Anal itching – Symptoms and causes

Overview

Anal itching is a common condition. The itch, situated in or around your anus, is often intense and may be accompanied by a strong urge to scratch. You may find anal itching to be embarrassing and uncomfortable.

Also called pruritus ani (proo-RIE-tus A-nie), anal itching has many possible causes, such as skin problems, hemorrhoids, and washing too much or not enough.

If anal itching is persistent, talk with your doctor. With proper treatment and self-care, most people get complete relief from anal itching.

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Symptoms

Anal itching may be associated with redness, burning and soreness. The itching and irritation may be temporary or more persistent, depending on the cause.

When to see a doctor

Most anal itching doesn’t require medical care. See your doctor if:

• Anal itching is severe or persistent
• You have anal bleeding or stool leakage
• The anal area seems to be infected
• You can’t figure out what’s causing a persistent itch

Persistent anal itching may be related to a skin condition or other health problem that requires medical treatment.

Causes

Sometimes the cause of anal itching isn’t identifiable. Possible causes of anal itching include:

• Irritants. Fecal incontinence and long-term (chronic) diarrhea can irritate the skin. Or your skin care routine may include products or behaviors that irritate the skin, such as using harsh soaps or moist wipes and washing too aggressively.
• Infections. These include sexually transmitted infections, pinworms, and yeast infections.
• Skin conditions. Sometimes anal itching is the result of a specific skin condition, such as psoriasis or contact dermatitis.
• Other medical conditions. These include diabetes, thyroid disease, hemorrhoids, anal tumors.

Sept. 15, 2020

Show references

1. Breen E, et al. Approach to the patient with anal pruritus. https://www.uptodate.com/contents/search. Accessed Sept. 5, 2018.
2. Bope ET, et al. General principles of treatment. In: Conn’s Current Therapy 2018. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Sept. 5, 2018.
3. AskMayoExpert. Pruritus ani. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
4. Nasseri Y, et al. Pruritus ani: Diagnosis and treatment. Gastroenterology Clinics of North America. 2013;42:801.

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Types, Causes, Diagnosis & Treatment

Overview

What is pruritus ani (anal itching)?

pruritus ani is a dermatological condition characterized by itching in the anal area. The itching may become worse at night or after a bowel movement. Scratching the area results in further irritation and makes the itching worse instead of relieving it. Scratching with the fingernails may result in skin damage or an infection. If the itch-scratch cycle persists, it can lead to extreme discomfort, soreness, and burning.

What are the types of pruritus ani?

There are two main types of pruritus ani—primary and secondary.

• Primary (idiopathic) pruritus ani—This condition has no identifiable underlying cause. This is the most common type of pruritus ani.
• Secondary pruritus ani—This condition may be due to many different underlying causes. They may include infections, contact dermatitis or other dermatological conditions, systemic diseases, and other factors.

How common is pruritus ani?

It is estimated that 1-5% of the population is affected. Pruritus ani is about 4 times more likely to occur in men than in women. Primary or idiopathic pruritus ani accounts for the majority (about 50-90%) of cases.

Symptoms and Causes

What can cause dryness and irritation in the anal area?

The anal area may become dry and irritated due to the use of harsh soaps, sanitary wipes, or rough toilet paper to clean the area after a bowel movement. A hypersensitivity reaction may occur if perfumed powders, lotions, creams, ointments, or other products are applied in the anal region. Excess perspiration or small amounts of fecal matter can cause irritation and itching.

What causes pruritus ani (anal itching)?

Pruritus ani is usually not caused by poor hygiene. Rather, the overuse of soaps and other topical products to clean the anal region or vigorous scrubbing with a washcloth or rough toilet paper can cause irritation. A hypersensitivity reaction may occur if perfumed powders, lotions, creams, ointments, or other products are applied in the anal region.

Excess perspiration or moisture may become trapped in the anal area if constricting or tight-fitting underwear is worn. Some foods and beverages, such as carbonated drinks, caffeinated beverages (coffee, tea, colas) and spicy or acidic foods (tomatoes, citrus fruits) have been linked to the condition. Having frequent bowel movements (diarrhea) or infrequent ones (constipation) may also play a role.

Other causes of pruritus ani include:

• Infections: Some types of bacteria, fungi (yeast), or parasites can cause itching. Staphylococcus aureus or Streptococcus pyogenes (types of bacteria), Candida albicans (a yeast), pinworms (mainly in children), and Sarcoptes scabiei (scabies mites) are some organisms that result in itching and irritation.
• Dermatological conditions: Psoriasis, contact dermatitis (inflammation due to allergens or other irritants), or atopic dermatitis (a chronic condition found in patients with allergies) may cause a rash in the perianal region.
• Inflammatory bowel disease (Crohn’s disease)
• Psychological factors such as stress or anxiety
• Systemic diseases: These include diabetes mellitus, leukemia, lymphoma, thyroid disease, renal disease, and liver disorders (obstructive jaundice).
• Colorectal and anal disorders: Rectal prolapse, internal or external hemorrhoids, anal fissures (ulcers), or fistulas (abnormal tube-like passages) are associated with pruritus ani. Residual amounts of feces may be difficult to remove with large external hemorrhoids. Internal hemorrhoids may cause bleeding, fecal soiling, or drainage.
• Systemic or topical medications: Use of drugs such as quinine, colchicine, and mineral oil has been linked to pruritus ani.
• Fecal or urinary incontinence: Children and the elderly are more likely to experience incontinence of the bowel or bladder.

Diagnosis and Tests

How is pruritus ani (anal itching) diagnosed?

The doctor will obtain a full medical history and perform a physical examination to identify possible underlying causes, such as dermatological conditions and other illnesses. He or she will visually inspect the area to look for changes in skin color or texture, rashes, or lesions. The doctor will ask about any medications that you take and the type and frequency of bowel movements.

The doctor may obtain skin specimens and perform tests to screen for bacterial or other infections.

Parents of children who may have pinworms can place a small piece of surgical tape, or scotch tape, near the child’s anus before bedtime. The worms are more likely to emerge at night. In the morning, when the child awakens, the tape can be removed to see if the worms or their eggs are present. This is called the scotch tape test.

Management and Treatment

How is pruritus ani (anal itching) treated?

Usually, treatment focuses on establishing and maintaining a routine for proper anal hygiene. If a secondary or underlying cause is found, the treatment will depend on the specific condition.

• Topical medications: Topical steroids, such as creams or ointments containing 1% hydrocortisone, may help to relieve itching and irritation. The cream or ointment may be applied two or three times to the affected area each day. Topical capsaicin has been studied as an alternative to steroids for patients with chronic pruritus ani.
• Oral medications: Antibiotic or antifungal medications may be prescribed if an infection is present.
• Methylene blue injection (anal tattooing): This technique may be used to treat more advanced cases that do not respond to topical medications. Methylene blue (a dye) is injected under the skin in the perianal region. It is thought that the methylene blue relieves pain and itching by deadening the nerve endings where the dye is injected.

What are some tips for self-care?

• Resist the urge to scratch. The itching might seem worse at night, so people might unconsciously scratch the anal area with their fingernails during sleep. Wear clean, soft cotton gloves at bedtime to prevent irritation and infection.
• Keep the perianal area clean and dry. Use clear water instead of soap or moistened toilet paper to clean the perianal region after a bowel movement. A shower head or bidet may be used to gently clean the perianal area. Use a hair dryer on a low setting to dry the area. If using toilet paper or a towel, gently pat or blot the area until it is dry.
• Apply a small amount of cornstarch or piece of cotton to the area to keep it dry during the day. A small cotton gauze pad can be used instead.
• Do not use soap when cleansing the anal area or scrub vigorously with toilet paper or a washcloth.
• Avoid using perfumed creams, lotions, bubble baths, powders, or other products that may cause irritation to the area.
• Eat foods high in fiber. A healthy diet can help prevent diarrhea or constipation and ensure regular bowel movements. Avoid any foods that might promote itching, such spicy or acidic foods or caffeinated beverages.
• Avoid wearing tight or constricting underwear. Cotton underwear can help to absorb moisture better than synthetic fabrics. Make sure underwear fits properly and change it frequently. Wash clothing with fragrance-free detergents.
• Use topical medications as directed. Apply the cream or ointment sparingly and discontinue use if the itching does not subside or gets worse.

