Symptom 10: Bleeding
Noticing blood, whether on tissue paper or underwear, can be distressing. With pruritus ani, bleeding is often a consequence of persistent scratching, inflammation, or the presence of fissures. While minor bleeding due to superficial scratches might not be alarming, any persistent or profuse bleeding warrants immediate attention.
The origins of this bleeding can vary. Continuous scratching can lead to raw, damaged skin, which can bleed upon contact or further scratching. Fissures or tears, as previously mentioned, can also result in bleeding, especially during bowel movements. Furthermore, conditions like hemorrhoids can bleed, especially when irritated.
Managing bleeding requires a gentle approach. Firstly, ensuring the area is clean can prevent infections. Applying a mild antiseptic can be beneficial. Moreover, using soft, fragrance-free tissues and avoiding aggressive cleaning can reduce further trauma to the area. For those with hemorrhoids, specific over-the-counter treatments can offer relief. (10)
