Patient's question:
Detailed medical condition and consultation purpose:Itchy around the lower private area, and it can only be relieved by scratching with hands. I have scratched it so much that it has bled, and sometimes there are water stains around the edges.
Duration and onset of the condition:
For several months.
Doctor's answer:
Hello, there are many causes of vulvar itching. It is recommended to undergo a physical examination at the hospital. Key treatment points:(1) If the cause is identified, treat the underlying condition.
(2) General care:
1. Maintain vulvar cleanliness and dryness, and change cotton underwear frequently. For cases without obvious infection, avoid using various disinfectant solutions. After rinsing the vulva with warm water, apply boric acid oxidant powder.
2. Strictly avoid scratching the affected area to prevent skin breakdown and secondary infection.
3. Pay attention to psychological treatment to stabilize emotions. If necessary, sedatives such as diazepam may be administered.
(3) Symptomatic treatment:
1. Oral medication: Vitamin A, B; sedatives such as phenobarbital and perphenazine.
2. Topical medication: During acute phases, use non-irritating warm water or a 3% boric acid solution for external rinsing.
3. Chinese herbal medicine for oral consumption, and acupuncture can also be effective for itching. Alternatively, focus on insecticidal and anti-itch treatments, supplemented by Chinese herbal medicine for fumigation, sitz baths, wind-dispelling, dampness-expelling, blood-activating, and blood-stasis resolution.
4. Thermoelectric therapy, ultraviolet or radiation exposure can be effective for stubborn conditions.
5. For persistent conditions, subcutaneous injection of 95% alcohol into the affected area may be performed.