Why Does My Butt Itch? [Practical information you need]: Lisa A. Perryman, MD, FACS, FASCRS: Colon and Rectal Surgeon

Pruritus Ani is Latin for “itchy anus”, and is a bothersome irritation of the skin around the anus. Numerous factors can cause anal itch, and it is treatable. Factors that can put you more at risk include dietary factors, fecal matter on underwear, diabetes, antibiotic use, skin conditions such as psoriasis and seborrhea, and excessive sweating. It could also be your hemorrhoids itching!
When you scratch, you irritate the skin even more. So, what can you do to stop the embarrassing itchy anus?

Is it what I’m eating? Sure, it may play a role with pruritus ani. Coffee, tea, energy drinks, citrus fruits, spicy food, beer, dairy products, and nuts can contribute. That’s because certain foods can make your stool irritating. Try eliminating one of these at a time for several weeks, and see if it helps.

Is it what I’m using down there? Yes, scented toilet paper, soaps and creams, and detergents can contribute to your problem. Avoid soaps to anal area, use plain white toilet paper, and keep the area dry. Check with your doctor about over-the-counter ointments and creams—the wrong one can make the itch worse!

Is my chronic diarrhea causing the itch? Good question, because stool is very irritating and a common cause of pruritus ani. Keep the area clean—plain water rinses are good—and gently wipe and dry after every bowel movement. Do not scrub, and avoid scratching as much as possible. Cool compresses can be soothing, too.

What other conditions can cause itchy anal itching? Sexually transmitted diseases, fungal and yeast infections, parasites, precancerous lesions, and tumors can be primary to your itching. That’s why it is so important to be examined and treated by a board certified colon & rectal surgeon. Don’t be embarrassed, and please don’t wait!

Contact Dr. Lisa A. Perryman, a board certified colon & rectal surgeon in Denver at (303)840-8822, or request an appointment at www.ColoradoColon.com.

Anal Itch (Pruritus Ani) – Harvard Health

What Is It?

Anal itch, also known as pruritus ani, is an irritating, itchy sensation around the anus (the opening through which stool passes out of the body). Anal itch is a symptom, not an illness, and it can have many different causes. In most cases, a person with anal itch does not have a disease of the anus or rectum. Instead, the itchy sensation is a sign that one or more of the following has irritated the skin in the area: 

• Stool on the skin around the anal opening — If the anal area isn’t cleaned properly after a bowel movement, a small amount of stool may be left behind on the skin, causing the area to itch. Less often, watery stools may leak out of the anal opening and cause itching. This sometimes happens in otherwise healthy people whose diets include very large amounts of liquids. 
• A diet containing foods or beverages that irritate the anus — A number of foods and drinks can irritate the anus, including  spices and spicy foods, coffee (both caffeinated and decaffeinated), tea, cola, milk, alcoholic beverages (especially beer and wine), chocolate, citrus fruits, vitamin C tablets and tomatoes. Once a person eats or drinks something that can irritate the anus, it usually takes 24 to 36 hours before anal itching begins. That’s the time it takes the food to travel through the digestive tract. 
• Treatment with antibiotics — Some powerful antibiotics that work against many different bacterial species can trigger anal itch by disturbing the normal ecology of the intestines. These drugs are called broad-spectrum antibiotics, and include tetracyclines and erythromycin (both sold under several brand names). 
• A local chemical irritation or skin allergy in the anal area — In sensitive people, chemicals and medications that are applied to the anal area can cause local irritation or allergic reactions. Some major culprits include dyes and perfumes used in toilet paper (especially scented toilet paper), feminine hygiene sprays and other deodorants for the area around the anus or genitals, medicated talcum powders, and medicated skin cleansers and soaps, especially perfumed soaps. Anal itch also can be triggered by over-the-counter medications (suppositories, creams, ointments) intended to treat anal problems. 
• Intense cleaning after a bowel movement — Although the anal area should be cleaned after every bowel movement, this cleaning must be gentle. Aggressive rubbing and scrubbing, especially with soaps or other skin cleansers, can irritate the skin and trigger anal itch. 

Less often, anal itch is a symptom of some illness or condition that either affects the anal area alone, or involves larger areas of the digestive tract or skin. Some examples include: 

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Why Does My Anus Itch?

There is no end to the amount of embarrassment gastrointestinal problems can cause. Of all these, a problem at the end of your GI tract is among the most annoying. Other digestive issues can cause smells and noises and rushes to the bathroom, but there is nothing quite like being stuck in public and needing to deal with an itchy anus. 

What is Anal Itching?

Itchy anus, also known as, pruritus ani, is a fairly common symptom that can be associated with a variety of conditions. In many cases, itching around the perianal area is not dangerous, and you can often treat your condition at home.  

Many different things can lead to itching around the anus. These causes can be as diverse as nothing more than the toilet paper you buy or as serious as rectal bleeding from a tumor in your gastrointestinal tract.  

Only rarely is anal itching a sign of a serious medical condition. Most cases of itchy anus can clear up on their own or with simple home remedies. If you begin seeing large amounts of blood in your stool or in the toilet after you have had a bowel movement, however, something serious could be going on and you should consider getting medical treatment immediately. 

What Causes an Itchy Anus?

The list of causes of anal itching is quite long. Thankfully, many of the common causes of itching around the anus are not dangerous, and can be prevented simply by avoiding certain irritants like spicy food or the wrong kind of toilet paper. It is also possible that improper wiping following a bowel movement can lead to itching.

Friction from wiping with rough toilet paper is enough to cause irritation to the skin in the anal area. Dyes and perfumes present in some toilet paper, soaps, or detergents are also potential sources of irritation if your body develops an allergic reaction to certain chemicals. Allergic dermatitis is the name given to this condition when the skin has become irritated by chemicals your body is reacting to. This can sometimes create additional discomfort if you are using cleansing wipes that contain alcohol, dyes, or perfumes that could be irritating the skin you are trying to care for. 

Various infections and medical conditions can also be at fault. These can vary from common yeast infections to sexually transmitted infections, bacterial infections, and even infections from various parasites such as pinworms.

Skin conditions can cause itching all over the body, and the anus is no exception. A form of eczema known as atopic dermatitis can lead to itching in the anal area, as can psoriasis. Skin tags, which can occur in various places on the body, can trap small quantities of stool or moisture that may produce anal itching. 

Hemorrhoids are usually associated with pain or a burning sensation around your anus, but unpleasant itching can also be a symptom. The swollen blood vessels known as hemorrhoids are not typically dangerous to your health, but they can cause significant discomfort.

Digging a little deeper into the list of problems, we move from skin conditions affecting the outside of your body to conditions inside you. Anal fissures, or small tears in the lining of the rectum and anus, can also lead to serious discomfort and itching. 

More serious medical conditions can also lead to a nasty itch in your shorts. Prolonged bouts of diarrhea can lead to irritation around the anus, partly because they result in the need to wipe more often. Though needing to wipe often is not a serious concern in and of itself, the loss of fluids and nutrients from loose stools can be a problem, especially for older Americans. Fecal incontinence is another potential source of irritation. In this case, your body is no longer able to maintain control over your bowel movements, which can lead to anal leakage and the skin irritation that comes with it.  

Real cause for concern begins to mount as we get to the end of the list of possible causes of anal irritation. Anal tumors, anal cancer, and serious gastrointestinal diseases including colon cancer could possibly result in rectal bleeding and irritation of the perianal area. These conditions are very serious, as advanced cancers in the gastrointestinal tract can prove lethal. With few other symptoms, colon or rectal cancer can often reach a late stage without being diagnosed until blood begins appearing in your stool. 

What Foods Cause Itchy Anus?

Lifestyle and disease factors can possibly result in itching around your anus, but it is possible that the food you eat could contribute as well. Anyone who has eaten too much hot salsa may know the unique pain of a warm reminder the next day after a bowel movement. The same peppers that make spicy food irresistible to eat can cause discomfort and irritation to the skin around your anus. 

Too much spicy food is only one potential dietary cause of anal itchiness. Citrus fruits, tomatoes, caffeinated drinks, dairy products, and even chocolate have been identified as potential irritants. 

Not everyone who is scratching at their shorts is going to have to give up their beloved chocolate bar or much-loved caffeine jolt, but it is possible that you may need to modify your diet if you have a condition such as inflammatory bowel disease or Crohn’s disease.  

