There are manifestations of diseases that cause obvious discomfort, but a person is embarrassed to talk about them. The patient is ashamed to go to the doctor and tries to treat such conditions at home on his own.
Improper therapy causes unwanted complications. That is why doctors advise not to delay a visit to the doctor if, for example, itching and burning in the anus appear. These unpleasant symptoms may indicate the development of dangerous pathologies or be the result of improper hygienic care. In any case, a doctor's consultation will not hurt.
Causes and treatment of itching in women
The described condition makes a person nervous and irritable, which negatively affects performance, relationships with others. Therefore, it is important to timely identify the cause of the ailment and be treated.
With a problem, it is necessary to contact a proctologist; consultation of a gynecologist (in case of pathology in a woman) and a urologist (in a man) is often required. There are several factors provocateurs that can cause unpleasant symptoms. In determining the diagnosis, the intensity of their manifestation plays an important role.
Persistent itching
This condition can be facilitated by the appearance of many pathological processes: the presence of internal and external hemorrhoids, genital warts, cracks in the anal passage.
As a rule, a person has a burning sensation accompanied by pain and bloody discharge. Symptoms like these cannot be ignored. They may indicate the presence of anorectal fistulas or malignant neoplasms, in which itching is constant and has an average intensity.
Early diagnosis makes it possible to identify such conditions in time and significantly improve the prognosis for their treatment.
- Constant itching in women and adult men is often a companion of diseases of the genitourinary system. It happens with thrush and during the course of gonorrheal-Trichomonas infection, urethritis and prostatitis. Its appearance is associated with the effect on the skin of the perineum of secretions flowing from the genitals.
- In diabetes mellitus, the appearance of itching and burning around the anus is explained by doctors by the occurrence of dry skin, a change in the composition of urine. The described manifestations have a pronounced character and high intensity. Adjusting the diet helps to improve the condition, but it is not possible to completely get rid of the symptom even after taking medications. If the diet is violated, the clinic becomes aggravated.
- Dermatological diseases (psoriasis, seborrheic dermatitis, pubic lice). Their course causes redness around the anus, the appearance of spots that begin to peel off over time, in their place are constantly itchy erosion.
- The described reaction can be provoked by contact dermatitis or allergic to the use of aggressive cosmetic products that contain a large amount of chemical fragrances.
- Itching in the anus of a girl or woman appears during menstruation, while using pads or intimate hygiene products.
A characteristic skin reaction can occur when wearing laundry that has been washed with powders and fabric softeners. Often, characteristic manifestations occur after using colored toilet paper.
The elimination of provocateurs allows you to quickly get rid of unpleasant discomfort.
- The often described symptom accompanies psychoses and neuroses, if such instability lies in its appearance, it cannot be stopped by drugs.
- A pimple that has grown near the anus can cause a constant burning sensation.
- Anal itching is often diagnosed in persons with prolonged intoxication and weakened immunity.
Experienced smokers and alcoholics can suffer from this discomfort even with careful personal hygiene. Therefore, in order to eliminate the malaise, it is necessary to fight bad habits.
The risk group also includes people suffering from obesity and excessive sweating.
Itching after a bowel movement
It occurs due to pathologies of the stomach and intestines. This manifestation can accompany gastritis, colitis and acute pancreatitis... Their course is accompanied by a violation of the integrity of the mucous membranes, a lack of digestive enzymes, due to which the structure of feces changes. Therefore, after defecation, the described syndrome appears. It is enhanced by the intake of foods that contain spices, bitterness, artificial flavors, dyes, preservatives.
Itching at night
An infected person has a loss of appetite, he is constantly losing weight. If one or more manifestations are found, it is necessary to contact a helminthologist and take a swab from the skin around the anus. Only a comprehensive treatment of helminthic invasion will help eliminate itching at night.
Itching after taking antibiotics
A long course of antibacterial drugs (tetracycline and erythromycin) provokes intestinal dysbiosis. Such drugs, getting into the tract, destroy not only the pathogenic microbe, but also beneficial bacteria that are part of the microflora of the hollow organ.
In most people, this imbalance is quickly compensated, however, in others, the disorder becomes long-term, causing anal itching. The risk group includes children, the elderly and patients with a history of chronic pathologies.
