Hemorrhoids, How Can You Stop The Itching?

Hemorrhoids are swellings in the hemorrhoidal cushions of the anal canal. Piles can be classified as either internal hemorrhoids, which occur above the dentate line inside the anus, or external hemorrhoids, which occur below this line outside of the anus.

Internal piles are often painless and difficult to detect, while external piles may cause itching and discomfort. All types usually go away within a few days without complications; however, if they linger for more than two weeks, then it is considered chronic. Chronic cases require medical attention as this could lead to anemia or thrombosis.

What are hemorrhoids, and what are the symptoms

Piles are hemorrhages or swellings in the rectal cushions of the anal canal. They can be classified as either internal, which occurs above the dentate line inside the anus, or external, which occurs below this line outside of the anus.

Internal hemorrhoids are often painless and difficult to detect, while external hemorrhoids may cause itching and discomfort. All types of piles usually go away within a few days without complications; however, if they linger for more than two weeks, then it is considered chronic.

Chronic cases require medical attention as this could lead to anemia or thrombosis. There are many ways to stop hemorrhoid itch, such as eating foods that have high water content.

What are the causes of hemorrhoids?

There are many causes of hemorrhoids, some of which are more common than others. Some of the most common causes of hemorrhoids include:

– Straining during a bowel movement

– Sitting for long periods of time

– Obesity

– Pregnant or postpartum women

– Genetics

– Aging

– Chronic constipation or diarrhea

Why do hemorrhoids itch

There are a few reasons why hemorrhoids may itch. One of the most common reasons is that they are dry and irritated. Another reason may be that there is an infection around piles. If you have hemorrhoids that are bleeding, they may also itch as a result of the blood.

How to stop hemorrhoid itching

There are a few ways to stop itching. One way is to apply a cold compress to the area for 10 minutes several times a day. You can also take over-the-counter antihistamines to help stop the itching. Finally, you can apply a topical cream or ointment to the area.

What are hemorrhoid treatments?

There are a few treatments. One treatment is to apply a cold compress to the area for 10 minutes several times a day. You can also take over-the-counter antihistamines to help stop the itching. Finally, you can apply a topical cream or ointment to the area.

If they are causing a lot of pain, you may need to take prescription medication or have surgery. It is important to see a doctor if they do not go away within a few days or are causing a lot of pain.

If you are experiencing symptoms, there are many ways to find relief. One way is to apply a cold compress to the area for 10 minutes several times a day.

You can also take over-the-counter antihistamines to help stop the itching. Finally, you can apply a topical cream or ointment to the area. If they are causing a lot

How can you prevent hemorrhoids?

There are a few ways that you can prevent hemorrhoids from happening in the first place. One way is to eat a healthy diet that is high in fiber. You can also drink plenty of water and exercise regularly. If you are pregnant or postpartum, make sure to take care of yourself and avoid putting too much strain on your hemorrhoids.

If you have hemorrhoids that are genetic, you may need to see a doctor for treatment.

If the piles are caused by sitting for long periods of time, try to get up and move around every hour or so. If they are caused by constipation, make sure to drink plenty of water and eat high-fiber foods. Finally, if they are causing a lot of pain, you may need to see a doctor for treatment.

They can be an uncomfortable and often embarrassing condition. However, there are many ways to find relief from itching and pain. By applying a cold compress, taking antihistamines, and using a topical cream or ointment, you can stop the hemorrhoid itch quickly and easily.

If the piles are causing a lot of pain, you may need to see a doctor for treatment. By following these tips, you can get relief from hemorrhoid symptoms and feel more comfortable.

Why Do Hemorrhoids Itch?

Why Do Hemorrhoids Itch?

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Medically reviewed by Gerhard Whitworth, R. N. — By Scott Frothingham — Updated on March 8, 2019

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Overview

Hemorrhoids — also known as piles — are swollen and distended veins in the anus and lowest part of the rectum.

Hemorrhoids are traditionally associated with prolonged sitting on the toilet combined with straining during bowel movements. Hemorrhoids can be both painful and itchy.

Hemorrhoids are either external or internal. External hemorrhoids are found beneath the skin surrounding the anus while internal hemorrhoids are found inside the rectum.

Sometimes straining while using the bathroom pushes an internal hemorrhoid until it protrudes through the anus. When this happens it’s called a prolapsed internal hemorrhoid.