How Do I Care For an Itchy Anus?

An itchy bottom is something you certainly don’t want to talk about, and some people may be hesitant to practice good self care of their backsides. There is no reason to be hesitant, though, as simple home remedies can often clear up the underlying cause of your anal itching.

The first thing to do is ensure you are keeping the area around your anus free of excess moisture and other potential irritants. Cleaning the area with warm water and a clean washcloth when you bathe is a start. Ensuring you are keeping the area around your anus dry is the next step. Wearing loose, breathable cotton underwear can help ensure excess moisture does not build up on irritated skin.

Over-the-counter medications are available to help relieve the itching and burning associated with hemorrhoids and other conditions. These creams are applied to the affected area and contain a variety of active ingredients, including hydrocortisone, zinc-oxide, or capsaicin cream. 

If your anal itching proves to be persistent and hard to get rid of, you may need to seek medical advice. Depending on the underlying cause of your condition, your doctor may prescribe an antifungal or antibiotic cream. 

How Can I Prevent an Itchy Anus?

Keeping the area around your anus clean is the best way to make sure you aren’t getting the urge to scratch at your behind. Preventing or treating pruritis ani is often possible by keeping your backside clean and ensuring you are getting everything dry after you bathe. Just be careful to be gentle and not overdo it. It is important to keep things clean down below, but too much cleaning can also irritate the sensitive skin around your anus.

Practicing good hygiene overall will help reduce the possibility of fungal or yeast infections, and managing your diet if you have any known food allergies or digestive conditions like inflammatory bowel disease are all ways to help prevent the need to scratch at your anus. 

Maintaining a good diet and getting enough exercise also helps keep things under control under your beltline. Exercise and proper attention to what you eat can improve overall gastrointestinal health, which can help you avoid diarrhea at one end of the spectrum and excessively hard stool at the other. These conditions can bring about irritation in the form of anal fissures or irritation to the anus from having to wipe too often. 

When to Seek Medical Help

For most people, having a doctor probing around your bottom to find out what is irritating you does not sound like a recipe for a good time. Despite the potential embarrassment and discomfort of getting your rear end inspected, there are some very serious medical conditions that can have anal itching as a symptom. 

If conservative home remedies are not providing relief, and even over-the-counter medication designed to reduce swelling, inflammation, and itching are proving to be ineffective, it is time to seek medical advice. 

Another sign you should seek medical help is the sudden appearance of large quantities of blood in your stool. Small spots of blood on your toilet paper is nothing to be worried about and could be more common if the skin around your anus is irritated. Frequent wiping with rough toilet paper is enough to possibly produce tiny amounts of bleeding. 

A large amount of blood in your stool is another story. This is potentially worrisome if you find blood in your stool over a longer period of time. If there is a noticeable quantity of blood in your feces or in the toilet after you have used the bathroom, it is time to call your doctor. Anal cancer and colorectal cancer can be lethal if they are not caught early enough, and rectal bleeding is a sign that something serious may have gone wrong in your gastrointestinal tract.

At Cary Gastroenterology Associates, we are here to help you understand the difference between a condition that is annoying or potentially embarrassing and one that could be life-threatening. Our focus on and experience in dealing with gastrointestinal disease means we can quickly identify the cause of your discomfort and help you get on the road to healing. 

Many causes of anal itching are not a reason for concern. There are some causes, though, that can be very serious and even life-threatening. In these cases, it is important to have experts by your side. If you are concerned about prolonged itching around your anus that is not responding to treatment, and especially if you are experiencing a large amount of bleeding from your rectum, make an appointment with Cary Gastroenterology Associates today. We can help you sort through the potential causes and point you in the right direction no matter how serious your condition might be. 

Can Anything Stop My Anal Itching?: Betsy F. Clemens, M.D.: Board Certified Physician

The intense itch and urge to scratch makes anal itchiness a difficult symptom to ignore. This may have you searching the internet looking for any remedy or treatment to relieve your discomfort. 

At Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri, we understand how you feel. Dr. Betsy Clemens, our board-certified family physician, specializes in the diagnosis and treatment of anorectal disorders like anal itchiness. 

We want to share some of the things that may stop your anal itching.

About your anal itch

Your anal itch, or what we medically call pruritus ani, is a symptom, not a diagnosis. When you’re searching for something to stop your anal itching, you first need to figure out the underlying cause.

You may develop the irritating, itchy, anal discomfort from a variety of causes. In most cases, the itching occurs because of irritation to the sensitive anal tissue from:

• Not wiping all the stool away after a bowel movement
• Consuming foods or drinks that irritate the tissue (spicy foods, alcohol)
• Using toilet paper that has skin irritants (such as perfume or lotion)
• Wiping too aggressively after a bowel movement
• Taking antibiotics

Of course, your anal itchiness may also develop from an underling anorectal condition, such as hemorrhoids, skin tags, or anal fissures. Infections and chronic skin conditions may also cause anal itching. 

Though anal itchiness may be temporary, if the irritation and discomfort aren’t improving, we can help determine the cause and develop a plan to stop it. 

Stopping the anal itching

For immediate relief, over-the-counter (OTC) hydrocortisone or zinc oxide creams, lotions, or gels may help, according to the US National Library of Medicine. If your symptoms are keeping you up at night, an oral antihistamine may do the trick

Doing your best to ignore the urge to scratch may also help stop the irritating sensation. 

For your anorectal condition, we treat the root cause of your symptom to eliminate the discomfort. For hemorrhoids and mild anal fissures, we may suggest adding more fiber and fluids to your diet to help soften stool, or prescribe a stool softener.

We also perform minimally invasive procedures to remove hemorrhoids that don’t respond to lifestyle changes, including infrared coagulation (IRC) treatments for itchy prolapsed hemorrhoids.   

If your anal itching occurs because of a skin condition or a chronic anal fissure, we can refer you to some of the best specialists in the area for help. 

Preventing a recurrence

Once you experience the discomfort of anal itchiness you probably will want to do everything in your power to prevent a recurrence. We recommend you practice good anal hygeine, such as using moist toilet paper to gently wipe or pat away stool after a bowel movement. 

When bathing, don’t use soap to clean the anal tissue: water works just fine. After your bath, gently pat the area dry, and wear cotton underwear and loose-fitted clothing to keep things dry.

Also, avoid foods that may irritate your delicate anal tissue. 

Anal itching is hard to ignore, but resisting the urge to scratch may help stop the itch. If your at-home treatments fail to provide long-term relief, let us help you. 

Contact our office by calling 636-228-3186, or by scheduling an appointment online today.

Is It Normal to Have an Itchy Anus?: Betsy F. Clemens, M.D.: Board Certified Physician

Seemingly everyone experiences an itchy anus from time to time. Your anus is the opening at the bottom of your gastrointestinal tract, where your waste leaves your body as stools or feces. When you have anal itching, the sensation can occur inside or around your anus. In many cases, your symptoms worsen at night and can even interfere with your ability to sleep.

Even though having some anal itching can be normal, your symptoms shouldn’t be severe, persistent, or include:

• Bleeding
• Leaking stool
• Signs of infection
• No obvious cause 

As an anorectal specialist, Dr. Betsy Clemens brings the most advanced treatments available for issues causing anal itching. Learn what causes an itchy anus and how you can find relief at Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri.

Issues that cause anal itching

Anal itching can develop for several reasons, from skin problems and irritation to medical conditions. 

Skin conditions or infections

Skin conditions like eczema, psoriasis, or contact dermatitis aren’t for your hands, arms, or face alone; they can develop around your anus, too. You can also experience anal itching if you have a yeast infection, sexually transmitted disease, or parasite like pinworms.

Irritation

The sensitive skin around your anus can grow irritated for several reasons. Not only can issues with chronic diarrhea or fecal incontinence affect this area, but you can even develop symptoms from your hygiene practices, especially from using harsh soaps and wipes or washing too vigorously.

Medical conditions

You can also develop anal itching from an underlying medical condition, like thyroid disease, diabetes, and hemorrhoids. Sometimes an itchy anus can also come from an anal tumor.

It’s also possible to have persistent anal itching without an obvious cause.

Treating anal itching

Whether your anal itching is mild or severe, Dr. Clemens can get your symptoms under control to increase your comfort.

