Sitz bath

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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 bath 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

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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

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

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<span class="mw-page-title-main">Anal fissure</span> Medical condition

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. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle. Untreated fissures develop a hood-like skin tag which cover the fissure and cause discomfort and pain.

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

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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.
  8. "HYUNDAI BIDET". Hyundaibidet.com. Retrieved 15 December 2018. A typical electronic bidet with a "sitz" function.