Sitz baths: a treatment that hemorrhoid sufferers can’t live without

In our country, hemorrhoids is a common anorectal disease, life has been “ten men nine hemorrhoids”, “ten women ten hemorrhoids” said. Pain, blood, embarrassment, sitting up is synonymous with hemorrhoids, every attack, hate a knife, but really can not be ruthless, then what to do? Why don’t you try a sitz bath! Sitz bath this term, many people have heard, but really to say, or someone does not know how in the end it to get, what is the role of, so today to explain in detail about the sitz bath, so that all of you “hemorrhoids with the road and” friends in the attack on hemorrhoids on the way to an extra helping hand! 1. understand sitz bath? What is sitz bath? Sitz bath refers to the buttocks submerged in a basin with a specific drug, with hot water fumigation perianal and perineal, so as to achieve the treatment of anal diseases in a way. When taking a sitz bath, the medicine acts directly on the lesion, and some of the active ingredients in the medicine can be absorbed through the skin or the granulation tissue of the wound and play a role. Secondly, the warm steam and medicinal liquid fumigation make the local qi and blood meridians and channels get warmth and relaxation, and promote local blood circulation. In addition to the simplest warm water sitz bath (without any medication), common ways of sitz bath, potassium permanganate sitz bath, medical fumigation sitz bath, etc., the difference between these ways mainly lies in the sitz bath tub put in the different drugs. But the sitz bath treatment is not all good and no harm, if the patient in the sitz bath process is not operating properly, or sit with others to share the bath tub, etc., may cause herpes spread, skin burns and other situations. Therefore, in order to avoid adverse effects, or to assist in increasing the therapeutic effect of the sitz bath, the patient needs to be well-prepared before the sitz bath. 2. The whole process of the sitz bath (1) clean the preparatory work of the sitz bath, hemorrhoid patients choose warm water before the sitz bath should be timely cleaning bath (basin) tank, keep the bath (basin) tank clean and hygienic, to avoid the residue of soap or bath products, or shared with others, to prevent the hemorrhoidal parts of the irritation or cross-infection. (2) adjust the water temperature, warm water sitz bath should be strictly adjust the water temperature, the water temperature to not scalding the back of the hand shall prevail (general sitz bath water temperature of about 37-40 ℃ between) as far as possible to use lukewarm water, rather than the temperature of the water is too high, to prevent the anal area caused by stimulation of scalding, aggravate the inflammatory response. (3) add water, the patient can be in the bath (basin) tank filled with 5-10 centimeters high moderate amount of warm water, so that the entire anal area immersed in warm water to the degree. (4) Add potassium permanganate or Chinese herbs, strictly in accordance with the appropriate concentration or proportion of dilution, should be stirred evenly, and then the anal area immersed in water. (5) The duration of the sitz bath is usually 20-30 minutes, twice a day, once in the morning and once in the evening, or once before and after the bowel movement. (6) Drying the vulva and buttocks with a dry, soft towel after the sitz bath can reduce fungal infections and promote blood circulation in the area. (7) After the sitz bath, you need to clean the bidet and place it in a cool and ventilated place. 3. Sitz bath can not ignore the precautions (1) sitz bath before urination, defecation, because the hot water can stimulate the anus, perineum easy to cause urination, defecation reflex. (2) Drink salt water or lukewarm water before the sitz bath, to avoid excessive sweating caused by dehydration, 30 minutes before and after meals, should not sitz bath. (3) It is better to have someone around when taking a sitz bath because the warm water will make the blood vessels dilate and you will feel dizzy. If there is any abnormality or the following symptoms, you should stop it immediately, such as dizziness, weakness, cold sweat, and heavy bleeding. (4) It is not easy to take a sitz bath during women’s menstruation, late pregnancy, 2 weeks after childbirth, vaginal bleeding and acute pelvic inflammation to avoid infection. (5) In the process of sitz bath, pay attention to the observation of color, pulse, respiration, skin, etc., and pause in time if discomfort occurs in the process of sitz bath (6) After the completion of sitz bath, pay attention to keep warm and avoid direct wind. Reference text [1] China hemorrhoid diagnosis and treatment guidelines (2020)[J]. Colorectal and Anal Surgery,2020,26(05):519-533. [2] National Committee of Chinese Medicine External Treatment, edited by Wang Minghui and Yang Lei. Secret Chinese medicine external treatment special effect formula 2nd edition [M]. Zhengzhou:Henan Science and Technology Press,2019.05. [3]Zhang Bo. Have hemorrhoids, sitz bath good[J]. Family Health,2017(9):56