Sitz bath

Last updated
Sitz bath
* p803 * Scammell's Cyclopedia 20220412 0002.tif
From Scammell's Cyclopedia of Useful Receipts (1897)
Specialty rehabilitative medicine

A sitz bath or hip bath is a bathtub in which a person sits in water up to the hips. [1] It is used to relieve discomfort and pain in the lower part of the body, for example, due to hemorrhoids (piles), anal fissures, perianal fistulas, rectal surgery, an episiotomy, uterine cramps, inflammatory bowel disease, pilonidal cysts and infections of the bladder, prostate or vagina. It works by keeping the affected area clean and increasing the flow of blood to it.

Contents

Such hip baths were originally a European custom, [2] although modern sitz baths are used mainly for therapeutic purposes. The term sitz bath is derived from the German word Sitzbad, meaning a bath (Bad) in which one sits (sitzen). [1]

Preparation

A sitz bath may be created simply by filling a bathtub with some water and sitting in it for a few minutes. Alternatively, a large basin can be used. There are also special devices that fit into toilet bowls. Sitz baths may either be warm or cool, or alternating between the two. Substances such as salt, baking soda, or vinegar may be added to the water.

Warm baths are recommended for reducing the itching, pain and discomfort associated with conditions such as hemorrhoids and genital problems. An ordinary bathtub can be filled with 3 to 4 inches (7.6 to 10.2 cm) of hot water (about 110 °F (43 °C)), and sat in for 15–20 minutes or until the water cools down. [2] Alternatively, a large basin can be used, and there are specially built devices that fit into toilet bowls. [3]

Cool sitz baths are said to be helpful in easing constipation, inflammation and vaginal discharge, and, in cases of fecal or urinary incontinence, in toning the muscles. [4]

Several variations of the procedure can be used, with different therapeutic effects depending on the temperature of the water, the length of time spent immersed and the method of immersion (such as dipping and 'hot and cold alternate'). [5] Some people find that alternating three to five times between a hot bath for 3–4 minutes and an ice-cold bath for 30–60 seconds is soothing. A towel soaked in cold water can be used in place of a cold bath. [2]

For most purposes sitz baths with water are sufficient, though some people prefer to use saline water or water mixed with baking soda. The use of such additives helps to reduce infections. People with candidiasis (a vaginal yeast infection) may benefit from a warm bath with salt and vinegar. [2]

Electronic bidets which irrigate the anal region with a flow of warm water have been compared with sitz baths, and found to produce very similar reduction in anal pressure, with no change in temperature, if used with low-pressure warm water. [6] [7] Some electronic bidets have a dedicated "sitz" function. [8]

Benefits

A warm sitz bath could be helpful to relieve congestion and edema by aiding venous return from the perianal area. Its major effect is thought to be due to the reductions of spasms by relaxing the anal sphincter pressure, reducing anal pain. It has benefits for patients with elevated anal pressure due to anorectal diseases such as anal fissure or inflamed hemorrhoids, and after surgical operations involving the anus. [7]

Risks

Sitz baths are considered very low risk. Because hot baths cause blood vessels to dilate, on rare occasions some people can feel dizzy or have palpitations (rapid or abnormal heartbeat). [2] People prone to such occurrences are advised to have someone standing by to assist them.

Related Research Articles

<span class="mw-page-title-main">Hemorrhoid</span> Vascular structures in the anal canal

Hemorrhoids, also known as piles, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed; the unqualified term hemorrhoid is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. If bleeding occurs, it is usually darker. Symptoms frequently get better after a few days. A skin tag may remain after the healing of an external hemorrhoid.

<span class="mw-page-title-main">Fecal incontinence</span> Inability to refrain from defecation

Fecal incontinence (FI), or in some forms, encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents — including flatus (gas), liquid stool elements and mucus, or solid feces. FI is a sign or a symptom, not a diagnosis. Incontinence can result from different causes and might occur with either constipation or diarrhea. Continence is maintained by several interrelated factors, including the anal sampling mechanism, and incontinence usually results from a deficiency of multiple mechanisms. The most common causes are thought to be immediate or delayed damage from childbirth, complications from prior anorectal surgery, altered bowel habits. An estimated 2.2% of community-dwelling adults are affected. However, reported prevalence figures vary. A prevalence of 8.39% among non-institutionalized U.S adults between 2005 and 2010 has been reported, and among institutionalized elders figures come close to 50%.

<span class="mw-page-title-main">Bathroom</span> Room for personal hygiene activities, such as showering

A bathroom is a room in which people wash their bodies or parts thereof. It can contain one or more of the following plumbing fixtures: a shower, a bathtub, a bidet, and a sink. The inclusion of a toilet is common. There are also specific toilet rooms, only containing a toilet, which in North American English tend to be called "bathrooms", "powder rooms" or "washrooms", as euphemisms to conceal their actual purpose, while they in British and Irish English are known as just "toilets" or possibly "cloakrooms" - but also as "lavatories" when they are public.

