Dealing with Itching and Discomfort from Labial Tears
Labial tears, also known as perineal tears, are lacerations that can occur in the vaginal opening or labia (vaginal lips) during childbirth. They typically heal within a few weeks, but can cause significant itching, burning and discomfort as they mend.
Understanding what to expect during the labial tear healing process and how to ease discomfort can help new mothers cope with this common postpartum issue.
Causes of Labial Tears
Labial tears happen most often during a woman's first vaginal delivery. The reasons they occur include:
- Baby's head stretching the vaginal opening during crowning
- Use of forceps or vacuums to assist delivery
- Fast or aggressive pushing stage of labor
- Baby's shoulders passing through vaginal opening
- Previous episiotomy scar tissue
- Lack of flexibility or elasticity in the perineum
Many factors during birth can put excessive strain on the vaginal tissues and cause tears or rips of varying degrees.
Types and Degrees
Labial tears are categorized by their depth and location:
- First degree - Shallow tears to vaginal lining or perineal skin only
- Second degree - Deeper tears into perineal muscles
- Third degree - Tear extends to anal sphincter muscles
- Fourth degree - Tear goes all the way through anal sphincter and rectal lining
First and second degree tears are most common. Third or fourth degree lacerations are less likely but more severe.
Repairing the Tears
To allow proper healing, labial tears are sutured soon after delivery once bleeding has been controlled. The obstetrician uses dissolvable stitches to close the deeper tissue layers first, then sews up the superficial skin.
If the tear is minor, it may be left to heal on its own without stitching. Ice packs and over-the-counter pain medication are recommended to reduce swelling and discomfort.
Healing and Itching
Labial tears typically heal within 2-4 weeks after giving birth. But they often cause moderate itching, burning or stinging during the mending process. This is due to:
- Inflammation and irritation around the wound
- The tear re-joining as new skin forms
- Nerve endings re-connecting and becoming sensitive
- Dissolving sutures under the skin surface
It's very normal to have discomfort, itching and pain while labial tears heal. The stitches will completely dissolve and symptoms should gradually improve each day.
Managing Discomfort
To help ease labial laceration itching and irritation as it heals:
- Use cold compresses or ice packs to reduce inflammation
- Try a sitz bath with epsom salts to soothe pain
- Keep area clean and dry with water, avoid soap
- Wear loose, breathable cotton underwear and clothes
- Use a peri-bottle instead of toilet paper to clean after using bathroom</
FAQs
Why does my anus still smell after I wash it?
Common reasons your anus continues smelling after washing include improper hygiene, skin tags, excessive sweating, hemorrhoids, diarrhea or leakage, anal fissures, fistulas, and diet. An underlying medical condition may also be to blame.
What home remedies help with anal odor?
Some home remedies that may help counteract anal odor include using baking soda in underwear, diluted essential oils, apple cider vinegar baths, yogurt, and pineapple. Maintain good hygiene as well.
When should I see a doctor for anal smells?
See your doctor if improving hygiene doesn't resolve the anal smell, if it's associated with other symptoms like pain or itching, or if an odor appears suddenly and persists. A medical exam can identify any underlying cause.
Can hemorrhoids cause ongoing anal odors?
Yes, large, inflamed hemorrhoids can definitely contribute to anal odors. They may secrete mucus, stool, or blood that leads to persistent smells. Seek treatment for hemorrhoids to reduce odor.
What diseases can lead to bad anal smells?
Diseases like STDs, anal fissures, fistulas, colon cancer, and Crohn's disease can sometimes manifest with anal odor symptoms. See a doctor for proper diagnosis and treatment of any medical conditions.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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