• Irritation, swelling, dryness, and chaffing in the nether regions is painful and distracting. Many of us are hesitant to start the sensitive discussion on how to alleviate the discomfort caused from conditions such as dry skin, hemorrhoids, anal fissures, frequent diarrhea, IBS, and episiotomies.
  • What we want to know is what is causing this discomfort and—more importantly—how do we stop it.
  • The outermost layer of epidermis is called the stratum corneum. It is this layer that is responsible for the skin’s outer protective barrier functions. Important to the health of this layer is the “acid mantle” which is aptly named for its slightly acidic nature. Ideally, the pH is less 5.0 pH units [1]. This environment is regulated by the interplay of endogenous phospholipid, exogenous free fatty acid, eccrine (sweat) secretions from the skin and local flora. Unhealthy changes in pH with resulting destruction of the acid mantle as well as physical damage to stratum corneum are ultimately the cause of our distress. [2, 3]
  • Often the things we try to help alleviate the discomfort just make the problem worse. Excessive, aggressive cleaning damages the outermost layer of skin (the stratum corneum) and use of harsh soaps and even water significantly disrupt the pH-balanced, protective “acid mantle” produced by and overlying your skin for up to 6 hours [1].
  • For both short and long-term relief, we need a product and method to gently clean, soothe, and protect this area. Fortunately, the hygienic cleansing lotion, TriQuell, is designed just for these sensitive areas and can be used as often as needed to help restore skin balance.
  • TriQuell’s efficacy is due to its unique, hypoallergenic formulation (including ingredients, ingredient amount and the combination of these ingredients). This formula attracts moisture, provides additional skin barriers, reduces inflammation, soothes irritation, gently exfoliates, and moderates pH.
  • Unlike other hygienic cleansing lotions, TriQuell is specifically formulated with aloe vera leaf extract, Colloidal Oatmeal, lanolin, and Bisabolol (chamomile extract). Aloe vera, which is widely known to alleviate sunburns, not only cools the area, but provides a multitude of antioxidants, vitamins, minerals, and antibacterial properties that soothe and assist in wound healing [7-9]. Colloidal Oatmeal is finely ground oat that absorbs moisture thereby increasing hydration and provides a protective barrier for the skin [4, 10, 11]. Lanolin Oil is an emollient derived from sheared sheep’s wool that comprised of fatty acids and additional organic compounds. As a widely utilized emollient, Lanolin Oil is very good at controlling hydration and both softening and protecting the skin [12]. Furthermore, lanolin is gentle enough that it is used to protect the skin of premature babies [13]. Finally, an extract originally derived from the Matricaria chamomilla plant is known to ease irritation and inflammation and also to be antimicrobial [14-17]. These components, which are effective individually, combine at a pH that is close to that of the acid mantle to enhance the overall effectiveness of TriQuell.

 

[1] Lambers H, Piessens S, Bloem A, Pronk H, Finkel P. Natural skin surface pH is on average below 5, which is beneficial for its resident flora. Int J Cosmet Sci. 2006;28:359-70.

[2] Skin (Integumentary) System Information. A.D.A.M.

[3] Ali SM, Yosipovitch G. Skin pH: from basic science to basic skin care. Acta Derm Venereol. 2013;93:261-7.

[4] Oats – ACTIVE NATURALS Ingredients. Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc.

[5] Hamilton TK, Zug KA. Triethanolamine allergy inadvertently discovered from a fluorescent marking pen. Am J Contact Dermatitis. 1996;7:164-5.

[6] Chu CY, Sun CC. Allergic contact dermatitis from triethanolamine in a sunscreen. Contact Derm. 2001;44:41-2.

[7] Foster A. What Is an Aloe Barbadensis Leaf. livestrong.com; 2013.

[8] Banu A, Sathyanarayana B, Chattannavar G. Efficacy of fresh Aloe vera gel against multi-drug resistant bacteria in infected leg ulcers. Australas Med J. 2012;5:305-9.

[9] Lomash V, Jadhav SE, Ahmed F, Vijayaraghavan R, Pant SC. Evaluation of wound-healing formulation against sulphur mustard-induced skin injury in mice. Hum Exp Toxicol. 2012;31:588-605.

[10] Kurtz ES, Wallo W. Colloidal oatmeal: history, chemistry and clinical properties. J Drugs Dermatol. 2007;6:167-70.

[11] Fowler JF, Nebus J, Wallo W, Eichenfield LF. Colloidal oatmeal formulations as adjunct treatments in atopic dermatitis. J Drugs Dermatol. 2012;11:804-7.

[12] Chew N. What is Lanolin Oil? 2014.

[13] Kiechl-Kohlendorfer U, Berger C, Inzinger R. The effect of daily treatment with an olive oil/lanolin emollient on skin integrity in preterm infants: a randomized controlled trial. Pediatr Dermatol. 2008;25:174-8.

[14] Baumann L, Woolery-Lloyd H, Friedman A. “Natural” ingredients in cosmetic dermatology. J Drugs Dermatol. 2009;8:s5-9.

[15] Mamalis A, Nguyen D-H, Brody N, Jagdeo J. The active natural anti-oxidant properties of chamomile, milk thistle, and halophilic bacterial components in human skin in vitro. J Drugs Dermatol. 2013;12:780-4.

[16] Wu J. Anti-inflammatory ingredients. J Drugs Dermatol. 2008;7:s13-6.

[17] Kamatou G, Viljoen A. A review of the application and pharmacological properties of α-bisabolol and α-bisabolol-rich oils. Journal of the American Oil Chemists’ Society. 2010.