First, Dr. Clemens diagnoses the cause of your anal itching by performing a comprehensive exam, discussing your symptoms, and reviewing your personal hygiene and medical history. Based on the cause of your symptoms, she might recommend a combination of treatments to address your specific condition.

Common approaches to managing anal itching include:

• Not scratching 
• Using anti-itch creams or skin protectants as directed
• Gently cleansing the area with plain water or mild soap
• Avoiding potential irritants, like harsh soaps, moist wipes, or bubble baths
• Eliminating foods that can cause diarrhea, like coffee, alcohol, and chocolate
• Increasing your fiber intake to support regular, firm bowel movements
• Wearing white cotton underwear and avoiding pantyhose or other articles of tight clothing

If hemorrhoids or another medical condition is causing your anal itching, Dr. Clemens can provide specific treatment options or put you in touch with an expert for additional solutions.

To find relief for anal itching, call us at Midwest Hemorrhoid Treatment Center at 636-228-3136 to book your appointment, or send us a message requesting a call back here on our website.

90,000 Nose itches. The meaning of omens for each day of the week

Why does the nose itch? Our body is not in vain giving us certain signals. Experts say that each of them not only corresponds to our inner well-being, but can also predict the near future. According to experts, this is primarily due to the psychological mood and the surrounding energy of space. And he, in turn, gives signals, communicating with us through the subtle
impulses of our consciousness.

So the nose can itch not only because of nerves. And not only for two common reasons among the people – “get in the nose” or “drink”. Everything is much deeper. Experts have even invented the so-called “comb”, which helps predict by days of the week why your nose is bothering you.

Nose itching by days of the week

• Your nose itched on Monday ? Pay attention to work cases. Problems or unexpected difficulties may arise.
• If your nose itches on Tuesday ? For fun, good company and guests.
• Nose itching Wednesday ? For a pleasant surprise or a nice gift.
• And if your nose itched on Thursday , you will meet a very nice young man or girl. And this acquaintance can easily grow into something more. Or, if you already have a soul mate, wait for an invitation to a date.
• Nose itching Friday ? It’s time to have fun and relax.Parties and a little alcohol are not forbidden. The main thing is in moderation.
• Nose combed back on Saturday , be careful with your finances! This sign promises you possible losses, and maybe even theft! Better to refrain from making large purchases.
• Well, if your nose was combed on Sunday , be careful. You can easily quarrel with loved ones.

It is important which part of your nose itches

• If it is the tip of the nose , pleasant meetings, fun feasts, great news and good shopping await you.
• But the itchy nose portends some problems, troubles, quarrels and even ill health of someone close.
• Itching Right nostril ? Get ready for a promotion and an enjoyable romantic adventure!
• And if combed the left – on the contrary, listen to your soul mate to avoid a major quarrel. And at work, be especially careful – your bosses are watching you!
• The same itchy right wing of the nose promises financial success, but the left one – unforeseen expenses and monetary losses.
• The inner side of the nose itches for financial well-being. But the itch under the nose means a return to the former lover. One will be successful or not – it depends only on you.

Nose itching for men or women

• For women, itching inside the nose means trouble.
• Is the right wing of the nose itchy? Get ready! There will be no end to men!
• Left itch? Your chosen one can deceive you! Be careful!
• For men, an itchy nose on the right portends a big profit.
• But the wings of the nose itch for aggression and fights.
• Well, if the tip of your nose itches, be restrained in relation to alcohol and do not trust random women.

Does your nose itch? Listen to the signals of the body, and suddenly they are the very signs of the Universe, thanks to which you can look into your own future.

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Treating itchy nose with effective methods, individual approach

Itchy nose? This symptom may indicate serious pathology. Find out why itching is dangerous, why it occurs, and how to get rid of it!

When a person has itchy nose , it causes a lot of discomfort.Inside the nose, something tickles, burns and itches. Also, redness of the skin of the wings of the nose is often observed, mucus flows from the nostrils , and breathing becomes difficult. Besides the discomfort, itching can be dangerous. After all, he is a consequence of serious pathologies that can lead to serious complications.

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Why itchy nose

When itchy nose occurs, the causes of may be related to allergic reaction , infection and other factors.

Allergy

When an allergen gets on the nasal mucosa, it causes irritation. As a result, there is swelling, itching in the nose, and profuse mucus. Also, breathing often becomes difficult. In such cases, you need to take the necessary drugs as soon as possible to relieve an allergic attack.

Inflammatory diseases

Itching may be a symptom of infectious inflammation in nasal cavity . Common causes are rhinitis, mycosis of the nose, and sycosis of the nasal vestibule.In case of infectious disease , it is important to consult a doctor in time to prevent the spread of the inflammatory process.

Other causes

When a person has itches in the nose, the reasons for may be the following:

• mechanical injuries ;
• burns of the mucous membrane;
• dry polluted air;
• inhalation of corrosive vapors;
• cigarette abuse.

What to do if you feel itchy nose?

The best solution is to see an ENT doctor. He will diagnose and determine the cause of the problem, then select the appropriate therapy. Our doctors are often asked how to get rid of itchy nose at home . We want to warn you right away that self-medication is not only useless, but also dangerous. The diseases that cause this symptom are capable of leading to severe complications. Therefore, they need to be treated only under the supervision of a doctor.

Contraindications for itching in the nose

If you have itching in the nose , it is not recommended:

• ignore the problem – the itching itself will not go away, but will only intensify;
• use vasoconstrictor drops – they can aggravate the problem;
• rinse with saline solution – salt will cause dehydration and even more itching;
• to be treated with folk methods – they do not work and can provoke complications.

How to cure itchy nose

If you are worried about itchy nose, treatment can be obtained in our ENT center for children and adults.Our doctors will carry out a comprehensive diagnosis and carefully analyze symptoms . They will select a therapy regimen aimed at treating the underlying disease. Our center uses modern medical protocols and an individual approach to each patient. Treatment will depend on the nature of the itching, the diagnosis, and the general condition of your body. Make an appointment to find out more!

What itching can lead to

Nasal itching is a manifestation of protective reactions of the body to allergens, pollution, infections, etc.And it is important to eliminate the irritant causing it as soon as possible. Otherwise, the underlying pathology will progress. For example, with allergic itching, attacks of bronchial asthma can reach. And inflammatory diseases of the nasal cavity spread to other organs and systems. See your doctor at the first signs of itching!

Prophylaxis

To avoid itching in the nose, it is recommended:

• to be outdoors more often;
• for allergies – treatment by an allergist – selection of an antihistamine or immunotherapy;
• lead a healthy lifestyle;
• to treat ENT diseases in time;
• Use masks and a respirator when working in dusty or gas-polluted rooms, with corrosive substances.

If you feel itching, contact us – our doctors will always help!

Detailed information can be obtained from the call center of our ENT center for adults and children by phone:

+38 (050) 035 87 17

Questions to the doctor allergist

– answers Kudryashova Lyudmila Anatolyevna , doctor of the highest category, head of the infectious-boxed department, allergist.

15 November 2017, Eugene wrote: Hello. My child was diagnosed with atopic dermatitis at your hospital. We were at the reception at 6 months old. We were prescribed dairy-free cereals (corn, rice, buckwheat), vegetables (zucchini, cauliflower, squash), meat (lamb, rabbit, lamb) from food. The redness in the neck and under the knees of the child disappeared, since we underwent a course of treatment. I would like to know what can be added to the child’s diet besides this food?

Answer by EA Zvereva, an allergist at the Consultative and Diagnostic Polyclinic: Dear Evgenia, to resolve the issue of expanding the menu, your child needs a full-time consultation of an allergist-immunologist to introduce new complementary foods.You can register your child for a consultation by phone. (8172) 71-26-33.

On June 13, 2017, Oksana wrote: Hello! My son was diagnosed with atopic dermatitis a month. At that time we were on the GW. The rashes were on the face, head, ears and shoulders. Now he is 4 months old, we are on the mixture completely, but the rashes continue. Although now only on the cheeks. But redness appeared under the knees and on the neck and chin. Our doctor does not give any recommendations. What should we do? Where to contact? What tests can you pass? Can change the mixture? Now he eats uncooked.But we also tried hypoallergenic. We cannot introduce complementary foods, because I am afraid that I will not notice a rash on a new product.

