"What Should I Do About the Intense Itching Caused by Perianal Eczema?"

Management of Severe Anal Eczema Itch

Severe anal eczema itch can be alleviated through general treatments, medication, and other methods. If symptoms persist or worsen, it is recommended to seek medical attention promptly for targeted treatment under the guidance of a physician.

1. General Treatments:

Patients should maintain cleanliness and hygiene around the anal area, frequently change undergarments, and avoid prolonged sitting or standing to prevent localized dampness and heat, which can hinder recovery. The diet should consist mainly of light and easily digestible foods, avoiding spicy and stimulating foods like chili peppers and Sichuan peppercorns. Additionally, drinking plenty of water and consuming fresh fruits and vegetables, such as apples and tomatoes, can promote metabolism and aid in recovery.

2. Medication:

For severe itching, calamine lotion can be applied as prescribed. In cases with pronounced exudation, tacrolimus ointment or pimecrolimus cream should be applied under medical supervision. If bacterial infection is present, erythromycin ointment or fusidic acid cream should be applied as prescribed for anti-infective treatment. Antihistamines like loratadine or levocetirizine may be prescribed orally for allergy relief if necessary.

3. Other Treatments:

If the above methods are ineffective and skin damage occurs, it is essential to visit a hospital for assistance. Under the guidance of a professional, ultraviolet light therapy may be used as an adjuvant treatment. Daily, cultivate good habits by avoiding scratching the affected area to prevent skin breakdown.