Herpes on the buttocks: causes, how to treat

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Herpetic infections can affect various parts of the body. Most often, the rash appears on the genitals and face, but sometimes patients develop herpes on the buttock.

The cause of the appearance of blisters in this area of ​​the body is herpesvirus type 2 (genital herpes). Only 15% of patients with gluteal herpes have the first type of virus.

The second type of virus is dangerous because the infection can spread from the butt to the tailbone, anus, thighs, pubis and abdomen. Once in the body, the infectious agent remains with the person for life, traveling through neural networks and becoming more active when immunity declines.

Causes of herpes on the butt

Medicine believes that the cause of painful rashes on the buttocks is the activation of the herpes virus. Which would have previously infected a person.

Causative agents of herpes infection on the buttocks

The causative agent of the disease is Herpes simplex, herpes simplex viruses and Varicella-zoster:

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• type 1 (HSV-1);
• 2 types (HSV-2);
• Type 3 (VVZ-3).

Transmission routes

The routes of entry of different types of pathogens are different.

How is herpes virus type 1 transmitted:

• airborne;
• contact;
• by everyday means.

Self-infection occurs when a patient transfers the pathogen from one organ to another with his fingers.

Herpes on the buttock or anus is most often caused by HSV-2 when transmitted:

• sexually, which is considered a sexually transmitted infection;
• in utero;
• cases of infection during artificial insemination have been recorded.

Genital herpes appears on the anus, between the buttocks, and in the anus. Often carriers of the herpes virus type 2 suffer from the disease with mild symptoms, which is dangerous for infecting a sexual partner with a herpes infection.

How is herpes type 3, which causes chickenpox in children or shingles in adults, transmitted:

• through saliva;
• through blood - if it gets into an open wound when cut with unsterile nail scissors or injected with a syringe that has not been sterilized;
• by airborne droplets.

Provoking factors

The main reason for the recurrence of herpes on the buttocks is a decrease in the body’s immunity caused by one of the following factors:

• stress;
• nervous exhaustion, sleep disturbance;
• physical fatigue;
• hypothermia;
• prolonged exposure to ultraviolet rays on the body;
• poisoning of the body with nicotine and alcohol;
• acute or chronic intoxication of the body;
• malnutrition.

Often, herpes rashes in women appear during the menstrual period. Latent carriage is noted if, with normal immunity, the causative agent of the disease rests in the human body and does not cause exacerbations.

Types of herpes virus

There are eight known types of the virus.

The first type is the herpes simplex virus, which causes fever and rashes on the lips.

To the second type (also the herpes simplex virus) we include genital herpes, the symptoms of which we discussed above.

The third type causes chickenpox and shingles.

It’s called the chickenpox virus.

The fourth is called Epstein-Barr virus.

It threatens the emergence of infectious mononucleosis, nasopharyngeal carcinoma, central nervous system lymphoma and Burkitt's lymphoma.

The fifth type , cytomegalovirus, is also characterized by symptoms of infectious mononucleosis, hepatitis and retinitis.

The sixth type is caused by roseoloviruses.

It causes roseola infantum and exanthema.

The seventh type is also a roseolovirus, leading to chronic fatigue syndrome.

And finally, the eighth - to Kaposi's sarcoma.

It is called Kaposi's sarcoma herpesvirus.

But we are interested in the herpes simplex virus type 2, which causes genital herpes and causes rashes on the butt.

Symptoms of herpes on the buttocks

At the onset of the disease, symptoms are mild. Mild malaise and local pain cause the patient to suspect a cold. Symptoms may appear several days after infection. Sometimes the incubation period lasts up to 2 weeks.

Stages of damage to the body by disease:

1. The sudden appearance of itching, burning at the site of the rash, accompanied by swelling and redness of the affected areas of the skin.
2. The appearance of blistering rashes with liquid inside. During this period, general malaise is observed, body temperature rises, and the affected area itches.
3. The blisters burst, forming ulcers. There is a danger of re-infection, causing suppuration.
4. Scabs form. Yellow crusts appear at the site of the wound, and when peeled off, shallow erosions remain. After 6–7 days, the affected areas heal independently.

