Sometimes, medical conditions are embarrassing, yet, they are all the more necessary to treat. Perianal strep is a contagious infection around the anus and rectum, typically only found in children under the age of 10. This article will shed light on everything you need to know about Perianal Strep and Perianal Strep treatment.
Your physician will likely prescribe antibiotics and encourage frequent handwashing after a perianal strep diagnosis. And if you’re looking for more detailed health information on this topic, you came to the right place.
If you have any children, it is important to understand the precautions you need to take to prevent the spread of perianal strep.
Perianal (pronounced “pair-ee-AY-nal”) strep is a bacterial infection of the skin around the anus and rectum — the “perianal” area. The red rash will surround the infected area and will be more red and moist than a diaper rash.
Perianal Strep is also known as perianal streptococcal dermatitis or perianal streptococcal cellulitis. The infection often affects the anus area, but it can also spread to the vulva or penis.
Perianal strep is caused by group A Streptococcus bacteria, which also causes strep throat.
Like strep throat, perianal strep is very contagious. Many cases of perianal strep are from children scratching or wiping the vulnerable area with unwashed hands that harbor group A streptococci from another existing infection.
Because of this, perianal strep usually occurs in children with strep throat, streptococcal pharyngitis, or impetigo (a strep infection of the skin). 6% of children with streptococcal pharyngitis have perianal strep as well. However, sometimes, perianal strep can be an isolated finding without any other obvious Strep infection.
Make sure not to touch the infected area if you don’t have to. If you or your child does touch the area, wash your hands very well.
In uncommon cases, complications may arise during or after a perianal strep infection.³ Your pediatrician should work with you on how to prevent these complications of perianal Strep:
PANDAS (“Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus”)
Make sure to get your child diagnosed before treatment can begin.
Diagnosis might include:
NOTE: physicians should always do a physical examination on your child for this disorder since it is based mostly on physical exam findings and only confirmed by lab testing.
Doctors may also have to rule out other “differential diagnoses,” meaning conditions that share symptoms and shouldn’t be confused for one another. Perianal strep has several differential diagnoses to look out for:
A proper diagnosis is critical since antibiotics are probably in the future. You don’t want to give your children antibiotics unless it is certain they have a bacterial infection. Otherwise, they can develop antibiotic resistance or an imbalance of good bacteria in their gut.
Once properly diagnosed with perianal dermatitis, your child will likely be prescribed antibiotics. But those aren’t the only treatments or preventative measures you can take against perianal strep:
Follow-up appointments are important to make sure your child is fully better. Your doctor may make sure the full course of antibiotics was taken, or check if the strep infection spread.
If your child has a diagnosed strep infection, antibiotics are the best measure to take.
However, if you’re waiting for a doctor’s visit or worried about antibiotic resistance, here are some at-home remedies you can consider:
As an added bonus, here are six all-natural antibiotics that you can supplement or add to meals:
Again – always consult a doctor before starting any new dietary supplements, especially in children.
PANDAS is an autoimmune response to a group A beta-hemolytic strep infection, such as perianal strep. The strep bacteria tricks your immune system into attacking the brain, triggering OCD symptoms.¹⁰
Note: PANS is a similar condition. It displays the same symptoms but does not come from a Strep infection.
Research confirms that a perianal infection can lead to PANDAS.¹¹ Here are some common PANDAS symptoms you can look out for to determine if your child has PANDAS from his or her perianal strep:
The Center for Fully Functional® Health is located in Carmel, Indiana, but we often see out-of-town patients. As recognized experts in the diagnosis and treatment of PANS/PANDAS patients — we have even helped our own daughter to recover from PANS a few years back.
We provide the best treatment in Indiana and beyond when looking for a PANDAS or PANS doctor.
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