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14, 2023
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Sitz Bath
DR. HIWA OMER AHMED
PROFESSOR IN GENERAL AND BARIATRIC
SURGERY
UNIVERSITY OF SULAIMANI
COLLEGE OF MEDICINE – SULAIMANI CITY-
KURDISTAN
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14, 2023
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Definition
Sitz baths are warm, shallow baths people use to cleanse the perineum
and relieve pain and itching in this area.
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14, 2023
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History
The first documented use of a sitz bath in the United States was in
1859.
Initially, a sitz bath was a metal half bathtub.
People soaked the lower half of their bodies in a reclining position.
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14, 2023
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A sitz bath is a warm, shallow bath in basin, to cleanse the perineum
A sitz bath can also provide relief from pain or itching in the genital area.
My practice
1. to add 2 tablespoon of table salt to
the warm water
1. For 30 minutes
2. For soothing for 1 or 2 times
3. For infected pathology for 7 days or as long as needed, after defecation.
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Mechanism
The mechanism of how the Sitz bath relieves pain is
unclear.
Shafik (1993) attempted to explain the physiological
mechanism involved in the relief of pain and edema.
by relaxing the internal anal sphincter, causing a
decrease in the rectal neck pressure and internal
anal sphincter electromyographic activity through a
mechanism involving the thermosphincteric reflex
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14, 2023
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Indications
1. Recently delivery
2. having discomfort from hemorrhoids
3. Perianal abscesses.
4. Anal fistulas.
5. Recent anal, vaginal or vulvar surgery.
6. Anorectal cancer
7. Fissure in the anus
8. perianal hematoma
9. ulceration