Self-medication, the wrong choice of doses, non-compliance with the duration of their intake can also lead to the appearance of dysbiosis. This is why it is so important to seek medical attention and strictly follow your doctor's orders. Indirect symptoms can indicate the development of an imbalance:
- Cramping pain in the abdomen.
- Gas formation, bloating.
- Change of constipation and diarrhea.
A characteristic sign of a violation of the intestinal microflora is the appearance of mucus or foam in the stool, a putrid or sour smell of feces. Similar manifestations can occur both while taking antibiotics and after the end of drug therapy.
Itching with menopause
During menopause, the production of sex hormones in a woman's body decreases, causing the skin to lose its elasticity. In the epidermis, the number of collagen fibers decreases, as a result - the lack of the possibility of rapid regeneration, the development and aggravation of atrophic processes.
They can cover the perineal region and explain the cause of the onset of the described symptom during menopause. The skin around the anus may itch strongly or moderately, and the discomfort is always worse in the evening.
Itching during pregnancy
Unpleasant sensations around the anus most often occur in the first trimester. At this time, the hormonal background changes, and this leads to the appearance of periodic secretions. Their intensity can be different. Even abundant secretion is considered the norm, but it is excessive humidity that creates favorable conditions for the reproduction of pathogens. The increase in their number explains the causes of itching.
Weakening of immunity during pregnancy leads to disruption of the normal microflora of the vagina. Against this background, thrush often "wakes up". It is accompanied by a sour-smelling cheesy discharge.
Candidiasis also causes itching in the anal area. If it is not treated, the newborn will become infected during childbirth, which is why it is important to eliminate the problem described in the early stages of its manifestation. Otherwise, the infant will suffer from the same malaise.
It is possible to prevent the appearance of discomfort by going through a thorough examination of the organs of the genitourinary system at the stage of planning motherhood. It is important to eat right during pregnancy, to observe the rules of personal hygiene more strictly.
If it itches in the anus, the symptom cannot be ignored. Therapy with drugs prescribed by a gynecologist will be carried out taking into account the identified cause of discomfort and without harming the fetus. The alternative method of treatment, according to patients' reviews, will not help eliminate itching.
Accurate diagnosis
To establish the cause of the itching, you need to contact a proctologist. The doctor at the reception draws up a card of the patient's complaints. He writes in it the time of itching, indicates the presence or absence of dependence on the phase of the day, lists the accompanying symptoms.
In case of negative results, a colonoscopy is performed, which will reveal internal hemorrhoids and polyps in the rectum. After the procedure, it will be known for sure why the skin around the anus itches a lot.
Based on the results of laboratory tests, the proctologist can write a referral for a consultation with a gastroenterologist or infectious disease specialist. These experts also consider the causes of burning and itching in the anus in an adult or child.
Possible complications
The described discomfort can be of different intensity and duration. The mild course is always short-lived and disappears after the implementation of hygienic skin care. In patients with a severe form, itching in the perineum lasts for years, significantly worsening the quality of human life.
The discomfort is usually worse at night. The patient, to make it easier, tries to scratch the areas around the anus. Such actions lead to damage to the skin and to the appearance of deep purulent lesions. Secondary bacterial infections are the most common complication.
Itching in the anus is an irritation of the anus, which is accompanied by an unpleasant burning sensation. The manifestation of this clinical syndrome there may be a slight feeling of irritation of the skin around the anus, which can be eliminated by usual hygiene measures, or there may be a painful burning sensation and severe itching in this area, which sharply reduces the quality of life. Most often, itching around the anus is a completely independent ailment. In this case, it is considered primary, that is, it does not have pronounced reasons for its appearance. However, itching can be secondary, that is, one of the symptoms of a disease.
Causes of itching in the anus
The most likely factors that can cause itching in the anus include:
In some cases, the use of antibiotics, especially erythromycin and tetracycline drugs, becomes the cause of itching in the anus.
Anal itching sometimes accompanies chronic intoxication (drug addiction, alcoholism) and mental illness (pathomimia, neuroses, psychosis, dermatozoal absurdity, etc.).
Itching around the anus can be caused by excessive consumption of certain foods and drinks (spicy foods, spices, citrus fruits, vitamin C, beer, wine, coffee, tea, cola, etc.).
The risk group for the disease also includes people who are overweight or sweating.
Diagnostics
Diagnosis of this disease does not cause any difficulties, since itching in the anus is the only complaint of patients. However, determining the type of itch, its shape (wet or dry), and finding out the cause in the case of secondary itching is not an easy task.