Answer by E.A. Zvereva, doctor of allergist at the consultative and diagnostic polyclinic: Dear Oksana, in your case, an in-person consultation is necessary, according to the results of which, the volume of the necessary laboratory examination of your child will be determined (if necessary), and recommendations will also be given … You can make an appointment by phone.(8172) 71-26-33. You should have a referral from a pediatrician, the results of a general clinical examination (general blood test with the formula, feces for worm eggs, lamblia cysts, scraping for enterobiasis), a diaper.

On May 4, 2016, Anna wrote: Hello! My daughter is 4 years old, we suffer from allergies. I think it’s some kind of dye, which is found in many products. The spots come out dry and convex, on the same places, under the knees, on the priest, on the pis, on one elbow and on one shoulder.The labia themselves turn red … We lay a year with urticaria in the hospital, it turned out that we still have an allergy to Suprastin (((is it possible to get rid of it at all? What to do?

Answer: Dear Anna! In your case, you need a full-time consultation with an allergist to examine the child. The scope of the recommendations will be determined by the diagnosis.

On February 16, 2016, Ekaterina wrote: Hello, Lyudmila Anatolyevna! I want to start with the fact that since birth my child was not allergic to anything, we even ate raspberries and strawberries and tomatoes only when we picked up the mixture.Last fall, we had two waves of flu, we were in the hospital and were injected with antibiotics, to which we had a terrible allergy. We were injected with prednisone, suprastin did not help us. From this moment on, we suffer from allergic rashes. We restored microflora. But nothing helps. I don’t give anything allergic from food, but, it seems to me, I can pour out from any product. The rash does not completely go away. Now it has become completely different. This morning, the upper part of the face was swollen, they called an ambulance and they injected us with prednisone.For allergies I give zyrtek. I sincerely ask you to help us. We do not live in Vologda, so tell me, when can I come to you? Please help us solve our problem.

Answer: Dear Ekaterina, in order to solve your problem, an in-person consultation with the examination of the child is necessary. Make an appointment at the paid department of our hospital (contact numbers are listed on the website). Be sure to bring an outpatient card to the consultation.

November 12, 2015, Margarita wrote: Good afternoon. My daughter has an allergic rhinitis. We donated blood for hormones, there are hundredth indicators on pets and late-flowering plants, the rest is all zero. I want to take samples. From what age they are taken, we have already turned 5 years old.

Answer: Dear Margarita! Allergy examination can be carried out from 3 years old. The scope of the examination is determined by the allergist. If a child has allergic rhinitis, it is advisable to pass before an allergic examination: nasal swabs for eosinophils (taken in any laboratory) and blood for Ig E – total (if not submitted).

On November 2, 2015, Elena wrote: Hello, my daughter is 14 years old, in 2014 she was diagnosed with bronchial asthma due to allergies, is it possible to undergo a course of procedures in a pressure chamber?

Answer: Dear Elena, it is possible and necessary to undergo a course of procedures in a pressure chamber – it helps well for the treatment of bronchial asthma, but the child must be absolutely healthy – without coughing, runny nose, fever.

On October 19, 2015, Maria wrote: Can you please tell me while bathing a child has white spots on his face, will we leave the bath immediately? what is the reason?

Answer: Dear Maria, in order to determine the cause of the spots, it is necessary to schedule an examination.To do this, you need to inspect these spots (at least a photo).

On November 9, 2014, Tatiana wrote: Hello. Tell me please. The child is 6 years old. Suffering a prolonged dry cough, especially after physical exertion. The pediatrician did not find signs of colds. And so often he gets sick, coughs for a long time. A rash periodically worsens on the arm. What do we need to do, what tests should we pass? Thanks.

Answer: Dear Tatyana, in this case, you first need to consult a pulmonologist or allergist (with an outpatient card).The scope of the research will be determined during the consultation.

October 8, 2014, Irina wrote: Hello. The baby is 2 years old and 1 month old. In October 2013, he fell ill with giardiasis (the whole family was treated for 3 months), after that, lactose intolerance began, manifested in the form of vomiting after taking any product, with the exclusion of dairy products, vomiting stopped. Therefore, I still breastfeed (mostly at night) so that there is a source of milk. Is breastfeeding important for the immunity of a child at this age, and what are the alternatives to breast milk? All available formulas contain lactose.Before giardiasis, there were no problems with lactose. All dairy products were consumed. Thanks.

Answer: Dear Irina, breastfeeding is not relevant in your situation. Currently, there are adapted infant formulas without milk sugar – lactose. Their name should contain the term “lactose-free”, for example: “Nutrilak No. 2 lactose-free” or “Nutrilon No. 2 lactose-free” and others. But it is better to consult a gastroenterologist on the problems of your child.

On March 31, 2014, Julia wrote: my child is 12 years old. the allergy started 2 years ago. we are diagnosed with physical urticaria, last summer we had Quincke’s edema, we are allergic to + and – temperatures. We were never given a definite diagnosis, since we also have Quincke’s edema during physical activity. what to do next?

Answer: Dear Julia. Hives and Quincke’s edema are acute allergic reactions.They can arise from many different external causes. Physical, cold, heat urticaria are diseases that require a more thorough investigation of the cause. If the reason is not found during examination by the local pediatrician, an allergist consultation is necessary. An examination in a hospital is possible.

On March 18, 2014, Elena wrote: Hello! My son is 16 years old, 2 weeks was treated by a dermatologist for allergic dermatitis, tests for pinworm giardia, allergens were not analyzed, he was discharged from the hospital in an unsatisfactory condition, itching and swelling of the skin appears suddenly, then disappears without a trace, and so several times in day, itching can occur even if skin contact with any object occurs, antihistamines are of little help.Tell me what other tests need to be done, except for allergens, parasites and sugar? What a preliminary diagnosis can be, we looked at the diagnosis on the Internet, it is very similar in symptoms to dermographism. We are looking forward to your reply, thank you.

Answer: Dear Elena, in order to prescribe the scope of the examination, it is necessary to examine the child and take anamnesis. Without examination and examination, the diagnosis is not made – not final, not preliminary. Information from the Internet is for general development only.Dermographism is a symptom, not a diagnosis. Allergic dermatitis is a polyetiologic disease. The beginning of the examination should be determined by a pediatrician, then consultations of narrow specialists: an allergist, a dermatologist, if necessary, a gastroenterologist.

On January 22, 2014, Julia wrote: Hello! My son, 5 years old, recently began to appear red spots on his arms and legs, went to a dermatologist and said to drink Suprastin for five days and smear the spots with geoxysone ointment. At first everything passed and now it has started again, tell me what to do?

Answer: Dear Julia, you need to look at your child’s skin.If the dermatologist looked, then there must be a diagnosis, therefore, treatment is prescribed. If the disease continues, you can reapply to the local pediatrician (dermatologist) appointment to correct the treatment or additional examination, which will be prescribed during the appointment. If necessary, a specialist can refer you to inpatient treatment.

On January 16, 2014, Ekaterina wrote: Hello. The son is 5 years old. 3 days as a runny nose and red, watery eyes. Night and in the morning sneezing.We went to the ENT doctor, they said, look for allergies, prescribed fenestil drops and vibrocyl. What can you say about this?

Answer: Dear Ekaterina, in order to solve allergic rhinitis or not, an in-person consultation with an allergist is necessary, who will determine the required scope of examination and prescribe treatment.

On October 17, 2013, Elena wrote: Hello. My daughter is 2 years old, a month and a half with a runny nose, improvements occur in 1-2 days, the discharge is yellow-green or just transparent, a cough has recently appeared, the eyes turn red and fester a little.Treatment of a pediatrician (dioxidin, lazolvan, ascoril) and ENT (rinofluimycin, granules Iov-baby, sinupret, augumentin) do not bring positive results, improvement for a maximum of 2 days. What could it be? Do I need to see an allergist-immunologist and get tested?

Answer: Dear Elena, children at the age of 2 practically do not have allergic rhinitis. A purulent discharge from the eyes and nose indicates an infection. Taking into account the duration of the disease and the lack of effect from the therapy, the following examination is necessary: ​​1.Pharyngeal and nasal swabs for flora and antibiotic sensitivity. 2. Sowing of eye secretions for flora and antibiotic sensitivity. 3. General blood and urine tests. 4. Blood for antibodies to herpes, mycoplasma, chlamydial, cytomegollovirus and EBV infections. With the results of the study, an examination by an immunologist is required. Allergist consultation is not required.

