Definition
What is Itchy Anus?
Itchy Anus has the medical name pruritus ani. This is a burning or itching feeling in the anus and the skin around it. Itchy anus is caused by many things.
How common is anal itching?
It is common and affects both sexes and people of all ages. A person with diabetes is more at risk of developing this condition. Medication can control the symptoms, but the problem can come back.
Signs & Symptoms
What are the signs and symptoms of an itchy anus?
Some of the symptoms of an itchy anus are:
- Itchy, red skin around the anus
- Cracked skin due to scratching
- Itching gets more frequent and gets worse at night
- The skin thickens and chronic inflammation (swelling, redness) may occur. Damaged skin can get bacterial infection
There may be some signs or symptoms not mentioned above. If you are concerned about the symptoms, please consult your doctor.
When should I see a doctor?
You should call your doctor if you have:
- High fever
- Anus itching for more than two months
- Bleeding in the anus
If you have any of the above-mentioned signs or symptoms or have any questions, please consult your doctor. Everyone's body reacts differently. It is always better to discuss with your doctor what is best for your situation.
Reasons
What Causes Itchy Anus?
Often, the cause is unknown. Many causes such as:
- Fungal infections, herpes virus, human papillomavirus (HPV, which causes genital warts), pinworms, mites (which causes scabies), and lice. Skin conditions such as contact dermatitis, psoriasis, and seborrheic dermatitis, can initiate anal itching
- Soaps, contraceptive jellies and foams, scented toilet paper, deodorant sprays, and water sprays can all cause contact dermatitis
- People with chronic diarrhea can itch
- Rectal diseases, such as hemorrhoids, fissures, fistulas, and rectal prolapse, can cause itching
- Women before or after menopause may experience itching due to vaginal discharge or low estrogen levels
Treatment
The information provided is not a substitute for medical advice. ALWAYS consult your doctor.
Medications
Medications that might help include:
- Over-the-counter cream or ointment containing hydrocortisone (Cortaid, Preparation H Anti-Itch Cream). Apply sparingly to the affected area to reduce inflammation and itching.
- A protective ointment that contains zinc oxide (Desitin, Balmex). Applied to the affected area, this also may help.
- Antihistimine. If your symptoms are worse at night, your doctor may prescribe an antihistamine to reduce itching until topical treatments take effect.
- Anti-parasite treatment. Several medications are available for treating pinworm infections. A single dose may cure the infection, but often a second dose is given one to two weeks later.
What are my treatment options for itchy anus?
The key to this treatment is self-care and avoiding things that cause itching. Keep the itchy area clean, cool, and dry.
Hydrocortisone preventive ointment or cream can control itching. Apply three times a day, rub gently until it disappears. Hydrocortisone should not be used for more than 5 days, as it can irritate and damage the skin.
If medication doesn't help, your doctor may prescribe topical cortisone or another stronger medication.
Fungal, herpes, genital warts, and pinworm infections with lice if present should be treated with appropriate medication. Anal disease may require other treatment.
What are the usual tests for anal itching?
The doctor makes a diagnosis from the symptoms and examines the anus and surrounding skin. Lab studies sometimes require fungal identification. Microscopy may be necessary to examine pinworm eggs or mites on the skin.
Home Remedies
What are some lifestyle changes or home remedies that can be done to treat itchy anus?
The following lifestyle and home remedies can help you deal with itchy anus:
- Keep the itchy area clean, cool and dry
- Use plain, unscented soap
- Clean the area with a moistened unscented tissue, or 1 cotton swab after defecation
- Lose weight if you are overweight
- Wear loose clothes and cotton underwear
- Call the doctor if your area feels infected
If you have any questions, please consult your doctor to find out the best solution for you.