When an internal hemorrhoid prolapses it brings along mucus that can irritate the sensitive area around the anus causing itching. If the hemorrhoid stays prolapsed, mucus production continues and so does the itching.

If stool mixes with the mucus, that combination can make the irritation, and thus the itching, greater.

Anal itching is also referred to as pruritus ani which could be triggered by a number of conditions aside from hemorrhoids.

These other causes include:

• anal fissures
• yeast infection
• stool leakage
• sweat buildup
• proctitis
• genital warts
• herpes
• scabies
• pinworm infection
• hookworm infection
• ringworm
• body lice
• psoriasis
• cancer

You could also itch from poor hygiene or needing to do a better job keeping the anal area clean.

Conversely, if you overclean the area you can cause micro tears and cracks — along with dryness from the chemicals in wipes, cleansers, and creams — that can lead to itching.

If your itching is severe and you’re not sure if it’s hemorrhoids, see a doctor for evaluation.

Tips to avoid pruritus ani

1. Use plain white toilet paper, avoiding the scented or printed varieties.
2. Avoid chemically treated wipes.
3. Wipe gently.
4. Dry the area thoroughly after washing.
5. Wear loose clothing.
6. Wear cotton underwear.

The first step in easing the itch is to stop scratching. Aggressive scratching can further damage the area and make the problem worse.

According to the American Society of Colon and Rectal Surgeons, sometimes the desire to scratch is so intense that many people scratch when they sleep. To avoid damaging scratching while sleeping some people wear soft cotton gloves to bed.

The next step is proper hygiene, keeping the area clean with mild, allergen-free soap and water.

After these important primary steps, some ways to reduce or eliminate anal area itching include:

Soaking

A popular home remedy for itchy hemorrhoids is soaking either in a full tub or a sitz bath.

A sitz bath is a shallow basin that fits over your toilet. You can fill it with warm water — not hot — and sit on it, allowing the water to soak your anus. The warmth helps circulation and helps to relax and heal the area around your anus.

This is typically done two times a day.

Some natural healing advocates also suggest adding two to three tablespoons of baking soda or Epsom salts to the water in the sitz bath.

Numbing

To numb the nerve endings and relieve the itch, your doctor might suggest applying cold compresses on your anal area or using an over-the-counter cream or ointment containing hydrocortisone and lidocaine. These can temporarily relieve the itching.

Protection

To reduce the itch, your doctor might recommend a topical protectant to use as a barrier between the irritated skin from further irritants such as stool.

Some products that are recommended to provide protection for perineal skin include:

• Desitin
• A & D Ointment
• Sensi Care
• Calmoseptine
• Hydraguard

Hemorrhoids can itch, but there may be other causes as well. If the itching is severe, you should seek an evaluation from your doctor.

There are a number of simple and effective ways to deal with the itch yourself, but if it’s a persistent problem that starts negatively impacting the quality of your life, you should talk to your doctor about dealing with the underlying cause as opposed to dealing with the symptom.

Last medically reviewed on August 27, 2018

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• American Society of Colon and Rectal Surgeons. (n.d.). Pruritis ani expanded version.
  fascrs.org/patients/disease-condition/pruritis-ani-expanded-version
• Costedio M. (2016). Itchy bottom? Why you shouldn’t blame hemorrhoids. /
  health.clevelandclinic.org/itchy-bottom-shouldnt-blame-hemorrhoids
• Harvard Medical School. (2018). Hemorrhoids and what to do about them.
  health.harvard.edu/diseases-and-conditions/hemorrhoids_and_what_to_do_about_them
• Mayo Clinic Staff. (2018). Hemorrhoids.
  mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280
• National Institute of Diabetes and Digestive and Kidney Diseases. (2016). Hemorrhoids.
  niddk.nih.gov/health-information/digestive-diseases/hemorrhoids
• University of Michigan Health System. (2013). Anal-rectal skin care.
  med.umich.edu/1libr/PedSurgery/ColorectalProgram/AnalRectal-SkinCare. pdf

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Mar 8, 2019

Written By

Scott Frothingham

Edited By

Elizabeth Donovan

Aug 27, 2018

Medically Reviewed By

Gerhard Whitworth, RN

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Medically reviewed by Gerhard Whitworth, R.N. — By Scott Frothingham — Updated on March 8, 2019

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Anal itching – causes of occurrence, in what diseases it occurs, diagnosis and methods of treatment

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Anal itching: causes of occurrence, in which diseases it occurs, diagnosis and methods of treatment.