On October 8, 2013, Marina wrote: Hello Galina Borisovna. My question is the following – a child (8 months old) has a rash on the skin, are the tests for allergens (blood) informative at this age.Thanks.

Answer: Dear Marina! A rash on the skin of a young child, as a rule, occurs due to a violation of feeding, or due to a violation of the activity of the gastrointestinal tract. The pediatrician deals with these issues. Analyzes for allergens (blood) are informative in case of individual hypersensitivity (intolerance) of foodstuffs necessary for the normal growth and development of the body (milk, cereals, various types of meat, vegetables).This examination is prescribed by an allergist (in the case when the other reasons are excluded by the pediatrician). The result is assessed by an allergist in the aggregate of laboratory diagnostic data and clinical manifestations.

On October 8, 2013, Emilia wrote: Hello, can you please tell me if, during preparation for skin tests (a month before), a 5-year-old child can drink a course of bronchomunal, undergo a course of speleotherapy, massage, physiotherapy, get a flu shot and to put a reaction to the mantu? I know that a month before the test, the child should not be sick, drink antihistamines, and follow a hypoallergenic diet.Will the test be done if the child has a small runny nose without an ENT consultation? Or it is better to sign up immediately and to the lore, tk. Do we have a runny nose all year round except for the summer months? And in the summer, samples for plant pollen are not done.

Answer: Dear Emilia! During preparation for skin tests, all medications are canceled 2 weeks before the examination. Speleotherapy, massage and physiotherapy do not affect the examination result. The flu shot and Mantoux test can also be given, but preferably not on the day before the skin test.Compliance with a hypoallergenic diet is necessary even not during preparation for skin tests (since skin tests are prescribed for examining allergic patients, and a hypoallergenic diet and everyday life is the main condition for such patients). Do not get sick for 1 month before the skin tests. This is an ideal option, which is difficult to achieve, therefore, if the disease is acute, in a mild form (for example: ARVI, which is cured in 7 days), with normal CBC, OAM, biochemical blood tests (bilirubin, transaminases) – you can limit the “healthy period “Up to 7-10 days.A small runny nose is not an indication for contacting an ENT doctor, moreover, it can be a manifestation of an allergic process. In the summer, allergy tests with pollen of allergens are not performed in order to avoid provocation of the allergic process. Consultation of an ENT doctor is not necessary, a pediatrician’s examination is enough if he does not imply an infection of the ENT organs.

Thank you very much for your questions. It is felt that you are a very responsible mother, theoretically and practically armed with modern knowledge, and one can note not a formal approach to the child’s illness, but active participation and deep understanding of problems.Well done!

Elena Milovkina wrote: the child has a fever for 3 weeks, the examination at the place of residence did not give any results, the admission (according to the quota) to the polyclinic on October 22, is it possible to come to the office on October 7?

Answer: Dear Elena, there is little information in your letter (the place of residence, age of the child is not indicated). If you live in Vologda, we recommend that you contact the polyclinic at your place of residence, if in the region – call me to clarify the question of the possibility of hospitalization by phone.(8172) 78-20-61 (8172) 78-20-61.

Shilova Nadezhda wrote: Hello, my child is 4 years old, the second year we go to kindergarten and very often we have a runny nose and cough constantly otitis media often, but we just don’t know what, our ears hurt and the temperature from 37.7 to 39.5 was 5 days and until the ENT prescribed the antibiotic Suprax, the temperature did not subside, they called an ambulance and advised me to undergo an examination for the viruses of Toxocara, Giardia, etc., now we belong to polyclinic No. 4. On the trail. we will hand over all the tests in a week.how do we get an appointment with an allergist-immunologist. We are registered and live in Vologda. Thanks!

Answer: Dear Nadezhda, you belong to the children’s polyclinic №4, which performs all types of laboratory examinations. It is better to come to an appointment with an immunologist with the results of the examination: blood for antibodies to herpes, EBV, CMV, chlamydia, mycoplasma; blood for Jg E. Urban children are treated by specialists of the children’s polyclinic №1.

Svetlana wrote: Hello, I have such a question.My child (now he is 1 year and 2 months old) has food allergy since birth, we went to an allergist, drank a bunch of medications, but there was no result, I wanted to do an analysis on what foods he was allergic to, but I was told that at that age it is not advisable to do this analysis. I am completely at a standstill, please tell me what to do.

Answer: Dear Svetlana, the scope of the allergy examination is decided by the allergist for a specific child in a specific situation, the same will be the case with specific Jg E with food allergens.A child with food allergies should be monitored by a pediatrician and allergist. If there is no effect of the treatment, the examination by the allergist should not be a single one, but periodic.

Tatiana wrote: Hello! The child suddenly developed an allergy, accompanied by severe swelling of the face and hives all over the body, but we cannot understand why! It manifests itself when a child comes from the street, and such a horror we have to call an ambulance every day. Is it possible to come to your clinic in the department for examination? Help please tell me what to do? We are from Sheksna.Thank you in advance.

Answer: Dear Tatiana! Your child needs a consultation with an allergist – it is possible to make an appointment at a children’s advisory clinic – it is better to see an allergist, perhaps an immunologist. You should have an outpatient card, a certificate of vaccinations, a certificate of absence of contacts with infectious patients. Based on the results of the consultation, an inpatient examination and treatment is possible. The schedule of receptions of the KDP specialists and phone numbers are posted on our website.

Evgenia wrote: Hello, I’m in despair, I don’t know who else to turn to. My child is 8 months old, she has a very strong food allergy (she started from 3 months), the pediatrician diagnoses us with atopic dermatitis. Were treated by a gastroenterologist (Klebsiella bacteriophage). We eat a medical mixture based on milk protein hydrolyzate, the child is completely cleansed, but with the introduction of any complementary food, we again become covered with terrible spots, even scabs. We respond to any vegetables, fruits, cereals, everything.I know that there are many similar situations in Vologda, but no matter how you ask people what they eat, they do eat at least one product. And we have not introduced a single product into complementary foods, does it happen that a child reacts to everything? What should we do, can we pass any tests? How can we be treated? Help!!!

Answer: Dear Evgenia! Currently, a lot of young children suffer from atopic dermatitis and food intolerances to various types of foods.Correctly, such children should be monitored by a pediatrician, allergist and dermatologist. The main attending physician is a pediatrician. He will tell you about a hypoallergenic diet and life. Complementary foods are introduced all on the recommendation of a pediatrician, followed by an entry in the food diary. Keeping a food diary is a must! Violation of the intestinal biocenosis in this case aggravates the course of the underlying disease, therefore, the examination of feces for dysbiosis may have to be repeated. At present, your child needs medical nutrition – you need to continue to use hydrolysis mixtures for food.Dear Evgenia! The disease – atopic dermatitis – is chronic, with a genetic predisposition, therefore, periods of exacerbation can be with varying frequency and severity. An examination is possible – blood for specific JgE with food allergens (the spectrum of allergens is determined by an allergist), followed by observation. Complementary foods with the use of new products can be carried out during the period of remission; during the period of exacerbation, this should not be done. Do not be upset that you have not yet introduced complementary foods – 8 months in the presence of such a disease is not a critical condition.The hydrolysis mixtures contain the necessary substances, but complementary foods will need to be introduced (during remission), and also do not despair, because food intolerance manifests itself differently at different age periods. At this stage, certain vegetables and cereals are not suitable for you, but this does not mean that the child will not tolerate them at all in later life. During the period of exacerbation, drug treatment is also necessary – antihistamines, adsorbents, external therapy. The volume is determined by a pediatrician, allergist, dermatologist.

– replies Stepanova Elena Anatolyevna , allergist at the consultative and diagnostic polyclinic

On March 13, 2014, Tatiana wrote: Good afternoon. My daughter is now 3.5 months old. In the maternity hospital, she lost 350g in weight and the pediatrician advised us to supplement her with a mixture at home. Which is what we did. First the chest and then the Similac mixture. In a month, her cheeks poured out and a little later, in some places, a rash appeared on her legs. Until two months, we somehow had a mixed diet, and then the milk completely disappeared (it was the same with the eldest daughter).And at 2 months, on the advice of a friend, I began to give her a mixture of Nutrilon sour 2-3 times a day. His daughter drinks with pleasure, maybe even more than her norm, but Similak began to eat badly. He adds 1 kg in weight. Diathesis on the cheeks was treated with tsindol, Fenistil drops, Fenistil-gel. But nothing helps. And the allergist doctor transferred us to another mixture of Frisopep. He says that this is an allergy to the protein in the Similac mixture. I have a question, what kind of analysis should I take to find out what exactly the allergy is? Is it possible to continue giving the child Nutrilon fermented milk? And what mixtures can be analogous to Frisopep? Thank you in advance!!!!!!!!!!