If you are concerned about itching in the anus, treatment of the disease should begin with a visit to the proctologist. For a correct diagnosis, the specialist draws up a complaint card in which he enters the following data: when the itching appeared, whether it depends on the time of day, whether there is a burning sensation, tingling or pain during bowel movements. During a visual examination, the doctor assesses the condition of the skin of the anus, its color, the presence of cracks and bleeding spots. After that, several tests are prescribed - an analysis of feces for the presence of worms, an analysis for occult blood, as well as an examination for the presence of hemorrhoids.
After examination by a proctologist, the patient can receive a referral to a gastroenterologist or infectious disease specialist. These specialists will be able to determine an accurate diagnosis and prescribe the appropriate treatment for itching in the anus.
Treatment of itching in the anus
If the cause of anal itching was non-compliance with the rules of personal hygiene, special treatment is not required. All you need to do is perform daily thorough hygiene procedures - and the itching will disappear soon. After the act of defecation, it is recommended to use wet antibacterial wipes, which cleanse the skin of the anus from the remains of feces.
If itching occurs around the anus, you should reconsider your daily diet - overuse of spicy and overly salty foods can irritate the skin of this delicate area. It is not recommended to wear synthetic underwear, as it does not allow air to pass through, causes excessive sweating and creates a greenhouse effect, which promotes active reproduction of bacteria.
In severe cases, small doses of glucocorticosteroid hormones will be effective. Also, doctors prescribe such external agents as corticosteroid ointments, cooling hydroalcoholic solutions with anesthesin, menthol, lidocaine or novocaine.
If irritation is caused by dermatitis, you can use special drying ointments - Hydrocortisone, salicylic or zinc ointment. If a patient is found to have a fungus, he is prescribed ointments that are highly active specifically for this type of fungus (Triderm, Onbet, Clotrimazole, Posterisan).
For hemorrhoids, various drugs are used: Hepatrombin, Relief, Proctosan, Bezornil, Aurobin, Detralex, Ultraproct. It copes well with itching and burning sensation in the anus, relieves pain and irritation with external hemorrhoids, the drug Menovazin. Hemorrhoid treatment methods are determined only by a doctor. In severe cases, surgery may be necessary.
If discomfort in the anus is caused by helminthic invasion, the most effective remedy Treatment of itching in the anus will be thorough personal hygiene. After each act of defecation, it is necessary to wash the anus with warm water and baby soap and treat it with glycerin. It is recommended to wash underwear in hot water with laundry soap and iron thoroughly. This will help prevent re-infection. But the most important thing with such a disease is the timely treatment of enterobiasis. The most effective in this case are drugs such as Pirantel, Albendazole,
Itching in the anus at night is a rather unpleasant phenomenon that causes discomfort and significantly worsens the quality of life. In almost all cases, people try to postpone a visit to a specialist, as a result of which redness and burning sensation lead to erosion. Some pathologies can cause itching of the anus. But people are ashamed not only to name the reason for their excitement and anxiety, but also to make an appointment with the doctor.
Causes
Itching, particularly at night, occurs for a variety of reasons. The most popular are:
- Allergic reactions. Hypersensitivity to allergens causes severe itching in the anus. The reason for this may be the powder used for washing linen, toilet paper, in particular, which contains various fragrances, as well as improper intimate hygiene.
- Mechanical damage. The reasons may be microcracks in the area of \u200b\u200bthe colon opening. It is also necessary to undergo examination by a specialist for the presence of a benign tumor.
- Overweight, in particular obesity. As a result of constant friction of the skin folds, which, among other things, are abundantly moistened with sweat, a person begins to experience a burning sensation.
- Internal diseases of the body. Various illnesses can cause itching in the anus at night. The most common is metabolic disorders with high blood sugar levels. Burning sensation is also observed with liver disease, dysbiosis, especially after using the toilet.
- Diseases of the reproductive system. Infectious pathologies of the genitals, regardless of gender, provoke severe itching. In women, thrush is most often observed. Fungal lesions from the vagina penetrate into the anus. This is due to the proximity of the organs.
- Hemorrhoids. If the discomfort caused by burning is accompanied by the sensation of a foreign object in the anus, in some cases, this indicates the presence of this disease. However, a similar symptom is often observed with various inflammations and the appearance of new forms.