More often, the localization of herpes on the butt appears on the tailbone, in the middle gluteal part.

Look at the photo to see what an infectious skin disease caused by the herpes virus on the butt looks like.

Symptoms of the disease

Herpes does not appear immediately, but 5-6 days after viral infection. The beginning of the manifestation is impossible not to notice. First, the skin on the buttocks begins to “burn” and itch. Obvious visible rashes appear that can be felt to the touch. Swelling and mild pain appear. After this, other symptoms may appear:

• chills;
• heat;
• drowsiness;
• general weakness.

When the virus reaches the surface of the skin, small red blisters form on it, located close to each other. Inside each is a fluid made of pus containing millions of viral bacteria. Therefore, you cannot squeeze pimples yourself, otherwise you can infect others.

After the self-rupture of the purulent blisters, all the liquid flows out of them, and a hard crust forms at the site of erosion. It cannot be violated, so you need to sit down very carefully.

Which doctor should I contact?

The best option for herpes on the butt is to consult a dermatologist or infectious disease specialist.

If herpes rashes appear more than 6 times a month, you should consult an immunologist. At the appointment, the doctor finds out the following:

1. What symptoms indicate the onset of an exacerbation of the disease.
2. What other acute or chronic diseases bother the patient?
3. How often does the patient’s body undergo aggression from other viral infections.
4. Was symptomatic therapy carried out?

If the rash affects not only the butt, but also the genital mucosa, an examination, consultation and assistance from a venereologist is required.

Carrying out an examination and laboratory tests at an early stage will allow the doctor to begin treatment in a timely manner, which will prevent the spread of herpes to internal organs.

What should women do during pregnancy?

Herpes in the anal area often appears during pregnancy at different stages. A pregnant woman should consult her doctor at the first sign of a recurrence of herpes virus infection on the buttocks. If this is not a primary infection, most likely, you can limit yourself to antiviral ointments and creams.

The use of medications against herpes on the butt should be regulated by the pregnant woman’s attending physician. Self-medication is not recommended. After consulting with a doctor, you can use folk remedies, from decoctions to medicinal baths, if the woman has no contraindications, such as allergic reactions.

Diagnostics

A dermatovenereologist or infectious disease specialist diagnoses herpes on the buttock based on examination and medical history. It is important to differentiate herpes lesions and lichen, which have different pathogens. To diagnose severe cases of pathology, the following tests are prescribed:

1. Enzyme-linked immunosorbent assay (ELISA). Blood is taken from a vein. The test reveals the presence of special antibodies in the blood.
2. Polymerase chain reaction (PCR). The material is collected using a special swab, touching the herpes blisters.

What it looks like and where it is located

Herpes between the buttocks appears in the anus and rectum. In the first case, the virus affects the mucous membrane and folds of skin near the anus. Watery blisters are located in the anus. In women, perianal herpes can spread to the vagina.

Herpetic proctitis cannot be seen, since the rashes and ulcers are localized inside the rectum. However, a person will be bothered by itching and pain in the butt, which can spread to the hips and radiate to the lower back. Fever, chills, weakness, even nausea are possible. If gluteal herpes has spread to the vagina, the woman will experience heavy discharge.

Viral infections in the anus and buttocks are not always caused by HSV type 2. Herpes affects the mucous membranes of the perianal area as a result of unprotected oral sex if one of the partners has a relapse of the disease. During an exacerbation, the virus is active and can easily enter the body through microtraumas of the skin.

The appearance on the buttocks leads to negative consequences, for example, to the occurrence of various complications and the appearance of concomitant diseases.

Treatment of herpes on the buttock takes a comprehensive approach. It is necessary to weaken the influence of the pathogen on health and achieve stable remission. The sooner measures are taken, the faster a person will feel significant improvement, so it is important to know how the disease appears, develops and progresses.