Answer: Dear Tatyana, if you were recommended “Frisopep” (analogues: “Nutrilon peptid gastro”, “Nutrilon peptides SCT”, “Alphare”), then you cannot use other mixtures, including “Nutrilon fermented milk”.From analyzes – blood from a vein for immunoglobulin E to cow’s milk protein, but its “0” does not exclude milk allergy.

90,000 Allergic rhinitis and conjunctivitis – ENT consultation, diagnosis and treatment in St. Petersburg, price

Allergic rhinitis and conjunctivitis are diseases associated with the effect of an allergen on the nasal mucosa and conjunctiva of the eyes, which leads to nasal congestion, itching, watery eyes and inflammation.

Pollinosis or “hay fever” is a type of allergic rhinitis that is caused by pollen.Other forms of rhinoconjunctivitis can be caused by other allergens, such as house dust mites, mold spores, or animal dander.

In some patients, symptoms of allergic rhinoconjunctivitis occur annually and last for several months. This is due to the flowering season of certain plants, trees or grasses. In other people, allergic “runny nose” can occur throughout the year if they are allergic to year-round allergens such as animal dander and house dust mites.

Symptoms of allergic rhinoconjunctivitis

• sneezing attacks,
• nasal discharge,
• itchy nose,
• nasal congestion,
• hyperemia (redness of the eyelids and conjunctiva of the eyes),
• itching in the eye area,
• lacrimation.

Symptoms of allergic rhinitis usually appear immediately after contact with the allergen (after a few minutes).For many people, the symptoms are mild and respond well to treatment; for others, the symptoms can be severe and cause disruption to sleep and daytime activity.

Causes of the disease

Allergic rhinitis results from an “inappropriate” response of the immune system to allergens, as if they were potentially harmful agents. The immune system synthesizes antibodies to fight allergens. Antibodies are special proteins that are found in our blood and are normally secreted by the immune system to fight off viruses and infections that can harm us.
When small particles of the allergen come in contact with the mucous membranes of the patient’s nasal cavity and throat, antibodies called immunoglobulins E (IgE) are released. They affect the secretion of chemicals by blood cells (including, most importantly, histamine), which leads to the development of symptoms of allergic rhinitis. Histamine causes most of these symptoms, including: swelling of the nasal mucosa, which blocks breathing and leads to nasal congestion; and excessive secretion of mucus, which manifests itself in the form of bouts of sneezing and nasal discharge.

Allergic rhinitis is caused by inhaling small particles of allergens.

Major allergens that can lead to the development of allergic rhinitis:

• House dust mites are small insects that feed on the exfoliated epithelium of human skin. They often inhabit mattresses, carpets, stuffed toys, pillows, and beds. The allergies are not caused by the ticks themselves, but by the chemicals in their excrement.
• Pollen of trees and grasses – Allergic rhinoconjunctivitis can cause allergens in the pollen.Most trees usually bloom in spring (before early June), meadow grasses in June-July, weeds in July-September.
• Animal allergens . Rhinitis and conjunctivitis usually appear not so much on the fur of animals as on the sloughing epithelium of the skin, as well as the secretions of animals (urine and saliva). Dogs and cats are most commonly allergic, although some people may have reactions to horses, sheep, rabbits, hamsters, etc.
• Occupational allergic rhinitis. In some patients, rhinitis is due to contact with allergens present at work, such as wood dust, flour or latex.

Complications: otitis media, sinusitis, eustacheitis, tracheitis, bronchitis.

Diagnosis of allergic rhinitis

An important step in treating rhinitis is identifying the causative allergen (s) and eliminating / reducing contact with them (if possible). Mild episodic and seasonal allergic rhinitis usually responds well to antihistamines, given on demand or over time.In more severe cases, treatment with a corticosteroid spray or a combination with antihistamines may be required.

To make a preliminary diagnosis of allergic rhinitis, it is often sufficient for the patient to describe a typical clinical picture, as well as the presence of allergies in relatives and other allergic diseases in the patient himself. It is necessary to identify the provoking factors that can trigger the reaction, as well as the time and place of the onset of symptoms.The diagnosis is confirmed after starting treatment. If there is a positive response to antihistamines, then the probability that allergic rhinitis is very high. If the response to treatment is absent or weak, or there is no clear connection between symptoms and exposure to certain allergens, the doctor may refer to further diagnosis.

Allergy testing

If the exact cause of allergic rhinitis remains unknown, your doctor may order the following allergy tests:

• Skin prick testing (injection test) – Allergens are applied to the inner surface of the forearm, and then the site of application is pierced with a scarifier.Redness, swelling, itching at the injection site indicate a positive reaction and the presence of allergies.
• Laboratory diagnostics – measurement of the amount of specific immunoglobulins E (IgE) against various allergens in the blood. If an increased level is detected, an allergic reaction to a certain allergen is possible.

Treatment of allergic rhinitis

• Antihistamines in the form of tablets and nasal sprays.
• Corticosteroid sprays.
• Allergen-specific immunotherapy (ASIT).

TOP-5 reasons why your eyes itch

What to do if your eyes itch

First, it is important to give your eyes a rest, namely, to temporarily exclude sitting in a smartphone, working at a computer, watching TV.

If the eyes are definitely itchy due to allergies, remove the allergen by passing, for example, special tests.

If there are no medications at hand that relieve the symptoms of allergies and itchy eyes, you can use homemade lotions from cotton pads and strong black tea or chamomile.In addition, it is not recommended to wear makeup on these days, and it is also necessary to wash your hands more often and wash your face with plain, clean water – this will help prevent bacteria on your hands from getting into your eyes.

It is also worthwhile separately to pay attention to what to do if your eyes itch with the syndrome “ dry eye “, as it is very common today in the modern world.

Dry eye syndrome occurs due to a reduced production of the required number of tears and, accordingly, a disturbed structure of the tear film.This leads to burning, redness and itching. Such a syndrome can be provoked by very long work at the computer, and hormonal changes in the human body, and too dry air in the room, and even inflammation of the glands producing tears.

In case of dry eye syndrome it is important:

• to blink more often;
• limit the time spent at the computer and gadgets;
• do not rub your eyes;
• monitor the water balance;

Itchy eyes: when to see a doctor

However, if the symptom of scratching the eyes is long-term and is accompanied by other accompanying symptoms, it causes significant discomfort, then you should not try to solve the problem on your own.We recommend that you immediately consult a qualified ophthalmologist.

In the form of concomitant symptoms when scratching the eyes appear:

• peeling of the skin around;
• desire to blink more often;
• tearing;
• redness of the mucous membrane of the eyes;
• their swelling;
• visual impairment.

Seeking specialized help in the case when your eyes itch, it is worthwhile to cope with this problem on your own if it is impossible.After all, it is a professional ophthalmologist who, having found out the specific cause of the itching, will be able to prescribe effective drugs, medications or drops. In addition, if the itching of the eyes is caused, for example, by a problem not of an ophthalmological nature, but of a neurological one, which is often the case, the doctor will refer you to a neurologist.

Make an appointment with a competent ophthalmologist at the clinic VIZIOBUD + , where you will be assisted at the highest level and will definitely solve your problem!

© Author: ophthalmologist Elena Ganyuk

Nasal saline solution for allergic rhinitis

Relevance

Allergic rhinitis is an inflammation (swelling and / or irritation) of the inner tissues of the nose caused by allergies.This condition is common in both children and adults. Allergic rhinitis can be intermittent (less than four days a week or four weeks a year) or persistent (more than four days a week or four weeks a year). Allergies can be caused by many reasons, but the most common allergens (substances that cause allergies) are grass or tree pollen, mold, dust mites, or animal dander (tiny skin particles). People with allergic rhinitis experience symptoms (nasal congestion, runny nose, itchy nose, and sneezing) that can affect their quality of life.

