1.What is anal pruritus and what are the symptoms? Anal skin pruritus is a skin disease confined to the perianal area, in clinical practice it is often seen that some patients complain of anal itching discomfort, but upon examination, no abnormalities in the skin around the anus are found, in medical terms it is called anal pruritus. It can often be caused by systemic diseases such as furunculosis, hepatobiliary disorders, drug allergy, nephritis and uremia, and also secondary to the stimulation of secretions, commonly caused by anal uncleanliness, anal fissure, anal fistula, anal sinusitis, proctitis, etc.; or skin disorders caused by parasitic diseases and mycosis. The most prominent symptom of anal skin pruritus is limited itching in the anal region. Due to the itching discomfort, often scratching with their hands, so most patients have broken skin, nourishing water immersion, long-term failure to heal, seriously affecting rest and sleep. 2, anal itching is not pay attention to hygiene caused by? There are many anal itch patients believe that its onset is caused by inattention to hygiene, especially some male patients, more than the habit of daily anal bath, perineum. In fact, not washing the anus after a bowel movement or not having the habit of bathing the anus and perineum every day, it is possible that the residual anal sludge and urine scale may irritate the local skin and cause itching, which is only one of the many triggers for the onset of anal itching. But hemorrhoids, anal fissures, anal fistula, rectal prolapse and other anorectal diseases, and parasitic diseases such as pinworms, fungal infections such as “hand gas, foot gas”, trichomonas vaginitis, mold-contaminated toilet paper, sanitary napkins, is the common cause of the onset of anal itching. Therefore, patients with anal itching should pay attention to identify the cause, remove the cause, and develop good bowel habits. The anal area should be cleaned daily or after the stool, without using hot water, without scratching with hands and clothes and towels, without scrubbing repeatedly with strong alkaline soap, and without or with less use of overly dry agents such as PP powder to keep the affected area a smoother, drier environment. Bathe regularly and change your clothes and pants regularly. The paper and sanitary napkins should be set aside in a clean and dry place, and it is best to rub away the dust powder on the surface of the paper and sanitary napkins before use to reduce the stimulation of the affected area. 3, how to regulate the anal pruritus patient’s life? Anal itching is a self-conscious symptom. When the symptoms are heavy, it can make people restless, sleepless at night, distracted, and seriously interfere with normal work and life. Since mental factors can aggravate the itching symptoms and irregular life can affect emotions, patients in this category should rest on time, go to bed early and wake up early to ensure enough sleep. The living environment should be ventilated and comfortable, warm and cold, moderate dryness and humidity. The liner and pants should be soft and the bedding should not be too thick and heavy. For those who are prone to skin allergies, it is best to use cotton products, not chemical fiber cotton, duck down quilts. The bedroom lighting should be soft, the wall decoration should be simple, so that the entire bedroom appears quiet and restful, so as to ensure the quality of sleep, maintain a good mental state, reduce anal itching symptoms. 4, how to regulate the diet of patients with anal pruritus? The formation of anal itching, Chinese medicine believes that the wind evil is most closely related. The general principle of diet is to have a light diet, i.e. eat less or no fat, sweet and thick, and avoid eating warm, dry, fried and fried foods. That is, for too warm and easy to fire food to eat less or not, ginger, garlic, pepper, cinnamon, pepper, anise, dog meat, mutton, beef, doughnuts, fried rice cakes, spirits, betel nut, and too greasy food should be eaten as little as possible; and green leafy vegetables, fruits, eels, loach, lotus root, cloud ear, kelp, seaweed, nori, black peaches, mung beans, black beans, peanuts, etc. should eat more. Those who are in a position to do so can make their own homemade red dates, black dates, lotus seeds, coix seeds, yam, angelica porridge to eat every week to strengthen the spleen and dispel dampness, nourish the blood and dispel wind. 5, anal pruritus patients how to self-care? Patients with anal pruritus should learn to self-care while receiving treatment from doctors. Self-care generally includes the care of diet, living, mood and hygiene habits. If anal itching is caused by other diseases, it is important to treat the original cause and eliminate the cause. For example, because of diabetes, pinworm disease, mold infection and secondary anal itching, we must treat diabetes, pinworm disease and mold infection; at the same time in the diet avoid eating sweet food, avoid eating irritating food, quit drinking and smoking. Go to bed on time, get up on time, stay optimistic, avoid anxiety, and avoid insomnia. During the day, work easily and happily, do not drink strong tea or coffee before going to bed at night, do not have overly excited conversations, and take a hot bath or soak your feet in warm water or drink a cup of hot milk if necessary. Bedding should be diligently washed, changed, and dried, and keep the room ventilated and hygienic to prevent the growth of mold. Pay attention to personal hygiene, wash your hands before and after meals, don’t keep long nails, don’t wear other people’s clothes and shoes and socks, and wash your anus with warm water in time after a bowel movement. During menstruation, lesbians should pay more attention to pubic hygiene, preferably washing the pubic area twice a day and changing sanitary napkins regularly. If you have tinea pedis, you should promptly treat it, change your shoes and socks and pants once a day, and be careful not to wash your foot towels and socks together with other clothes. The itchy skin of the anus should not be washed with hot water and overly alkaline soap, or rubbed with hand paper, towels, or clothing, or scratched with fingers, or painted with alcohol, iodine type of drugs that are very irritating to the itchy skin. Underwear should be soft, loose, it is best to wear cotton products. 6, how to prevent the occurrence of anal pruritus themselves? The occurrence of anal itching can be caused by a variety of factors, so the prevention of anal itching, the key is to remove the cause of the disease. Particular attention should be paid to whether the patient has visceral and local diseases, if there are other diseases, they should be treated early. Secondly, we should avoid irritating and allergic foods and drugs, such as wine, strong tea, chili, salted fish, shrimp and crab. For those who are allergic to drugs, stop taking them immediately. Again, avoid local irritation, avoid scratching, change clothes for those who are allergic to them, and do not use too strong alkaline drugs or soap to wash and coat the affected area. In addition, we should pay attention to keep the local cleanliness, wash the anus with warm water bath after stool, and also apply local gentian violet (note that those who have broken skin should use less gentian violet), sprinkle skin sticky san or zinc oxide powder or Qing Dai san. Because itching is a conscious symptom, mental factors then play a very important role, so patients should maintain a happy and relaxed mood, avoid anxiety, worry and excessive tension, so as to reduce or prevent anal itching symptoms. If the spouse has mold infection, should pay attention to personal hygiene between the couple.