Treatment of herpes on the butt

There is no way to get rid of the herpes virus forever. Treatment of pathology is aimed at relieving symptoms and strengthening the immune system to increase periods of remission.

Drug therapy

When treating gluteal herpes in adults, use:

1. Antiviral. Affects the affected cell. Acyclovir, Zovirax, Gerpevir, Pranobex are most often prescribed.
2. Antihistamines. They relieve painful symptoms in the form of itching and swelling, which improves the patient’s well-being. More often than others, Cetirizine and Claritin tablets are used.
3. Local medications. Ointments and creams with antiviral effects. A pharmaceutical product that helps well is an alcohol tincture of calendula.
4. Immunomodulators. There are preparations with a plant and chemical base. The drug of choice is ginseng tincture.

There are frequent cases of cauterization of acne and papules with alcohol or iodine in order to stop the development of pathology. Cauterizing the affected areas of the skin means adding burns to existing damage.

How to treat with folk remedies

Folk remedies for the treatment of herpes are mostly herbal based.

1. Onion and garlic. An effective treatment method for the first symptoms of the disease. Chop the garlic with a knife and strain through cheesecloth. Using a tampon, the inflamed area is thickly lubricated with juice. Medicine is prepared from onions in the same way. The procedures continue until recovery.
2. Raspberry branches. Raspberry shoots are washed, cut into pieces, and brought to a pasty consistency using a blender. Apply applications to inflamed skin areas.
3. Honey with apple cider vinegar. Take the same amount of May honey and apple cider vinegar. After thorough mixing, apply the product to the affected areas of the skin 5 times a day. Apple cider vinegar is prepared at home.
4. Ice compress . Ice cubes are wrapped in a napkin made of natural fabric. Apply to herpes rash on the buttocks up to 7 times a day. The compress reduces swelling and itching.
5. Aloe juice . Apply a piece of the peeled plant to the inflamed areas up to 7 times a day.

Folk remedies

Herpes that has popped up on the butt is additionally treated with folk remedies:

• Essential oils (lavender, tea tree, cedar, geranium, cypress). Place a few drops of oil on a piece of gauze and apply to the sore spot 3-4 times a day.
• A decoction of chamomile and string is used for compresses and sitz baths.
• Ground raspberry branches are used as lotions.
• The ash remaining after burning uncoated paper will quickly dry wet wounds.
• Celandine juice mixed with brilliant green will serve as a good lotion for disinfecting wounds.
• Beetroot broth will increase immunity and prevent relapse. The root vegetable is peeled and boiled for 2-3 hours. After this, the broth is cooled and taken half a glass three times a day.

Features of herpes on the buttocks

When the buttocks are affected by a viral infection in children and during pregnancy, treatment difficulties arise. Since most medications are strictly prohibited in childhood and while pregnant. In this regard, symptoms may become more acute and the disease may be more severe.

The child has

The herpes virus rarely enters the body of an infant, who is protected by the mother's antibodies. Children 3–4 years old are susceptible to infection; a five-year-old child has his own antibodies to protect against the virus.

In rare cases, a child becomes infected during the birth canal. The viral infection is transmitted to the baby through kisses from relatives or through toys.

Hypothermia and improper skin care contribute to the migration of the virus to the skin of the buttocks from the child’s nerve plexuses.

Local medications are used for therapy: traditional antiviral ointments and healing creams.

If a mother experiences symptoms of infection, she should wear a mask. If your child has gluteal herpes, temporarily stop wearing diapers. If red dots or red spots with watery blisters are found on the baby’s bottom, show the child to the doctor.

During pregnancy

During primary infection with a herpes virus before 12 weeks of pregnancy, it is not possible to prevent transmission of the pathogen to the intrauterine child. The reason for this phenomenon is not yet formed antibodies in the mother’s blood. The virus causes the development of defects that lead to the threat of termination of pregnancy.

Herpes on the butt in pregnant women goes away with severe intoxication. For the treatment of the expectant mother, drugs are selected strictly individually based on research results. In this case, the duration of pregnancy is taken into account.

