I have previously written about my problem with Pruritus Ani or anal itching.
Within the past six months, my itchy-rear-end suffering resurrected itself. I was unable to sleep at night. Daytime, I was unable to find peace and quiet. I was a desperate wreck.
Previously, I had written that shea butter worked a miracle for me. However, shea butter did not alleviate my new episode.
I tried all possible over-the-counter remedies from the U.S. pharmacies, including all chemical-based hemorrhoidal ointments, wipes, hydrocortisone creams, etc. Nothing brought any relief. In fact, my rear end became painful.
I also tried sitz baths with Epsom salt, tea tree oil, or smoke tree leaves. The baths relieved slightly the condition; however, the itching sensation returned almost as soon as the bath was over.
As I stated, I had become a desperate wreck.
And then, by chance, I remembered a powerful medication I had acquired previously for inflamed skin, Betasone. The particular ointment I had was with three active ingredients, but the component that worked the miracle was the betamethasone, an adrenocorticosteroid.
According to WebMD, Betasone treats: seborrheic dermatitis, atopic dermatitis (a type of allergy that causes red and itchy skin), plaque psoriasis, granuloma annulare, itching of the genital area, psoriasis of scalp, itching of the anus, skin inflammation, cutaneous T-cell lymphoma, contact dermatitis, a type of skin rash that occurs from contact with an offending substance, itching, inflammation of the skin due to an allergy, skin rash that becomes thick and discolored from rubbing it.
The warning for this ointment is that its prolonged use causes skin thinning and with time, this thinning may exacerbate the original problem further. Therefore, I used the ointment for five days by tapering it off. The beneficial effect was felt on the first day, with the very first use.
During my desperate search for a remedy, I was recommended to try a herb-based hemorrhoidal cream, FitoroiD. It contains essential oils from tree oil, cypress, Mentha piperita, roots of Ruscus aculeatus, gel from leaves of Aloe vera, Hypericum perforatum (known as St John's-wort), jojoba oil, shea butter, and something called “Helydol” - freeze-dried extracts of Helichrysum flowering tops lipophilic fraction.
So, from the Betasone, I switched to FitoroiD.
I was also told about the healing properties of the Bariederm cica-cream for atopic dermatitis. This cream contains copper and zinc to sooth any irritated skin.
Since I was at my wits’ end, I bought and used both FitoroiD and the cica-cream at the same time. Ideally, I would have used them sequentially, to find out which is truly beneficial for the condition. After another four to five days on these ointments, the itch was almost gone.
The final stage was using Alergozan ointment. Its active ingredient is chloropyramine, an antihistamine compound that is approved in Eastern Europe and Russia for the treatment of allergies, conjunctivitis, allergic rhinitis, bronchial asthma, and other atopic (allergic) conditions. This cream helped with the occasional and slight sensations of itching. At present, I am tapering off its use as well.
In conclusion, I believe that I had developed a contact dermatitis, which is an allergic reaction. Menstrual periods and sanitary pads, as well as uncomfortable (non-cotton) underwear have been irritating my skin further. Occasionally, I also develop hemorrhoids and that further exacerbates the problem.
Until the irritants are around, I may have to rely on the above-described ointments. Hopefully, with age, and change of conditions, the dermatitis would disappear.
Do you have the urge to scratch your anus? It is not a symptom easy to admit, but if the sensation drives you insane, you may start looking for information and help on Internet. You may even see a doctor or two. This is what happened with me. When the itch was there, I could not sleep, I could not think during the day.
My condition was recurrent. It started more than 6-7 years ago and ever since, it was on and off. The doctors did not help. They tested me for various infections but did not find any.
Since my condition was improving from time to time on its own, I never tried to find out remedies that could alleviate the symptoms. However, since my last onset expanded into more than half a year, and the itchy sensation sometimes escalated to pain, I desperately started to search for solutions and explanations of the condition.
Below is the summary of what I found and what worked for me (at least for now).
The condition has a name: pruritus ani.
Pruritus ani is described as “the sensation that induces scratching of the skin around the anal orifice” or “an intense urge to scratch the perianal skin”.
Supposedly, up to five per cent of the population is affected by the condition. The condition is usually “idiopathic”, which means that the cause cannot be not identified.