Definition

Anal itching, or itching of the anogenital, anorectal region, is characterized by an unbearable desire to scratch the skin adjacent to the anus (the lumen of the anal canal). Areas of irritation, scratching and crusts appear on the skin in the anus. More often, itching bothers patients in the late afternoon or at night.

Burning and itching disturb sleep, lead to anxiety, irritability, neurosis.

Varieties of anal itching

It is customary to distinguish between primary (idiopathic) and secondary anal itching.

Possible acute manifestation of itching and chronic course. Acute itching is characterized by a sudden onset. In the chronic course of the process, itching sometimes weakens or stops, but then resumes with the same intensity.

Possible causes of anal itching

Primary (idiopathic) anal itching may be due to poor hygiene of the perineal area, resulting in poor cleansing of the anus, traces of feces irritating the skin. The same situation occurs with the insolvency of the anal sphincter, when the liquid part of the intestinal contents leaks when gases are released and the rectum is stretched.

Secondary anal itching is one of the symptoms of some diseases.

Diabetes mellitus . Skin manifestations in the early stages of diabetes can sometimes serve as signal markers of the disease. Especially often itchy dermatosis is observed in latent and mild forms of diabetes.

In many patients, itching appears six months or more before the diagnosis is made.

In this case, the most common localization of itchy areas are the folds of the abdomen, perineum, intergluteal region.

In patients with psoriasis, allergic and contact dermatitis itchy areas can be located in various areas of the body. The appearance of rashes on the skin of the buttocks and perineum is accompanied by severe, often painful itching.

In contact dermatitis, anal itching may be caused by allergic ingredients in paper and wet tissues, underwear fabrics, or in detergents used for personal hygiene.

Itching at hemorrhoids is caused by the fact that large hemorrhoids prevent the anal sphincter from fully closing, and the liquid part of the stool gets on the skin around the anus, causing it to become irritated. Another factor that leads to itching is the constant hydration of the skin due to the use of laxative suppositories. Other symptoms of hemorrhoids include discomfort, a feeling of nagging pain after a bowel movement, mucus and drops of red blood from the rectum.

Harbingers of hemorrhoids for a long time (from several months to several years) may be discomfort in the anus and anal itching.

Pinworm worms parasitize mainly in the large intestine, causing enterobiasis . When laying eggs, the females of these parasites crawl out through the rectum into the outer section of the anus, resulting in burning and itching.

Enterobiasis most often affects children under the age of 12 years.

In addition to pinworms, anal itching can be caused by tapeworms, ascaris, giardia, etc.

Microscopic fungi easily multiply on moist skin of the perineum. Candidiasis , which starts on the mucous membrane of the rectum and the vulva and vagina in women, spreads further, causing itching, burning and irritation of the skin. The development of candidiasis is facilitated by a decrease in immunity, oncological diseases, an imbalance of microflora due to diseases or the use of antibacterial drugs, diseases of the rectum, which are accompanied by cracks, erosion, leakage of the liquid contents of the intestine.

Chlamydia can infect the mucous membranes of the urinary tract, eyes, throat and pelvic organs. With development chlamydial infection in the rectum, the clinical picture of the disease is mostly asymptomatic, and clinical manifestations may include itching and burning in the anorectal region and slight yellowish discharge. Painful urge to defecate and mucopurulent discharge mixed with blood are also possible. The skin around the anus looks reddened and swollen.

Crohn’s disease and ulcerative colitis (inflammatory bowel disease) are often accompanied by anal itching. The mucous membranes of not only the small, large and rectum, but also the oral cavity and anus are affected.

Most patients have anal and perianal lesions (anal fistulas, fissures), which exacerbate itching.

Diffuse intestinal polyposis syndrome . Polyposis – outgrowths on the mucous membrane of the intestinal wall – are often asymptomatic, but in some cases, patients may experience bloody-mucous discharge, abdominal pain, and if polyps are located in the rectum (final intestine) and anus, constipation, diarrhea, anal itching.