- Stressful situations. Modern people are often exposed to stress and anxiety, the result of which is sometimes a skin reaction in the form of burning and itching.
In some situations, the cause of the problem is taking certain types of antibiotics. Itching of the anus can be caused by chronic poisoning of the body (drug use, alcohol) and mental illnesses (nervous disorders, etc.). In addition, discomfort is often associated with excessive consumption of specific food and drinks (spicy foods, spices, citruses, vitamin C, dark beer, red wine, strong coffee, Pepsi-Cola, etc.). Persons suffering from excessive sweating are also at risk.
Pinworms
In humans, pinworms develop in the upper part of the colon and stay there for about 30-60 days. After full maturation, the females move to the anus, and at the end of fertilization they leave there, laying eggs in the folds. This happens just late in the evening or at night, which causes anal itching.
Upon visual inspection, the larvae can be seen on the fibers of bedding or linen, as well as dust particles flying around the room. In particular, a large number of worms are found under the nails. This occurs when a person scratches the anus, mainly during sleep. Penetrating into the oral cavity from the surface of objects, but most often poorly washed hands or attributes of daily use, food, water, the larvae begin the next life period of development.
In case of suspicion about the presence of helminths, you should immediately contact a specialist. In the clinic, the patient will take a scraping from the surface of the skin in the anus, after which the material will be sent to the laboratory for research. If the tests show a positive result, there is no need to be upset. This problem can be easily solved without the use of medications.
All that is required is to follow a number of elementary rules. The most important thing is to adhere to the principles of personal hygiene not only to the infected person and all members of his family. Only this approach will allow you to avoid secondary infection and achieve complete recovery.
Diagnostics and treatment
Diagnosis of such a problem does not cause any particular difficulties, since anal itching is the only complaint of the patient. But specific types of burning, its nature (wet or dry), determining the causes of repeated itching can cause certain difficulties.
After examination by a proctologist, the patient may be given a referral for an appointment with a gastroenterologist or infectious disease specialist. Qualified specialists will help to establish the correct diagnosis and competent treatment.
If the causes of the problem are diseases of internal organs, first of all, it is recommended to engage in their therapy, since the elimination of symptoms is not able to fully resolve the issue, it will only remove one of the manifestations of the main pathology.
Good health to you, my dears! What delicate questions we have not raised on the pages of this blog. Today we will not discuss anything dangerous or deadly, we will just talk about discomfort.
A restless person is often told that he "itches in his butt", so he cannot sit still. But what if this is really the case?
Itching makes us nervous and irritated, makes it difficult to relax and, of course, it always has a cause that caused it. These can be both completely harmless factors and quite serious conditions.
Let's take a look at everything, even the rarest reasons for such a problem and find answers to the question: "Why does it itch in the anus?"
First, let's find out which doctor will help you eliminate these symptoms? A woman should go to a gynecologist, and a man to a urologist. It can also be a proctologist.
What reasons do not allow you to sit still?
Rectum pathology. This is the first factor that any professional will take into account.
In the case when a person only complains of itching, the doctor's suspicions will refer to papillomas or genital warts.
If, in addition to this symptom, there are others, for example, bleeding and pain, an anal fissure also joins the number of possible diagnoses. Also on the suspect list are various malignant and benign tumors and polyps.
Add to the above symptoms a feeling of heaviness and burning, as well as the presence of inflamed hemorrhoids - and we have a classic picture of hemorrhoids: either internal or external. Another of possible reasons - This is the presence of chronic proctosigmoiditis.
Helminthic invasions. Itching can also be caused by various worms that live in the intestines of humans. The most common of these are pinworms. They are most common in children and adolescents.
As a rule, such patients complain of itching at night. This is due to the fact that female worms lay eggs during this period of the day around the anus. This is what causes itching and discomfort.
Against the background of this deviation, a person will complain not only of itching, but also of diarrhea and other digestive disorders.
Gynecological pathologies in women. Prostatitis and urethritis in men
Any sexually transmitted disease in adults can have itching among its symptoms. These are trichomoniasis, chlamydia, gonorrhea, candidiasis or thrush. Pubic lice can also be added to this list.
Itching in children. By the way, candidiasis can also occur in babies. If they rarely change diapers, then due to diaper rash, staphylococcal infection can occur.
In young children, encopresis may be among the causes. This condition is associated with sphincter failure and an inability to thoroughly hygiene the anus after a bowel movement.
