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Bowel Incontinence

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What to Do About Anal Discomfort

The skin around the anus is delicate and sensitive. Constipation and diarrhea or contact between skin and stool can cause pain or itching. Here's what you can do to relieve discomfort:

  • Wash the area with water, but not soap, after a bowel movement. Soap can dry out the skin, making discomfort worse. If possible, wash in the shower with lukewarm water or use a sitz bath. Or try a no-rinse skin cleanser. Try not to use toilet paper to clean up - rubbing with dry toilet paper will only further irritate the skin. Premoistened, alcohol-free towelettes are a better choice.
  • Let the area air dry after washing. If you don't have time, gently pat yourself dry with a lint-free cloth.
  • Use a moisture barrier cream, which is a protective cream to help prevent skin irritation from direct contact with stool. You should first clean the area well to avoid trapping bacteria that could cause further problems. However, talk with your health care professional before you try anal ointments and creams because some have ingredients that can be irritating. Your health care professional can recommend an appropriate cream or ointment.
  • Try using nonmedicated talcum powder or cornstarch to relieve anal discomfort.
  • Wear cotton underwear and loose clothes that breathe. Tight clothes that block air can worsen anal problems. Change soiled underwear as soon as possible.
  • If you use pads or disposable undergarments, make sure they have an absorbent wicking layer on top. Products with a wicking layer protect the skin by pulling stool and moisture away from the skin and into the pad.

Anatomy of the rectum and anus


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References:
National Digestive Diseases Information Clearinghouse (NDDIC)
July 2007
digestive.niddk.nih.gov

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