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Sunday, May
14, 2023
1
Sitz Bath
DR. HIWA OMER AHMED
PROFESSOR IN GENERAL AND BARIATRIC
SURGERY
UNIVERSITY OF SULAIMANI
COLLEGE OF MEDICINE – SULAIMANI CITY-
KURDISTAN
Sunday, May
14, 2023
2
Definition
 Sitz baths are warm, shallow baths people use to cleanse the perineum
and relieve pain and itching in this area.
Sunday, May
14, 2023
3
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.
Sunday, May
14, 2023
4
 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.
Sunday, May
14, 2023
5
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
Sunday, May
14, 2023
6
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

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sitz bath.ppt

  • 1. Sunday, May 14, 2023 1 Sitz Bath DR. HIWA OMER AHMED PROFESSOR IN GENERAL AND BARIATRIC SURGERY UNIVERSITY OF SULAIMANI COLLEGE OF MEDICINE – SULAIMANI CITY- KURDISTAN
  • 2. Sunday, May 14, 2023 2 Definition  Sitz baths are warm, shallow baths people use to cleanse the perineum and relieve pain and itching in this area.
  • 3. Sunday, May 14, 2023 3 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.
  • 4. Sunday, May 14, 2023 4  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.
  • 5. Sunday, May 14, 2023 5 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
  • 6. Sunday, May 14, 2023 6 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