Anal itching with proctitis (inflammation of the mucous membrane of the sigmoid or rectum) appears due to the bulging of the rectal mucosa into the lumen of the anus and the ingress of its discharge (mucus, traces of blood) onto the surrounding skin. Proctitis occurs due to trauma, constant mechanical and chemical irritation (frequent enemas, prostate massage, eating spicy food). The disease also develops after radiation therapy for malignant tumors (radiation proctitis) or infections (gonorrheal proctitis). In the chronic course of the process, the patient has a feeling of discomfort, incomplete emptying of the intestine, frequent urge to defecate.

In case of chronic paraproctitis (inflammation of the tissues surrounding the rectum, in particular, adipose tissue), anal itching is associated with pus and mucus from the fistulous tract, which is located near the anus, on the skin. The disease is caused by pathogenic microorganisms that penetrate the tissues surrounding the rectum through the anal glands or damaged mucous membrane. Sometimes there is the formation of several fistulous passages, from which pus and feces are released.

Anal itching may be one of the symptoms of rectal cancer . For a long time, malignant tumors can disguise themselves as benign formations, manifesting only discomfort during bowel movements, anal itching, and sometimes a non-healing ulcer. Pain in the anus at the beginning of the disease is observed only during bowel movements.

Cryptitis (inflammation of the Morganian crypt). Blink crypts are channels through which the secret of the anal glands is discharged into the rectum. With inflammation of the crypt, which can be caused by injuries with hard feces, chronic inflammatory processes (for example, anal fissures), there is constant itching in the anus. The pain has a “scratching” character and is aggravated by defecation, there may be an admixture of blood in the feces. The course of cryptitis is undulating, often patients consider the period of remission to be a complete recovery.

If left untreated, cryptitis can be complicated by paraproctitis.

Which doctors to contact if anal itching occurs

If anal itching occurs in children, first of all, you should contact
pediatrician. Adult patients should visit
a therapist for referrals for tests and a proctologist. To exclude diabetes mellitus, the therapist may refer the patient to
endocrinologist. If the allergic nature of anal itching is confirmed, further treatment will be continued by an allergist-immunologist.

Diagnostics and examinations in case of anal itching

To diagnose the disease, the symptom of which is anal itching, fecal analysis for enterobiasis, clinical blood and urine tests, blood tests for glycated hemoglobin 18, fungal infections, autoimmune antibodies are prescribed.

Enterobiasis test (pinworm eggs, enterobiasis), swab

There are restrictions on the days of taking samples in medical offices and receiving samples self-collected for this study (feces, urine, etc.).
We recommend clarifying the in…

Up to 1 business day

Available with home visit

RUB 525

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Clinical blood test: general analysis, leukoformula, ESR (with microscopy of a blood smear in the presence of pathological changes)

Synonyms: Complete blood count, UAC. Full blood count, FBC, Complete blood count (CBC) with differential white blood cell count (CBC with diff), Hemogram.
Brief description of the study CBC: general a…

Up to 1 business day

Available with home visit

RUB 810

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General urinalysis (Urine analysis with sediment microscopy)

Method of determination

Determination of physical and chemical parameters is carried out on an automatic analyzer using the “dry chemistry” method.

Hardware microscope…

Up to 1 business day

Available with home visit

410 RUB

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IgE total (Immunoglobulin E total, IgE total)

Immunoglobulin E total reflects the total amount of IgE class immunoglobulins in the blood serum.

Synonyms: Blood test for immunoglobulin E.

Immuno…

Up to 1 business day

Available with home visit

755 RUB

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In addition, the doctor evaluates the condition of the skin around the anus and conducts a digital examination to determine the tone of the anal sphincter and identify pathological formations in the anal canal. Sigmoidoscopy and colonoscopy may be prescribed.

Colonoscopy

Endoscopic examination of the large intestine to look for abnormalities, perform biopsies, and remove small polyps and tumors.

RUB 6,390

Sign up

What to do if anal itching occurs

The general recommendation for itching is to follow the rules of personal hygiene and prevent constipation.

Treatment for pruritus ani

Patients with pruritus ani are treated after the cause of the condition has been identified. With the primary nature of itching, the doctor, as a rule, gives recommendations on the rules of personal hygiene, advises to avoid wearing tight underwear, and not to eat spicy foods.

In case of secondary anal itching, it is necessary to treat the disease that caused it.