<span class="mw-page-title-main">Bidet</span> Plumbing fixture or type of sink intended for washing the genitalia and anus of the human body

A bidet is a bowl or receptacle designed to be sat upon in order to wash a person's genitalia, perineum, inner buttocks, and anus. The modern variety has a plumbed-in water supply and a drainage opening, and is thus a plumbing fixture subject to local hygiene regulations. The bidet is designed to promote personal hygiene and is used after defecation, and before and after sexual intercourse. It can also be used to wash feet, with or without filling it up with water. Some people even use bidets to bathe babies or pets. In several European countries, a bidet is now required by law to be present in every bathroom containing a toilet bowl. It was originally located in the bedroom, near the chamber-pot and the marital bed, but in modern times is located near the toilet bowl in the bathroom. Fixtures that combine a toilet seat with a washing facility include the electronic bidet.

<span class="mw-page-title-main">Shower</span> Place in which a person bathes under a spray of water

A shower is a place in which a person bathes under a spray of typically warm or hot water. Indoors, there is a drain in the floor. Most showers have temperature, spray pressure and adjustable showerhead nozzle. The simplest showers have a swivelling nozzle aiming down on the user, while more complex showers have a showerhead connected to a hose that has a mounting bracket. This allows the showerer to hold the showerhead by hand to spray the water onto different parts of their body. A shower can be installed in a small shower stall or bathtub with a plastic shower curtain or door. Showering is common due to the efficiency of using it compared with a bathtub. Its use in hygiene is, therefore, common practice.

<span class="mw-page-title-main">Anal fissure</span> Break or tear in anal canal skin

An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces and becomes cyclical.

<span class="mw-page-title-main">Squat toilet</span> Toilet used by squatting

A squat toilet is a toilet used by squatting, rather than sitting. This means that the posture for defecation and for female urination is to place one foot on each side of the toilet drain or hole and to squat over it. There are several types of squat toilets, but they all consist essentially of a toilet pan or bowl at floor level. Such a toilet pan is also called a "squatting pan". A squat toilet may use a water seal and therefore be a flush toilet, or it can be without a water seal and therefore be a dry toilet. The term "squat" refers only to the expected defecation posture and not any other aspects of toilet technology, such as whether it is water flushed or not.

<span class="mw-page-title-main">Toilets in Japan</span>

Toilets in Japan are sometimes designed more elaborately than toilets commonly seen in other developed nations. European toilets occasionally have a separate bidet whilst Japan combines an electronic bidet with the toilet. The current state of the art for Western-style toilets in Japan is the bidet toilet, which as of March 2016 is installed in 81% of Japanese households. In Japan, these bidets are commonly called washlets, a brand name of Toto Ltd., and they may include many advanced features rarely seen outside of Asia. The basic feature set commonly found on washlets consists of anal hygiene, bidet washing, seat warming, and deodorization.

<span class="mw-page-title-main">Washlet</span> Toilet by the Japanese company Toto

Washlet is a Japanese line of cleansing toilet seats manufactured and sold by the company Toto. The electronic bidet features a water spray element for genital and anal cleansing. and commonly appears on toilets all over Japan. The device was released in June 1980 and as of January 2022, Toto has sold more than 60 million units.

Vulvitis is inflammation of the vulva, the external female mammalian genitalia that include the labia majora, labia minora, clitoris, and introitus. It may co-occur as vulvovaginitis with vaginitis, inflammation of the vagina, and may have infectious or non-infectious causes. The warm and moist conditions of the vulva make it easily affected. Vulvitis is prone to occur in any female especially those who have certain sensitivities, infections, allergies, or diseases that make them likely to have vulvitis. Postmenopausal women and prepubescent girls are more prone to be affected by it, as compared to women in their menstruation period. It is so because they have low estrogen levels which makes their vulvar tissue thin and dry. Women having diabetes are also prone to be affected by vulvitis due to the high sugar content in their cells, increasing their vulnerability. Vulvitis is not a disease, it is just an inflammation caused by an infection, allergy or injury. Vulvitis may also be symptom of any sexually transmitted infection or a fungal infection.

<span class="mw-page-title-main">Anorectal abscess</span> Medical condition

Anorectal abscess is an abscess adjacent to the anus. Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus, Crohn's disease, chronic corticosteroid treatment and others. It arises as a complication of paraproctitis. Ischiorectal, inter- and intrasphincteric abscesses have been described.

Pruritus ani is the irritation of the skin at the exit of the rectum, known as the anus, causing the desire to scratch. The intensity of anal itching increases from moisture, pressure, and rubbing caused by clothing and sitting. At worst, anal itching causes intolerable discomfort that often is accompanied by burning and soreness. It is estimated that up to 5% of the population of the United States experiences this type of discomfort daily.

Anal hygiene or anal cleansing refers to the practices that are performed on a person's anus to maintain hygiene, usually in the aftermath of defecation. Post-defecation cleansing is rarely discussed academically, partly due to the social taboo surrounding it. The scientific objective of post-defecation cleansing is to prevent exposure to pathogens. The process of post-defecation cleansing involves washing the anus and inner part of the buttocks with water. Water-based cleansing typically involves either the use of running water from a handheld vessel and a hand for washing or the use of pressurized water through a jet device, such as a bidet. In either method, subsequent hand sanitization is essential to achieve the ultimate objectives of post-defecation cleansing.