All this can lead to very disastrous consequences.
Skin diseases and allergies. If you have an increased tendency to allergic reactions, psoriasis or dermatitis, eczema, scabies or lice, then itching can also become one of the accompanying symptoms.
Various external stimuli. In this item, you can enter the wrong intimate hygiene, when a person, for example, washes every few days. Itching can be a reaction to poorly matched toilet paper with dye or flavor.
Your skin can react this way to wearing synthetic underwear or thongs. Allergic reactions to food, medicines or household chemicals also fall here. Pathogenic microflora can get into cracks from irritation and cause, in turn, more serious complications.
Overweight. People who are overweight often experience increased sweating.
These two factors combined, due to the constant rubbing of the perineum, will also negatively affect your sensations.
Diabetes mellitus and some other diseases. Oddly enough, but this disease is accompanied by constant discomfort in the genital area and perineum.
Similar symptoms are often manifested in pathologies of the liver, biliary tract and pancreas.
Mental illness. Some deviations cause various obsessive states in a person, for example, he wants to constantly wash.
Regular use of soap dries out mucous membranes and skin, which can also cause itching. On such damaged skin, pathogenic microflora begins to settle, which only aggravates the condition. Stress and depression also increase the general tactile sensitivity of a person.
What measures should you take if you have itching?
Of course, you are unlikely to be able to cure the itching by itself. Only after you establish the cause and discuss the treatment regimen with your specialist, you can count on a positive result.
Depending on a number of factors, you will have to visit a urologist or gynecologist, proctologist or dermatologist, endocrinologist or gastroenterologist. You will need to donate blood for glucose and find out its biochemical composition.
Such patients need feces and urine tests, including for the presence of helminthic invasions. And also studies that detect dysbiosis, as well as anoscopy or colonoscopy.
The doctor will find out whether a symptom such as itching is primary or secondary, and, besides, it is wet or dry. We will have to discuss other details, for example, the localization of itching: it can be fixed only in the rectal region or spread to the entire perineal area.
They also look at general state skin and mucous membranes: is it red and inflamed, is there any discharge and smell, and so on. Some specific signs can also give a hint to a specialist.
For example, a patient complains of itching during bowel movements. This symptom will indicate the weakness of the sphincter and the possible presence of hemorrhoidal inflammation.
In the case when such manifestations occur after ingestion of salty or spicy food, then this may indicate proctosigmoiditis.
Be sure to discuss your living and professional conditions with a specialist. Basically, the above applies to situations where you work for hazardous productionand it will not necessarily be the chemical or radiation industry. It could be just a dusty or gas-polluted room.
It can also be important if you have pets. The situation is not excluded when they become carriers of worms.
When collecting a detailed anamnesis, be sure to mention what diseases your closest relatives suffered from. This applies especially to cases of diabetes, endocrine disorders and dyspepsia.
Can itch in the anus be cured?
First of all, the patient must understand that even if it seems that itching is a completely insignificant symptom that is not worth it to consult a specialist, then this is a wrong attitude to the problem.
After all, such discomfort will not disappear by itself, and over time, other, much more unpleasant manifestations can join it.
Your doctor will tell you how to treat this condition. Most often, you first need to eliminate the cause, and then its effect will naturally go away. Depending on the diagnosis, be it a genital infection, worms, scabies, head lice, and so on, complex therapy begins.
In very rare cases, when there are no other accompanying symptoms besides itching, the specialist suspects that this is a latent form of proctosigmoiditis. Then the patient is advised to adhere to a special diet, use various medicinal ointments and do enemas with collargol.
For stressful conditions and other neurotic abnormalities, sedatives are prescribed. During allergies, they drink antihistamines.
This is all the information for today about such an unpleasant problem as. Tomorrow meet again.
If your bottom is constantly itching, it will be not only interesting for you, but also useful to find out the reasons for this phenomenon. After all, only by installing them, you can get rid of the uncomfortable sensations.
Hemorrhoids
One of the symptoms of this disease is itching. The disease causes varicose veins in the anus. The walls of the rectum undergo the formation of nodes that are filled with venous stagnant blood. Usually the knots have very fragile walls, which cause cracks and tears when a person strains or performs any physical effort. Hence, respectively, bleeding during or after defecation.