Sources:

1. Dermatovenereology: Short edition / Ed. Yu.S. Butova, Yu.K. Skripkina, O.L. Ivanova. – Moscow: GEOTAR-Media, 2013.
2. Clinical guidelines. Coloproctology. Acute and chronic hemorrhoids / Ed. Yu.A. Shelygin. M.: GEOTAR-Media, 2015. S. 30–52.
3. Clinical guidelines “Chlamydial infection”. Developed by: Russian Society of Dermatovenerologists and Cosmetologists, Russian Society of Obstetricians and Gynecologists. – 2021.

IMPORTANT!

The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.
For a correct assessment of the results of your analyzes in dynamics, it is preferable to do studies in the same laboratory, since different laboratories may use different research methods and units of measurement to perform the same analyzes.

Itching with hemorrhoids – causes and treatment

Contents

1. Introduction
2. Why does itching appear
3. How to treat itching

The problem of anal itching may seem insignificant, but its appearance significantly spoils the quality of human life. This condition does not apply to independent diseases, but often itching becomes a manifestation of various pathologies. Most often, an itchy sensation in the anus indicates that the patient has some kind of disease. These include proctitis, paraproctitis, inflammation of the prostate gland, various sexual infections. However, practice shows that basically anal itching signals a problem such as hemorrhoids. Hemorrhoidal disease is a consequence of the expansion of the cavernous plexuses and the deterioration of the outflow of blood from them. Hemorrhoids develop in patients of different sex and age.

Itching of the anus can be intermittent or constant. Most patients describe it as a burning or itchy feeling that creates an obsessive urge to scratch the problem area. Despite the fact that many consider itching to be a harmless phenomenon, it brings a significant share of anxiety and irritation in the life of any person. But against the background of constant itching, someone may even develop a neurosis.

Why does itching appear

The reason for the appearance of such an unpleasant feeling is that the epithelium of the perirectal zone reacts to external and internal stimuli. If the surrounding tissues become inflamed, then the epithelium begins to grow, which leads to hyperkeratosis. In patients with inflamed hemorrhoids, incomplete closure of the anus is often observed. This significantly impairs the hygiene of this area, allows the discharge from the rectum to get on the linen. Sometimes this happens due to the constant use of laxatives or rectal suppositories.

And another category of causes of anal judgment is allergic reactions. The sensitive area around the anus may react to the synthetic fibers that make up underwear or bedding. Also, such a reaction is possible on personal care products and cosmetics.

Only a doctor can determine the exact cause of discomfort. As part of the diagnosis, he will collect the patient’s history, conduct an examination, and if necessary, prescribe additional studies, for example, take skin staples and send them to laboratory blood tests.

How to treat itching

If itching is a consequence of hemorrhoids, then it is he who is treated, and local antipruritic agents are used to alleviate the patient’s condition. In more than 80% of cases, patients with hemorrhoids stop suffering from itching after undergoing therapy. Many people prefer to use traditional medicine, but quite often such advice is not only useless, but can also be harmful. The best choice is a consultation with a qualified coloproctologist and a comprehensive approach to the problem. Treatment of hemorrhoids should be based on lifestyle modification, which includes the elimination of its underlying causes, adequate physical activity and proper diet. Hemorrhoids of the initial stages are successfully treated conservatively and minimally invasively. But if the disease has managed to progress to stage 3-4, then, most likely, surgical intervention and radical excision of hemorrhoids will be required.

In our multidisciplinary medical center, you can get advice from an experienced coloproctologist who will accurately diagnose and prescribe treatment.

FAQ

Drinking water alone will not eliminate the risk of developing hemorrhoids.

The fact is that in the large intestine, the microflora contributes to putrefaction and the formation of feces. They move due to peristalsis – undulating contractions of the smooth muscles of the intestine.

During the operation of the gastrointestinal tract, the walls of the colon constantly absorb incoming water. In the absence of a proper level of peristalsis, drinking even a large amount of water will not help, since the feces will linger in some areas for a long time and harden.

Enlarged hemorrhoids do not decrease over time, but, on the contrary, increase. Medicines can slow down the process or get rid of the symptoms. But sooner or later the patient will have to go to the doctor. Therefore, it is better not to delay.

The most common complications are bleeding and thrombosis of the hemorrhoid. A strong pain syndrome indicates a possible pinching of the node.

In addition, patients often complain of itching, a feeling of pressure in the rectal area, an anal fissure and fistula may appear.