<span class="mw-page-title-main">Perianal hematoma</span> Medical condition

Perianal hematoma is a hematoma located in, or on the border of the anus. It is sometimes inappropriately referred to as an external hemorrhoid.

<span class="mw-page-title-main">Human anus</span> External opening of the rectum

In humans, the anus is the external opening of the rectum located inside the intergluteal cleft. Two sphincters control the exit of feces from the body during an act of defecation, which is the primary function of the anus. These are the internal anal sphincter and the external anal sphincter, which are circular muscles that normally maintain constriction of the orifice and which relax as required by normal physiological functioning. The inner sphincter is involuntary and the outer is voluntary. Above the anus is the perineum, which is also located beneath the vulva or scrotum.

<span class="mw-page-title-main">Bidet shower</span> Hand-held triggered nozzle

A bidet shower—also known as a handheld bidet, commode shower, toilet shower, health faucet, bum shower, jet spray, hand shower, Muslim shower, shatafa or bum gun—is a hand-held triggered nozzle that is placed near the toilet and delivers a spray of water used for anal cleansing and cleaning of the genitals after using the toilet for defecation and urination, popularised by Arab nations where the bidet shower is a common bathroom accessory. The device is similar to that of a kitchen sink sprayer.

Rectal pain is the symptom of pain in the area of the rectum. A number of different causes (68) have been documented.

<span class="mw-page-title-main">Anorectal disorder</span> Medical condition

Anorectal disorders include conditions involving the anorectal junction as seen in the image. They are painful but common conditions like hemorrhoids, tears, fistulas, or abscesses that affect the anal region. Most people experience some form of anorectal disorder during their lifetime. Primary care physicians can treat most of these disorders, however, high-risk individuals include those with HIV, roughly half of whom need surgery to remedy the disorders. Likelihood of malignancy should also be considered in high risk individuals. This is why it is important to perform a full history and physical exam on each patient. Because these disorders affect the rectum, people are often embarrassed or afraid to confer with a medical professional.

<span class="mw-page-title-main">Electronic bidet</span> Nozzle attached to an existing toilet, or a part of the toilet itself

An electronic bidet is a seat attached to an existing toilet or a part of the toilet itself, with a nozzle to squirt a jet of warm water for cleaning the anus and female genitals, electrically powered and with electronic controls. It replaces the conventional bidet, a separate plumbing fixture not attached to a toilet. Some bidets of this type have one adjustable nozzle on the side rim for anus and genital areas, or two nozzles on the back rim, a shorter "family nozzle" for washing the area around the anus, and a longer "bidet nozzle" for women to wash their vulva.

<span class="mw-page-title-main">Intelligent toilet</span> Toilet with built-in technology for hygiene, comfort and health

An intelligent toilet or smart toilet is a bathroom plumbing fixture or type of electronic bidet toilet which incorporates traditional bidet cleansing, with the added enhancement of modern SMART home technology.

References

  1. 1 2 "sitz bath" . Oxford English Dictionary (Online ed.). Oxford University Press.(Subscription or participating institution membership required.)
  2. 1 2 3 4 5 Karen Boyden; Donna Olendorf; Christine Jeryan (2008), "sitz bath", The Gale Encyclopedia of Medicine (reproduced on TheFreeDictionary.com), Detroit, Mich.: Gale Research Co., retrieved 17 February 2011.
  3. Parswa Ansari; Norman Sohn (October 2007), Hemorrhoids (Piles), The Merck Manuals Online Medical Library, Merck & Co. , retrieved 17 February 2011.
  4. James Taylor (October 2014), How to Get Rid of Hemorrhoids
  5. Thomas D. Luke; Norman Hay Forbes (1913), Natural Therapy: A Manual of Physiotherapeutics and Climatology, Elsevier, ISBN   9781483194097 , retrieved 30 August 2015
  6. Ryoo, S.-B.; Oh, H.-K.; Han, E. C.; Song, Y. S.; Seo, M. S.; Choe, E. K.; Moon, S. H.; Park, K. J. (2015). "Comparison between a new electronic bidet and conventional sitz baths: a manometric evaluation of the anal resting pressure in normal healthy volunteers". Techniques in Coloproctology. 19 (9): 535–540. doi:10.1007/s10151-015-1350-1. ISSN   1123-6337.
  7. 1 2 Ryoo, Seungbum; Song, Yoon Suk; Seo, Mi Sun; Oh, Heung-Kwon; Choe, Eun Kyung; Park, Kyu Joo (2011). "Effect of Electronic Toilet System (Bidet) on Anorectal Pressure in Normal Healthy Volunteers: Influence of Different Types of Water Stream and Temperature". Journal of Korean Medical Science. 26 (1): 71. doi: 10.3346/jkms.2011.26.1.71 . ISSN   1011-8934. PMC   3012853 .
  8. "HYUNDAI BIDET". Hyundaibidet.com. Retrieved 15 December 2018. A typical electronic bidet with a "sitz" function.