Itching

Itching

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Itching- distinguish between generalized and localized itching.
Generalized itchingmay be due to food intolerance (food itching from spicy foods, smoked meat, mushrooms, pork, etc.), drug sensitization (drug itching from antibiotics, sulfanilamidovidr.), a reaction to changes in external temperature (cold itching and heat itching). In old age, itching may be the result of dry skin due to reduced function of the sebaceous glands (senile itching). Often, generalized pruritus is a consequence of severe common diseases - hepatitis, diabetes, leukemia, Hodgkin's disease, malignant neoplasms, etc., hiding it may well precede the typical clinical manifestations of the underlying disease. Generalized itching can be observed in various neuropsychiatric diseases (neurosis, manic-depressive psychosis, diencephaliasis, etc.).
Localized itchingmore often affects the anogenital region (anal itching, itching of the scrotum, vulvar itching) and the scalp. Along with the aforementioned etiological factors, localized itching often provoke local causes (hemorrhoids, worm infestation, proctitis, prostatitis, leucorrhea, candidiasis, seborrhea, etc.).Localized itching is usually paroxysmal.
Pruritus- a sensation that causes the need to comb the skin. In most cases, has a neuro-allergic nature. It may be a symptom of various skin diseases (eczema, urticaria, scabies, etc.) or an independent skin disease (the so-called idiopathic pruritus). In the first case, when examining a patient, the symptoms of the corresponding dermatosis are revealed, and in case of idiopathic itch these symptoms are absent. The clinical picture of even pronounced cases of itching is usually scanty: on the itchy areas of the skin there are only pinpoint or linear excoriations (scratches). When persistent itching is often marked by a change in the nails of the hands: a mirror shine on their surface (polished nails), with the free edge. In some patients, itching is complicated by pyoderma. Itching may be persistent or paroxysmal. Itching usually increases in the evening when it can become unbearable.
Itching anal(itching of the anus) - a pathological condition characterized by persistent itching in the anus and the skin of the perianal region (in women, itching often involves the external genitalia).The prevailing age is middle and old. The predominant sex is male (4: 1).
Genital itching(itching of the scrotum, itching of the vagina, itching of the labia) - itching in the region of the external genital organs, less often in the vagina.
Treatment of itching
Elimination of the etiological factor, treatment of the underlying disease, non-irritating diet, sedatives, antihistamines, warm baths, agitated suspensions or alcohol wipes with menthol and anesthesin, diphenhydramine cream, corticosteroid ointments.
Forecast. A complete cure depends on the possibility of eliminating the causative factor, in particular on the prognosis of the disease that caused itching.
Pruritus
Elimination of the etiological factor, treatment of the underlying disease, non-irritating diet, sedatives, antihistamines, warm baths, agitated suspensions or alcohol wipes with menthol and anesthesin, diphenhydramine cream, corticosteroid ointments.
Itching anal
The mode is active, treatment is outpatient or inpatient (with persistent anal itching with a complicated course). Diet - the refusal or restriction of the use of extractive substances (coffee, strong tea, chocolate), spicy dishes and alcoholic beverages, the prohibition or sharp restriction of smoking.If you suspect food allergies should limit the use of coffee, beer, Coca-Cola, spices, citrus.

After defecation: washing with cool water (without additives), drying the skin with gauze or toilet paper and applying a multi-layer gauze cloth to the anus, either with a dry Lassar paste or baby powder.
In the absence of the effect of compliance with diet and hygiene measures, a course of treatment should be taken for patients with proctitis (proctosigmoiditis), even in the absence of appropriate changes during endoscopy. A course of microclysters with a 0.3% solution of collargol, protargol or a decoction of oak bark. Locally - ointment "Aurobin", "Ultraprokt".
Genital itching
Diet - avoid caffeine-containing beverages. Underwear made of cotton. Apply simple soap. Elimination of other irritants. Sessile bath with chamomile infusion. Topical ointments and creams containing prednisolone, hydrocortisone, triamcinolone. It is also possible surgical treatment - resection of the genital nerves (with the ineffectiveness of conservative measures).

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