, with string-like substances extending from the nodules to the anal canal, and there is often secretion flowing out to soil the underwear. If the body's resistance decreases, it can become inflamed and swollen, forming a perianal abscess.

　　Anal eczema is a very common anorectal disease with various causes, such as unclean anus and pinworm infestation. If the cause of the disease can be clearly identified and targeted treatment is carried out, it is not difficult to cure. Anal eczema is often misdiagnosed. Many people are not aware of the symptoms of anal eczema. Let's take a look at the symptoms of anal eczema below.

　　First, itching

　　It is the main symptom of anal eczema. It presents with periodic severe itching, and scratching the affected area can cause skin damage and exacerbate the itching and pain. Severe itching can affect learning, work, and sleep.

　　Second, anal moisture

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

　　Third, pain

　　Scratching around the anus can lead to cracks and infections, often causing pain during anal pain and defecation.

　　Fourth, perianal erythema

　　Due to moisture, friction, or scratching, the perianal skin or skin folds may appear pale pink and swollen.

　　Fifth, others

　　In addition to its characteristics, perianal eczema can also cause symptoms such as indigestion, bloating, constipation, diarrhea, dizziness, insomnia, and irritability.

　　Perianal eczema is a common allergic skin disease in the anorectal department. It is characterized by itching, secretion, polymorphic rashes, and a tendency to recur. It can occur in people of any age. Therefore, people should take preventive measures in their daily lives. Below, we will introduce the preventive methods for perianal eczema.

　　Firstly, eliminate all possible causes of eczema, and actively treat various chronic lesions such as chronic tonsillitis, caries, and sinusitis, as well as various chronic diseases such as hemorrhoids, anal fistula, and anal sinusitis.

　　Secondly, reduce the intake of spicy foods such as chili and white wine. Analyze the possible allergens in various items, utensils, and chemicals that may cause allergies and remove them. If local symptoms such as red spots and itching suggestive of allergic reactions appear during the medication process, the medication should be discontinued immediately.

　　Three, keep the anal area clean and hygienic, avoid scratching and friction, avoid using soap water for soaking and irritating drugs for fumigation, sitting bath, or external application, in order to avoid aggravating the condition, and prevent diarrhea or constipation and other triggering causes.

　　Four, the key to preventing anal eczema is to develop good living habits, which can fundamentally eliminate anal eczema.

　　Five, avoid eating alcohol, fish, shrimp, and other irritant foods and contacting known allergens.

　　When symptoms of perianal eczema appear, it is necessary to go to a regular hospital for examination and treatment as soon as possible. Do not take medicine randomly and avoid falling into treatment误区, so as not to delay the disease and increase the burden of treatment. For perianal eczema, targeted treatment can be achieved with the effect of doubling the effort with half the effort after finding the cause.

　　The causes of perianal eczema are very complex. Once symptoms such as itching, perianal redness, moisture, and pain are found, if one wants to completely cure perianal eczema, the patient must go to a professional hospital for timely examination to make a diagnosis. The methods of physical examination using fingers or tactile sensation, as well as immune response antigen and antibody detection, are currently the two most commonly used methods for diagnosing perianal eczema.

　　1. Inspection and palpation:They respectively refer to the diagnostic method of doctors observing the whole body or local manifestations of patients visually, and the method of physical examination using fingers or tactile sensation. By touching, feeling, pressing, and pressing the inspected local area, it is understood to know the physical characteristics of the body surface and organs.

　　(1) Firstly, the diversity of skin damage morphology, initially manifested as redness and swelling of the skin at the affected area, spreading to healthy skin, presenting as 'erythema eczema'.

　　(2) Scattered or patchy papules the size of millet seeds appear.

　　(3) Papules are filled with serum, forming papules or vesicles.

　　(4) After infection, pustules form, burst, and the wound oozes and becomes eroded.

　　(5) After the exudate dries, scabs form.

　　(6) After treatment, inflammation subsides and the skin is covered with scales.

　　2. Immune response antigen and antibody detection:The main function of antibodies is to combine with antigens, including foreign and self-antigens, thereby effectively clearing pathogens, parasites, and other foreign bodies in the body, and the toxins they release, or clearing some self-antigens, so that the body maintains a normal balance. However, sometimes they may also cause pathological damage to the body, causing harm to the human body. This test is a detection of antigens and antibodies in the human immune system.

　　The appearance of perianal eczema can seriously harm people's healthy life. The injury caused by this disease is great. In life, people should pay attention to understanding the treatment methods, but also pay attention to their diet.

　　1. Fresh sweet potato:60 grams of fresh sweet potato are peeled and juiced, and the residue is pounded into a paste. Add an appropriate amount of vinegar and mix well, apply it to the affected area. The juice can be drunk, and it can be used for 5 to 7 days.

　　2. Red bean glutinous rice soup:Each 30 grams of red bean and glutinous rice are cooked until soft, then add an appropriate amount of sugar, take twice a day, children can reduce the amount or just eat the soup, which can be eaten for a period of time.

　　3. Green bean and lily soup:Green beans and dried lily bulbs, each 30 grams, are cooked into a soup for consumption. Add an appropriate amount of sugar and take twice a day, which can be eaten for a period of time.

　　4, Coix seed and water caltrop soup:Coix seed 5 grams, water caltrop 10 pieces peeled and sliced, boiled and taken, once a day, take for 10 days consecutively.

　　5, Mung bean and licorice decoction:Green bean 60 grams,甘草5 grams, boiled into soup, eat green beans and soup, reduce the amount for children by half.

　　6, Longjing tea:Longjing tea 6 grams, boiled in boiling water to 50 milliliters, add a little sugar, can be administered to infants with eczema in multiple doses per day, and continue for 1-2 weeks.

　　Medication therapy is one of the main therapies for perianal eczema, however, many patients with perianal eczema still have misunderstandings in the process of taking medication. In this regard, the following will specifically introduce how patients with perianal eczema should take medication, hoping it can be helpful to patients with perianal eczema.

　　Patients with perianal eczema should try to avoid long-term or short-term high-dose topical application of corticosteroid drugs, because long-term or short-term high-dose topical application of hormone preparations can also lead to addiction and drug-dependent dermatitis.

　　The side effects of corticosteroid drugs can be about 20 kinds, the most common is that the condition improves rapidly after taking the drug, and after a period of continuous external application, redness, tenderness, itching, cracks, desquamation, and even pustules can occur at the site of application within one or two days after discontinuation, and the primary disease can worsen, known as rebound eczema.

　　Experts say, the longer the time of application, the more serious the rebound eczema will be. It can make the skin thin, fragile, atrophic, capillary dilatation, purpura, fungal infection, acne-like eczema, etc., and become more susceptible to injury; it can also appear mild hirsutism, hyperhidrosis, subcutaneous hemorrhage, and difficulty in wound healing, etc.

　　If some patients develop dependence on corticosteroid drugs during the treatment process and have a rebound and exacerbation of the primary disease and secondary side effects after discontinuation, it can cause great pain to the patients. Doctors and family members of the patients should do the psychological work of the patients, have a full understanding of the effects and side effects of hormones, and enhance their confidence in overcoming the disease.

　　In addition, patients with perianal eczema should properly select treatment drugs and gradually reduce the dosage until the withdrawal of corticosteroids, and use methods against the above side effects and adverse reactions with traditional Chinese medicine to achieve the purpose of safe and complete cure of the disease. Patients must also remember the allergens and avoid eating or contacting them to prevent the aggravation of the disease.