If sores appear at the 37th week of pregnancy or later, only local therapy is possible. Often they resort to the surgical method of childbirth to avoid infection of the baby. In earlier stages of pregnancy, local treatment is carried out with Acyclovir and Zovirax.

"Acyclovir": instructions for use, price and release form

Acyclovir is one of the best drugs for the treatment of herpes. This is an antiviral agent. Acyclovir is available in the form of tablets, ointment and solution for intravenous administration. This drug is not an antibiotic. The composition includes starch, lactose and calcium stearate. The active substance acyclovir quickly penetrates the affected cells, suppressing the disease.

The viruses that cause herpes produce certain enzymes. "Acyclovir" actively interacts with them. It penetrates the affected cells and integrates into the viral DNA. Thanks to this intervention, the proliferation of pathogenic microorganisms stops. As a result, herpes acne disappears. Acyclovir prevents further spread of the rash.

“Acyclovir” for herpes costs from 15 to 160 rubles, depending on the country of manufacture and the form of release. For intravenous administration – from 1700 to 1900 rubles. For herpetic stomatitis, the drug is used only in tablets. For skin lesions, all forms of release are used.

Tablets are taken 4 times daily. Course – 5 days. Starting from 2 years of age, the dosage is 200 mg for mild to moderate herpes. Up to two years, the dosage is halved. In severe cases of the disease, the dosage is increased to 400 mg.

Creams and ointments are applied externally (5 times daily) and only for lesions of the skin and lips. They are not suitable for mucous membranes and vagina. Solutions for intravenous administration are used at 8-hour intervals. Dosage (from 12 years of age) is calculated according to body weight.

Possible consequences and complications

The danger of gluteal herpes lies in the ability of the disease to expand the affected area of ​​the body, infecting in a short time:

• pubis;
• coccyx;
• hips;
• stomach.

Herpes infection also spreads throughout the internal organs.

Possible complications in a severely weakened human body:

• gastrointestinal diseases;
• disruption of brain activity;
• female infertility;
• decreased male erection.

The risk of death cannot be excluded.

How to treat children and infants

In young children and infants, the body's resistance to the virus is lacking, so the rash can cover a fairly large area of ​​the body. Symptoms of anal herpes in toddlers, infants, and newborns are not limited to painful rashes.

The disease significantly worsens the child’s condition and is accompanied by fever, loss of strength, and attacks of nausea. Primary infection is fraught with various complications; the virus can penetrate the internal organs and brain.

If the child’s condition is serious and the body lesions are extensive, as a rule, he is hospitalized and treated in a hospital.

In other cases, treatment is aimed at reducing discomfort and speeding up recovery. The doctor prescribes:

• antiviral drugs based on acyclovir;
• immunomodulators Immunal, Arpetol, Interferon.

The child should drink plenty of fluids, take vitamins and antipyretics if the temperature is high.

Prevention

In order to prevent exacerbation of the disease, it is necessary:

1. Comply with hygiene requirements.
2. Strengthen the body's defenses with proper nutrition and exercise.
3. Take vitamin supplements in spring and autumn.
4. Avoid unprotected sex.
5. Take measures to avoid colds on the skin of the buttocks.
6. Give preference to linen made from natural fabrics.

The appearance of herpes on the buttocks or between them is a consequence of the presence of virus strains 1 and 2 in the body. You can prevent its occurrence by maintaining a healthy lifestyle and increasing your immunity. To avoid confusing a herpes infection with another disease, consult a doctor. If the diagnosis is confirmed, antiviral and immunomodulatory therapy will help get rid of the rash.

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Pregnancy and herpes

Pregnancy is a condition in which the immune system also weakens slightly.

Therefore, approximately 15-20% of women experience an exacerbation of herpes, possibly localized on the buttocks.

Active viremia during an attack causes problems with the placenta and has a toxic effect on the fetus.

Therefore, a painful rash on the buttocks of a pregnant woman is a reason to consult a doctor and check the condition of the fetus.