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ASSUAGE Perianal Anti-Itch Spray Natural Assuage brings fast, long-lasting relief for pruritus ani, or anal itching, and it aids in protecting irritated anorectal areas. Judging from the emails from my customers, there just aren't many effective medications for the specific treatment of anal itching on the market. Most people, and some doctors, don't realize the terrible suffering anal itching can cause. I have received many testimonials from customers who suffered for years before they tried Assuage. The upside-down spray applicator is easy to use, and protects the remedy from contamination. Assuage does not contain anesthetics, antihistamines or hydrocortisone which may cause problems with extended use. It is manufactured in a modern FDA and EPA approved laboratory, which meets the highest standard for purity and quality control. If Assuage doesn't relieve your anal itching, I'll cheerfully refund your money. One 4 oz. Bottle Assuage Itch Remedy $12.98 Two 4 oz. Bottles Assuage Itch Remedy $19.98

What is anal itching?
Anal itching is the irritation of the skin at the exit of the rectum, known as the anus, accompanied by the desire to scratch. The intensity of anal itching increases from moisture, pressure, and abrasion caused by clothing and sitting. At its most intense, anal itching causes intolerable discomfort that often is described as burning and soreness. Anal itching is medically referred to as pruritus ani.

What causes anal itching?
It is sometimes difficult to discover the cause of chronic anal itching, and even more difficult to treat it. Anal itching can be caused by irritating chemicals in the foods we eat, such as are found in spices, hot sauces, and peppers. It also can be caused by the irritation of frequent liquid stools, diarrhea, or escape of small amounts of stool (incontinence). Diseases that increase the possibility of yeast infections, such as diabetes mellitus or HIV infection, as well as treatment with antibiotics can lead to a yeast infection and irritation of the anus. Psoriasis also can irritate the anus. Abnormal passageways (fistulas) from the small intestine or colon to the skin surrounding the anus can form as a result of disease (such as Crohn's disease), and these fistulas bring irritating fluids to the anal area. Other problems that can cause anal itching include pinworms, hemorrhoids, tears of the anal skin (fissures), and skin tags (abnormal local growth of anal skin).

Most cases of anal itching are caused by a harmless problem. Occasionally, however, anal itching can be a sign of more serious medical issues.

Possible causes of anal itch include:

• Dry skin. As you age, skin in and around your anus is more prone to dryness. Dry skin can cause persistent, intense anal itching.
• Too much moisture. Moisture around your anus from excessive sweating or from moist, sticky stools can be irritating. Anal itching can also be caused by frequent diarrhea or the escape of small amounts of stool (fecal incontinence).
• Excessive washing. Excessive wiping with dry, harsh toilet paper or excessive scrubbing with harsh soaps can cause or aggravate anal itching. Failure to rinse away the soap completely also may cause irritation.
• Chemical irritants. Certain laundry soaps, colognes, douches and birth control products contain chemicals that can irritate skin in and around your anus. Scented or colored toilet paper can be irritating to people with sensitive skin.
• Food irritants. Anal itching may be the result of irritating chemicals in some foods, such as those found in spices and hot sauces. Similarly, some foods may directly or indirectly irritate your anus as they exit your colon. Common culprits include chocolate, fruits, tomatoes, nuts and popcorn. Consuming certain beverages, including milk or caffeinated drinks, may cause some people to experience diarrhea followed by anal itching.
• Medications. Anal itching may be a side effect of certain medications, including some antibiotics, that can cause frequent diarrhea.
• Overuse of laxatives. Excessive or improper use of laxatives can lead to chronic diarrhea and the risk of anal irritation and itching.
• Hemorrhoids. Hemorrhoids are engorged veins located just under the membrane that lines the lowest part of your rectum and anus. They often occur as a result of straining during a bowel movement. Anal itching can be a symptom of hemorrhoids. However, most hemorrhoids don't itch.
• Infections. Sexually transmitted diseases may also involve the anus and can cause anal itching. In children, the parasite that causes pinworms can cause persistent anal itching. Other parasites may cause similar itching.
• Skin disorders. Common skin problems — such as psoriasis, seborrhea and eczema — can involve and irritate the area in and around your anus.
• Yeast infections. This common infection, which usually affects women, can irritate your genital and anal areas.
• Anal abrasions and fissures. An anal abrasion is a small tear in your anus, usually caused by forced bowel movements through a tight anus. An anal fissure is a deeper tear. Both conditions can cause anal itching, as well as painful bowel movements and bleeding.
• Anal tumors. Rarely, benign or cancerous tumors in or around the anus may be a cause of anal itching.
• Other causes. Anal itching may be related to anxiety or stress. Sometimes, the cause remains undetermined.

