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Extreme anal iii. Small containers of oil-based preparations (balneol) or aqueous cream tubes take up little space and the contents are squeezed onto cotton wool to clean the perineum. However, like much of the literature in pruritus ani, the study’s conclusion should be treated with caution as allocation to treatment arms was not randomised. Prolonged faecal contact is irritant to peri-anal skin and, as a group, patients with pruritus ani are less able to maintain absolute continence when dealing with loose stools and an anorectum whose physiology and morphology has been altered primarily by food, surgery or, presumably, by medications. Nevertheless, physicians with an interest in pruritus ani have published good results with most people responding well, even though many suffer short-lived relapses. Any illness can lead to pruritus ani most commonly diabetes mellitus, liver disease, leukaemia, lymphoma, renal failure, iron-deficiency anaemia and hyperthyroidism.
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Treatment options for pruritis ani: active treatment measures. This is presented after an overview of how individual aetiologies relate to anal pruritus, the indications and pitfalls of the therapies available.