The listed signs of hemorrhoids are complemented by pain, itching, burning sensation in the anus. Plus - the feeling of a foreign object in the anus and heaviness in the groin area.
With hemorrhoids, the skin will itch quite strongly - the medical term for this phenomenon is called "rectal itching". Why does the pope itch? Because the skin near the anus is irritated by mucous secretions from the rectum. It is imperative to learn what to do with the disease and to carry out treatment. Since the consequence may be the development of erosion on hemorrhoids.
IMPORTANT! With constant skin irritation, eczema can develop!
If you see blood while emptying your bowels, make an appointment with a proctologist as soon as possible. This may indicate that a malignant neoplasm has appeared in the intestines.
Remember that serious health problems may arise if treatment is refused. In addition to even more discomfort, you run the risk that sooner or later hemorrhoids will simply fall out, they will bleed and burst.
Condylomas and fissures
If cracks form in your anus, it can also make you feel like itching all the time. The appearance of cracks in people prone to constipation is especially important. Due to irregular and difficult bowel movements, stool becomes hard and, when exiting, injures the rectum. The result is bleeding cracks that can become infected at any time.
With the frequent use of salt-based laxatives, the anus can become irritated. It will start to itch.
Genital warts are small bodily outgrowths. They also cause the butt to itch. The causative agent of the disease is the human papillomavirus. The infection is transmitted during an intimate act, however, domestic infection is also possible. Such a disease requires indispensable medical intervention. If the growths are not treated appropriately, they can develop into a tumor. The risk of getting cancer increases tenfold.
Both cracks and growths must be shown to a doctor. They must be treated with drugs recommended by a specialist. Folk ways can not always give the desired positive effect.
Perianal herpes
When a person, whether a teenager or a pensioner, does not observe personal hygiene, he provokes infection and infection, for example, with the herpes virus. Perianal herpes is difficult to diagnose, since the bubbles that appear in the zone of infection are quickly destroyed by constant friction. Repeated relapses lead to the appearance of several large reddish spots that you constantly want to scratch. The stains also consist of mini-bubbles that burst quickly, leaving erosion. But scars are not formed.
Diabetes
Often, an itchy person simply does not know about the presence of this disease. Whereas it is the skin and, in particular, anal itching - the first clear sign of the onset of diabetes. I want to scratch my ass because of the growth of yeast, provoked by the fact that blood sugar levels rise.
If you have persistent itching in the anus, be sure to check your blood sugar! Only in this way can you be sure that you are not suffering from a disease.
Helminthic invasion
If helminths settle in the human body, then at night they begin to actively lay eggs around the anus. The result is skin irritation. Constant itching can be accompanied by severe enough damage to the skin.
Gynecological diseases
Rectal itching in a woman may indicate the presence of various gynecological diseases:
- urinary tract infections;
- secretion disorders;
- vulvaginitis and others.
What can accompany various diseases of a sexually transmitted nature. With chlamydia, gonorrhea, trichomoniasis, pulling pains in the groin area, burning and itching often appear, and the testicle may hurt. If discomfort is felt throughout the intimate area, the cause may be pubic lice.
Psoriasis on the anus
The disease is manifested by non-scaly redness of some areas of the skin. itching is very severe. Often, the patient scratches the damaged area to the blood and wounds. The result can be an infection in the body.
Fecal incontinence (encopresis)
As a rule, this symptom can be seen in children of different ages. As a result of the disease, the skin becomes inflamed.
Common indirect factors
There are several common reasons that can also lead to the appearance of such an uncomfortable feeling:
- excess weight. With obesity, a person suffers not only from having extra pounds, but also from excessive sweating. Diaper rash occurs in the folds of soft tissues;
- allergy to hygiene products, household chemicals, food and other allergens. Itching can occur in any area of \u200b\u200bthe body;
- stress and nervous disorders. As you know, one of their actual manifestations is a constant desire to itch;
- improperly matched underwear. An example is thongs. They create the best conditions for dermatitis to appear in the anus. Any person, and especially women during pregnancy, must take a responsible attitude towards the choice of underwear - its type and production material.
What do we have to do
It doesn't matter if you have worms or the discomfort is caused by obesity from sweets, you need to see a specialist. The proctologist will prescribe tests to clarify the diagnosis and examine the anus. Usually, blood samples are taken to determine the level of sugar, feces and urine are also taken. The patient is checked for the absence / presence of dysbiosis and worms.
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