Itching can be a symptom associated with prolapse. When an organ shifts from its normal position, it can lead to uncomfortable sensations, including irritation and itching. This article explores how prolapse causes itching, other accompanying sensations, methods for immediate relief, and when to consult a healthcare professional.
Prolapse and Its Irritating Effects
Prolapse occurs when an organ, such as the bladder, uterus, or rectum, descends from its usual place and may bulge into or out of the vagina or anus. This displacement can lead to itching through several mechanisms. One common cause is friction, where the prolapsed tissue rubs against clothing or other body parts, causing the skin to become sensitive and itchy. This constant rubbing can lead to irritation or even skin breakdown.
Maintaining proper hygiene can become challenging with prolapsed tissue, contributing to moisture buildup. This environment can foster bacterial or fungal growth, leading to itching. For instance, a prolapsed internal hemorrhoid can discharge mucus, creating excess moisture around the anus that irritates sensitive skin. The physical presence of the prolapsed organ itself can also irritate local nerves, causing an itching sensation.
Pelvic organ prolapse, including cystocele (bladder prolapse), rectocele (rectum prolapse), and uterine prolapse, often presents with such symptoms. Hemorrhoids, which are swollen blood vessels, can also prolapse and cause itching due to inflammation, excess moisture, or difficulty with thorough cleaning.
Other Sensations Alongside Itching
Itching often does not occur in isolation with prolapse. Other physical sensations frequently accompany itching, providing a broader picture of the discomfort. A common feeling is pressure or heaviness in the pelvic or vaginal area, sometimes described as feeling like something is falling out or pushing down.
This sensation can worsen with prolonged standing or physical activity. Discomfort during sitting or walking is also frequently noted, as the prolapsed tissue may be physically present at or near the vaginal or anal opening. Some individuals describe a feeling of “fullness” or a “bulge” in the affected area.
Immediate Relief for Itching
Several self-care strategies can offer immediate, temporary relief for itching caused by prolapse. Maintain gentle cleaning practices, using water and a plain, unscented soap, and avoiding harsh or scented products that can further irritate sensitive skin. After bowel movements, gentle cleaning with water or moist wipes can prevent irritation, as dry toilet paper can be abrasive.
Wearing loose-fitting clothing made from breathable fabrics, such as cotton, can help reduce friction and allow air circulation, managing moisture. To keep the area dry, consider using cornstarch or specific barrier creams, as excess moisture can exacerbate itching. Identifying and avoiding potential irritants, such as certain detergents or tight underwear, is also beneficial.
Over-the-counter options, like hydrocortisone creams or those containing witch hazel, can provide temporary relief by reducing inflammation and itching. However, these remedies address the symptom rather than the underlying prolapse, so their use should be temporary. Pelvic support garments, designed to gently lift and support prolapsed organs, can also help reduce symptoms by providing compression and reducing friction.
Seeking Medical Guidance
While immediate relief measures can alleviate symptoms, seeking medical guidance is important for a comprehensive diagnosis and treatment plan. Persistent itching, worsening symptoms, pain, bleeding, or any new or concerning sensations warrant consultation with a healthcare professional.
A doctor can accurately diagnose the type and severity of prolapse through a physical examination, which may include a pelvic or rectal exam. Diagnostic tests, such as ultrasound or MRI, might confirm the diagnosis and assess the extent of the prolapse. This evaluation also helps rule out other potential causes of itching or discomfort, such as infections or skin conditions unrelated to prolapse.
Once a diagnosis is confirmed, a healthcare provider can discuss various treatment options. Treatment approaches for prolapse range from lifestyle adjustments, such as weight management and avoiding straining, to physical therapy, including pelvic floor exercises. Devices like pessaries, inserted into the vagina to support prolapsed organs, are also available. For more advanced cases, surgical interventions may restore organs to their correct positions. Addressing the underlying prolapse is the most effective way to resolve associated symptoms like itching.