Hemorrhoids, fissures and pruritus ani are all conditions that affect the anal area but they are different medical conditions. In determining how to differentiate the hemorrhoidal disease, anal fissure and pruritus ani, a person has to look into their notable distinction.
Main difference
Hemorrhoids are swollen veins in the anus while fissure is caused by a tear at the opening of the anus. Pruritus ani is the itching around the passage of the anus. These conditions can be very uncomfortable and painful when not taken care of properly. The hemorrhoidal disease and fissures also cause rectal bleeding while pruritus ani’s main symptoms are itchiness. The skin may thicken and inflame but it does not bleed unless there is profound scratching.
Hemorrhoids can occur when internal and external veins swell because of pressure. Anal fissure and pruritus ani on the other hand only occurs externally around the anal tear. External hemorrhoids and fissure are usually painful but some chronic anal fissure and internal hemorrhoids can cause no pain so they are harder to detect.
How to Differentiate Hemorrhoid, Anal Fissure and Pruritus Ani by their Causes
Any activity that can lead to overstretching of the anal tissue can lead to anal fissure. The size of the cut will resemble a paper cut and since they are small, they can be healed in a matter of few weeks even without medication. Hemorrhoids are commonly caused by lack of water or over exertion.
Pruritus ani may be caused by several factors like anal disease, skin disease and allergy reaction. Anal disease is caused when the stool contains digestive enzymes that can irritate the skin around the anus. Failure to remove any excess stool from the area can cause irritation and itching. Skin disease like eczema, psoriasis and threadworms can cause pruritus ani which can these can also lead t o fungal infections.
How to Differentiate Hemorrhoid, Anal Fissure and Pruritus Ani by their Treatment and Prevention
The haemorrhoidal disease and anal fissure can be prevented by avoiding strains during bowel movement. Often, people have to force their stool because they are constipated. A diet rich in fibre can help ease the bowel movement and relieve constipation. The consumption of water is also essential in preventing hemorrhoids and anal fissure. The use of suppository can also help ease the bowel movement and prevent straining.
Non surgical treatment is the common options for anal fissure and haemorrhoids. These treatments include topical ointment, sitz bath and even oral medicine. In emergency cases, a surgery can be performed.
It is essential to remove all irritants in the anus with soap and water to reduce the chances of developing pruritus ani. Patients are also advised to use cotton wool balls instead of toilet paper to reduce irritation. Cotton is also more effective in cleaning the area. Pruritus ani can be cured by steroid ointment and cream that can be applied to reduce itching. An antihistamine can also be recommended to relieve itching. Do not delay bowel movement and scratch as little as possible. Clothes should also be light enough to keep the area well ventilated.
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