Since the cause is usually unknown, the treatment/management of the condition is difficult.
According to Song S-G and Kim S-H (Pruritus Ani. J. Korean Soc Coloproctol 2011, 27: 54), a wide range of factors may trigger the condition. The causes could be related to colorectal and anal problems (e.g., anal creases, hemorrhoids, fissures, etc), systemic diseases (e.g., diabetic mellitus, leukemia, iron deficiency, etc), psychogenic conditions, dermatologic diseases, poor hygiene, irritants (various chemicals, dyed and scented toilet paper, sanitary pads, etc.), diarrheal state, drugs, infections, diet (e.g., coffee, tea, alcohol, spicy foods, etc.). For a full list of the causes, please refer to the report.
When I studied the list of possible causes, I focused on the iron deficiency because I have been anemic all my life. I have also had a few severe episodes of anemia from time to time (e.g., fainting, vertigo). Therefore, my first step was to take an iron supplement. Whenever I have an episode of severe anemia, I take my iron supplement for only three to four weeks. Excess of iron in the organism has deleterious consequences. Therefore, I try to get my iron from iron-rich foods rather than from a supplement.
While taking the iron pills, I serendipitously found out that I had a container of shea butter in my medicine cabinet. I had bought it more than a year ago with the intention of trying a few cosmetic recipes. When I re-discovered the container, I remembered the anti-inflammatory and soothing properties that shea butter was supposed to have. In my desperation, I decided to try it.
Keep in mind that before the shea butter trial, I had applied almost everything that is recommended to calm itchy skin. I had tried pure aloe vera gel, jojoba oil, coconut oil, petroleum jelly, diluted apple cider vinegar, combinations of these, and every single over-the-counter anti-itch cream. All the drugstore creams relieved the condition only for hours. None of the other remedies helped. Sitz baths with or without Epsom salt irritated even more my skin.
Until the shea butter. Finally, there was some relief!
How do I use the shea butter? After showering (usually twice a day, in the morning and evening), I apply a small amount of shea butter on the affected area. Since shea butter melts at body temperature, it is easy to spread and is rapidly absorbed by the skin. I use a cotton pad to cover the area and prevent staining my underwear. By the way, I stopped using any scented/dyed hygienic products, towels, toilet paper. I use only cotton underwear. I have noticed that anything scented and dyed irritates my skin.
The relief in my case was not instantaneous; however, the itchy and painful sensation subsided somewhat after the very first applications. Approximately two to three weeks of use allowed most of the symptoms to disappear. Meanwhile, I stopped taking the iron supplement, but I am still using the shea butter.
Because of the beneficial effect of shea butter, I researched its properties to find out whether there were any dangers and contraindications. Based upon what I found, it seems that this natural product is safe for topical use. However, I am NOT a trained clinician. If you decide to try this natural remedy (or any other), do a skin patch test. Apply a small amount to your forearm and wait for 24 hours to check for an allergic reaction.
So, what is shea butter? Shea butter is extracted from the nuts of an African tree, Vitellaria paradoxa. My container of shear butter contained a solid substance of yellow color. I bought the product in a local store offering natural and organic products; however, I found the same container to be available on Internet.
Shea butter is used mostly in preparing cosmetics; however, it is also edible. Once I get a new container of shear butter, I may try a few hair conditioner recipes (like this one and this).
Why does shea butter sooth and inhibit inflammation?
According to a 2010 report by Toshihiro Akihisa et al., shea butter contains triterpene acetates and triterpene cinnamates. All of these compounds are characterized as anti-inflammatory since they inhibit 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced inflammation in mice. Some of these compounds also exhibit a moderate anti-tumor development effect. Here is also a 2012 report on the molecular mechanisms of the anti-inflammatory effects of shea butter.
I hope this post helps at least one person. Please, let me know if shea butter or something else has worked for you. Also, keep in mind that if you do have a persistent itchy skin, there could be many other (serious) causes, and it is always better to first see a doctor. If the doctor cannot pinpoint a cause, and the condition seems to be “idiopathic”, then probably it is time for you to try some shea butter. Do not forget to do the skin patch test first (see above).