Saline nasal irrigation (also known as nasal lavage) is a procedure that flushes the nasal cavities with saline. How saline works is not entirely clear, but it is believed to thin mucus, making it easier to evacuate it, as well as removing irritating allergens from the nose. Saline nasal irrigation can be done using sprays, pumps, or puffs. Saline solution can be isotonic (the same concentration as in the human body – 0.9% NaCl) or hypertonic (more saline than in the human body – more than 0.9% NaCl).Although saline irrigation is considered safe, cases of epistaxis (epistaxis) and irritation or discomfort in the nose and ears have been reported. This treatment does not require a prescription and can be used alone or in addition to other pharmacological treatments for allergic rhinitis, such as intranasal (nasal) steroids and oral antihistamines.

Search date

Evidence is current to November 2017.

Characteristics of research

We found 14 studies involving 747 people (260 adults; 487 children). The volume of saline used varied, with five studies using “extremely small” volumes (nasal spray, less than 5 ml in each nostril in one application), two using small volumes (injecting 5 to 59 ml of saline in each nostril at a time). application), and in four – large volumes of solutions (more than 60 ml in each nostril in one application).Eight studies used hypertonic saline, five used isotonic, and three did not report this. Two studies used two different types of saline solutions.

Sources of research funding

Seven studies did not report funding sources. The other seven were funded either from the research department or through research grants from regional and national governments. No research was funded by pharmaceutical companies.

Main Findings

Brine spray versus no brine spray

Nasal saline irrigation can benefit adults and children by alleviating the symptoms of allergic rhinitis compared to no saline irrigation; it is unlikely to be associated with unwanted effects. It is not possible for this review to conclude whether there are differences in the case of different volumes and concentrations of brine.

Adding nasal saline irrigation to the “pharmacological” treatment of allergic rhinitis

It is unclear whether adding nasal saline irrigation to pharmacological treatments (nasal steroids or oral antihistamines) is better for managing the symptoms of allergic rhinitis than with pharmacological treatments alone. It is unlikely that nasal saline irrigation is associated with unwanted effects.

Saline nasal irrigation versus “pharmacological” treatment for allergic rhinitis

There is insufficient evidence to determine whether nasal saline irrigation is superior, inferior, or similar to intranasal steroids. None of the studies reporting the outcomes of interest compared nasal saline irrigation with oral antihistamines.

Quality of evidence

Overall quality of evidence comparing nasal saline irrigation and no saline irrigation was low (our confidence in the estimate of effect is limited: true effect may differ significantly from this estimate) or very low (very low confidence in estimate of effect: true effect is likely to differ significantly from this estimate).This was because the studies were very small and different methods were used to evaluate the same outcomes. Because saline irrigation can be a cheap, safe and acceptable alternative to intranasal steroids and antihistamines, further high-quality research is needed.

Good to know about ALLERGY TO ANIMALS (dyreallergi)

ALLERGY TO ANIMALS ( dyreallergi )

Useful information on animal allergies – Fact sheet of the Norwegian Asthmatics and Allergy Association

Most hairy animals, the most common pets, can cause an allergic reaction.Allergies can be caused not only by wool and dandruff, but also by allergens (proteins) produced by the sebaceous and salivary glands, as well as urine. These are airborne microparticles that mix with the rest of the dust in the air. Allergic reactions may occur if this air is inhaled. Dust from horses, dogs and cats contains 10-20 different allergens.

Who is allergic to animals?

Most often, animal allergies develop during childhood.This type of allergy is common in asthmatics and is often accompanied by a mite allergy. If the child, before reaching the age of 12-14 years, did not have allergic symptoms, then the likelihood of developing allergies to animals is reduced. Allergies, however, can also develop in adults.

It is difficult to predict which animals a person can develop an allergic reaction to. Allergy development begins with exposure to a specific allergen, and it can take a long time for symptoms to appear.

Which animals can develop allergies?

As stated above, the vast majority of pets, including mini-pigs, hairless mice, chinchillas and short-haired Chinese poodles, can cause allergies.Insects such as house mites, mosquito larvae and cockroaches can also cause allergies.

The horse and the cat are the distributors of the most powerful allergens. Because of its size, the horse spreads more allergens than small animals, and cats carry allergens over a wider area due to their mobility. Dogs live closest to humans and are therefore the source of the most common form of animal allergy. Without exception, all dog breeds, regardless of the size and amount of hair, produce allergens, but in different quantities and of different types.

The only non-allergic pets are aquarium fish (some may, however, react to fish food) and reptiles such as turtles. The importation of reptiles into Norway is prohibited, but the Food Inspectorate may authorize the import of certain species of turtles if the need arises for allergies.

Diagnostics

It is possible to establish an allergy to animals by a blood test or a Pirquet sample.If you are allergic to a certain type of animal, the test will be positive. There is also the possibility that the person who responds positively to the test will not have allergy symptoms.

It is impossible to predict in advance that a child may be allergic to a particular animal by means of tests. A negative result of the Pirquet test cannot be a basis for predicting future reactions of the body.

Symptoms and treatment

Common symptoms include a runny nose and nasal congestion, watery eyes and stinging eyes, and asthma.Some people may develop eczema or hives. Experience shows that exposure to feline allergens is at particular risk for an acute asthma attack.

Removing the animal carrier of the allergen from the allergy sufferer’s environment is the most important and most effective method of dealing with allergies. Preventing allergies by administering medications such as cortisone nasal sprays and / or antihistamines in the form of tablets, inhalation sprays, nasal sprays or eye drops is not optimal, but may be necessary in the event of unavoidable contact with an allergen carrier animal.

Immunotherapy or so-called allergy vaccination, in which a canine or feline allergen is injected under the skin, can have a beneficial effect over time. This method, however, involves removing the animal carrier of the allergen from the allergenic’s environment.

Prevention / Protection

In this matter, a distinction should be made between the so-called secondary and primary prevention.

Secondary prophylaxis: If you have symptoms of animal hair allergy, the first prevention advice is to stop purchasing pets.It is, however, very difficult to completely avoid animal allergens, as animal hair can sit on people’s clothes, and thus can be found in schools, kindergartens and on public transport.

If any of the children are allergic to animals, kindergarten staff and teachers should ask other parents to ask their children to wear clothing that has not been in contact with pets. It is also important to leave street clothes in the hallway rather than bringing them into class.A complete ban on keeping cats and dogs in kindergartens and schools should be introduced.

Treatment of animals, especially cats, with various detergents (PetalCleanse) is currently proposed as a way to combat allergies. The amount of allergens in the cat’s fur is also reduced with regular bathing, but this is not recommended as a way to deal with allergies. At best, detergents can have a temporary effect and their use is relevant only for mild forms of animal allergy.Even my cat, it is impossible to get rid of cat allergens in house dust. In addition, frequent washing of the animal can border on bullying.

Primary prevention: To date, there is no reason to recommend not to have a dog or cat for the prevention of asthma or allergies, even if there are no allergy sufferers in the family. A study based on an analysis of 20,000 European children during their development from birth to primary school age showed that having pets does not increase or decrease the risk of developing asthma and allergies.Conversely, the recently published results of a study in Denmark show that having pets on the farm or at home acts as a defense against the development of allergies in children. This is why it is no longer considered appropriate to advise families with children not to have pets.

Having pets brings a lot of joy to many families. Doing blood tests and reaction tests before a family adopts an animal is of little value in determining whether a child will develop an allergy or not.The decision whether to have an animal in an allergic family or not should be made directly by the adult family members. Getting rid of a pet that a person has already become attached to and from which a person has an allergic reaction can be very difficult. That is why parents must conclude whether they are ready to take such a risk in the event that the child develops allergies to animals. If necessary, you can contact the Society for the resettlement of animals.

Can animals protect against asthma and allergies?

Recent studies, as noted above, suggest that contact with pets early in life, before 18 months of age, may protect against the development of asthma and allergies. This is partly because humans develop tolerance for animal allergens, and because the different types of bacteria present on the animal help strengthen the immune system. Further research is needed in this direction, but the results to date indicate that contact with animals can have a protective effect.However, this is a rather complex topic in which it is not easy to give unambiguous advice. To date, it is still not entirely correct to recommend the purchase of pets in order to prevent allergies, but it is also not true to recommend not to purchase animals.