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Itching of the anus the opening at the end of the digestive tract where stool leaves the body and the skin around the anus perianal skin is called anal itching or pruritus ani. See also Overview of the Anus and Rectum. Most often, doctors do not identify a specific disorder as the cause of anal itching, and the itching goes away without treatment after a period of time. Many of the other cases of anal itching are due to hygiene issues. Only a very few cases are caused by a specific disorder see Table: Causes and Features of Anal Itching , such as pinworms or a fungal infection. Of the specific causes, only rare causes such as inflammatory bowel disease and cancer of the skin around the anus are considered serious.
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Anorectal Physiology/Pathophysiology in the Elderly
Anal Itching - Digestive Disorders - MSD Manual Consumer Version
Even though fecal incontinence is common, it can be embarrassing or upsetting for seniors to talk about, and often goes unchecked. The good news is that, in most situations, elderly fecal incontinence is treatable or manageable. Fecal incontinence is the inability to control bowel movements. The condition can range from an occasional leakage of stool to a complete loss of bowel control. Healthy bowel function is controlled by rectal sensation, the ability of the digestive system to accommodate waste, and the anal sphincter muscles. A malfunction in one or more of these things may result in fecal incontinence, according to Dr.
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The U. Among the medical disorders facing the elderly, anorectal problems are not only highly prevalent, but cause significant morbidity and mortality, and have deleterious effects on health care burden and quality of life. These include disorders such as fecal incontinence, fecal impaction with overflow fecal incontinence, chronic constipation, dyssynergic defecation, hemorrhoids, anal fissure, and pelvic floor disorders. Here, we discuss the latest advances in age-related changes in anal sphincter morphology and function, changes in cellular and molecular biology, alterations in neurotransmitters and reflexes, and their impact on functional changes of the anorectum in the elderly.
Age can affect the delicate physiologic balance of the internal anal sphincter diameters and pressure governed by Laplace's law. This study compares the effect of aging on the internal anal sphincter thickness and diameter in younger and older nulliparous females without symptoms of fecal incontinence undisturbed by an endoanal probe. All patients were scanned without endoanal coils to allow undistorted measurement of the internal anal sphincter diameters.