Although anal itching is almost never a problem of cleanliness, your own actions may contribute to the problem. Whatever the cause of anal itching, your natural reaction is to scratch the area. But scratching worsens the problem by removing superficial layers of skin. In addition, the natural tendency in response to an irritation is to wash the area frequently with soap and a washcloth. However, excessive washing can aggravate the condition by removing your skin's natural protective oils.

How is anal itching treated?
Initial treatment of simple itching is directed toward relieving the burning and soreness. It is important to clean and dry the anus thoroughly and avoid leaving soap in the anal area - but not excessively. Cleaning efforts should include gentle showering without direct rubbing or irritation of the skin with either the washcloth or towel. After bowel movements, moist pads should be used to clean the affected area, and toilet paper should be avoided. Many over-the-counter products, sold for the treatment of anal itching, are not very effective in the long term. These often contain the same drugs that are used for treating hemorrhoids. Products containing cortisones and antihistamines shouldn't be used for extended periods of time.

• Irritation of the anal skin needs to be reduced. It is impossible to eliminate it altogether because the stool continues to be in contact with the inflamed skin.
• Cleanse carefully, thoroughly and gently after bowel movements.
• Wash the anus in a bidet or a bucket of lukewarm water. Moistened tissues or soft toilet paper are next best. Use aqueous cream, mineral oil or other soap-free cleanser. Avoid soap and rough toilet paper.
• Apply Assuage anti-itch spray as directed.
• Ask your doctor to explain your options. Various different soothing preparations are suitable, including mild topical steroids and zinc paste. Strong steroid creams should not be applied for more than a few days.
• Avoid constipation. Eat plenty of high fibre foods (cereals, fruit and vegetables). Straining at stool causes cracks in the anus which are irritable and harbour bacteria.
• Don't over-indulge in spicy food, prunes, figs, orange juice, coffee or beer.
• Don't SCRATCH! Scratching and rubbing is the main reason for the continuing pruritus ani.

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4607 Lakeview Canyon Rd. #270
Westlake Village, CA 91361

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Testimonials:

Bob,
I just received my Assuage spray (very quickly I might add- thank you!) and just wanted to tell you you have another very happy customer on your hands. I don't know what's in it, and quite frankly I don't care, because the itching is gone!
Sincerely, Emilie

Dear Bob,
I would like to thank you for your Assuage product. It really works, and I have been years in search for a cure that works. Again I want to thank you for this product.
Gary

Hello.
It's rare to find a remedy that does what it boasts- but this is the greatest!- And I have tried everything! Thanks so much!
L. ZACK

I found your product on the web after dealing with the unmentionable itch for over 2 years. The docs tried the usual Lidamantel, Anamantel, and Prax lotion, but nothing gave me long term relief. Beyond those traditional products, they did not have a clear answer. Having gotten fed up with no results, and the fact I was running out of meds, I searched and found you guys. Simply put, the results have been as different as day and night. I no longer feel like a six year old getting caught scratching his back side during the worst time. Thanks for a product that works!
Best regards,
Robert

Hello there.
I just wanted to write a brief message of thanks. I had a good feeling about your product, Assuage. It's been a year and a half of itch, and the process of trying different products to no avail has been increasingly frustrating. It is a massive relief to have finally found a product that is effective and natural. Also it is affordable, and the fact that your product isn't exploiting our itch is very reassuring! I shall definately be stocking up on this and other products. Thanks again.
Caroline. United Kingdom

Thank you for your wonderful Assuage spray. I have been using it for almost 6 months now and it is the only thing that has helped me. I've used all kinds of over the counter creams, ointments and wipes available.
Ramon

Hi!
I bought a bottle of your assuage itch remedy a couple of weeks ago and it helps more than any of the creams/ ointments or any Colon Rectal or Surgeon recommendations for my anal itch if I keep it clean. ...I am a pharmacist and have had this problem for about 3 years (came on suddenly and can't cure it I don't think) Been to several dermatologists and colon/rectal people and your product works as well if not better than anything they suggest or ordered.
Jay