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Itchy buttocks causes: 11 Reasons You Might Have an Itchy Butt-and How to Treat It

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Itchy bottom causes & treatments – Illnesses & conditions

Treatment for itchy bottom usually involves following simple self-care measures for a few months. If necessary, medication may be prescribed to help ease the symptoms.

Self-care for itchy bottom

If you still have an itchy bottom after 2 months, or if it returns, you may need to follow this self-care advice for longer.

Keeping clean and dry

If you have an itchy bottom, you should keep your bottom as clean and dry as possible.

The best way to do this is to use water to gently clean your anus and the surrounding skin. Clean your bottom in this way after every bowel movement and before going to bed each night.

You can use soap to clean your bottom, but make sure it’s mild and unperfumed so it causes less irritation to your skin. Wash all of the soap away afterwards.

After washing, gently dry your bottom. Avoid rubbing the area vigorously, as this may irritate your skin. Instead, gently pat the skin dry using a soft towel. You can also dry your bottom using a hairdryer on a low heat setting.

When you’re away from home, you can use damp toilet paper after passing stools, before gently patting your bottom dry.

If you have a tendency to sweat, or if your bottom becomes very moist, putting a cotton tissue in your underwear will help absorb the moisture around your anal area.

Other self-care measures

As well as keeping your bottom clean and dry, there are a number of other self-care measures you can undertake. For example, you should:

  • use soft toilet tissue
  • bath or shower daily
  • wear loose-fitting cotton underwear and change it daily
  • only put underwear on when your bottom is completely dry
  • avoid wearing tight clothing; women should wear stockings instead of tights
  • use a light duvet at night so you don’t get too hot
  • avoid using scented soaps, bubble bath, perfumes or powders around your anus
  • keep your fingernails short to try to keep your skin being damaged from scratching
  • wear cotton gloves while sleeping so that you cause less damage to your skin if you scratch

It may be difficult, but you should try to resist the urge to scratch your bottom, as scratching will only make the problem worse.

Diet

Some foods may make your itchy bottom worse. If the urge to scratch your bottom is greater after eating certain foods, try cutting them out of your diet completely or reducing the amount you eat.

Foods that may make your itchy bottom worse include:

  • tomatoes
  • spicy foods
  • citrus fruits, such as oranges
  • nuts
  • chocolate
  • dairy products
  • coffee
  • excessive amounts of liquids, such as milk, beer or wine 

Fibre

Your GP may recommend that you follow a diet that keeps your stools regular and well-formed. 

This means your stools won’t be loose (runny), but you won’t need to strain when you go to the toilet.

Loose stools can irritate your anus. Straining to pass hard stools may cause haemorrhoids (piles) to develop. Piles are swellings that contain enlarged and swollen blood vessels in and around your anus.

Including more fibre in your diet will make your stools softer and easier to pass. Fibre can be found in:

  • grains – such as wholegrain bread
  • pulses – edible seeds that grow in a pod, such as peas, beans and lentils
  • oats – which are in some breakfast cereals
  • fruit and vegetables

Medication

While waiting for the above self-care measures to take effect, your GP may prescribe medication to help ease your itchy bottom.

However, you shouldn’t use topical treatments (those applied directly to your skin) for more than 2 weeks, because they may start to harm your skin if used for long periods.

Soothing ointments

Your GP may prescribe an ointment or cream to soothe the skin around your anus. You’ll usually have to apply it in the morning and at night, as well as after each bowel movement.

Topical corticosteroids

If the skin around your anus is sore and inflamed due to itching, your GP may prescribe a mild topical corticosteroid (an ointment that contains steroids). Applying this directly to the affected area will help relieve the inflammation and ease the urge to scratch.

In most cases, using a topical corticosteroid will help ease the itch. However, it can sometimes make the itching worse. Speak to your GP immediately if your itchy bottom gets worse after using topical corticosteroids.

Antihistamines

If your sleep is disturbed due to itching at night, using an antihistamine may help.

Antihistamines are medicines that work by counteracting the action of histamine (a chemical released during an allergic reaction). Some antihistamines also have a sedating effect (they make you drowsy).

Your GP may prescribe chlorphenamine or hydroxyzine. These should be taken at night and shouldn’t be used for longer than 2 weeks, because after this time the sedating effect may no longer work.

You need to be aware that sedating antihistamines can affect your ability to drive or operate machinery, and the sedating effect may be stronger if you drink alcohol.

Treating an underlying cause

When diagnosing itchy bottom, your GP will try to determine an underlying cause.

If they identify the cause, such as a bacterial infection or skin condition, it will also need to be treated for your itchy bottom to be properly managed.

For example, a bacterial infection may need to be treated with antibiotics. If the underlying cause is left untreated, your itchy bottom may return.

An itchy bottom in children is often caused by worms. If treatment for worms is recommended, other family members with the same symptom should also be treated.

Further treatment

Go back to your GP if your itchy bottom doesn’t improve after following self-care measures, such as keeping your bottom clean and dry, and using medication to provide relief from the itching.

Your GP may then refer you to a dermatologist (a specialist in treating skin conditions) or a colorectal surgeon (who specialises in conditions that affect the large intestine and anus).

Types, Causes, Diagnosis & Treatment



Overview

What is pruritus ani (anal itching)?

pruritus ani is a dermatological condition characterized by itching in the anal area. The itching may become worse at night or after a bowel movement. Scratching the area results in further irritation and makes the itching worse instead of relieving it. Scratching with the fingernails may result in skin damage or an infection. If the itch-scratch cycle persists, it can lead to extreme discomfort, soreness, and burning.

What are the types of pruritus ani?

There are two main types of pruritus ani—primary and secondary.

  • Primary (idiopathic) pruritus ani—This condition has no identifiable underlying cause. This is the most common type of pruritus ani.
  • Secondary pruritus ani—This condition may be due to many different underlying causes. They may include infections, contact dermatitis or other dermatological conditions, systemic diseases, and other factors.

How common is pruritus ani?

It is estimated that 1-5% of the population is affected. Pruritus ani is about 4 times more likely to occur in men than in women. Primary or idiopathic pruritus ani accounts for the majority (about 50-90%) of cases.



Symptoms and Causes

What can cause dryness and irritation in the anal area?

The anal area may become dry and irritated due to the use of harsh soaps, sanitary wipes, or rough toilet paper to clean the area after a bowel movement. A hypersensitivity reaction may occur if perfumed powders, lotions, creams, ointments, or other products are applied in the anal region. Excess perspiration or small amounts of fecal matter can cause irritation and itching.

What causes pruritus ani (anal itching)?

Pruritus ani is usually not caused by poor hygiene. Rather, the overuse of soaps and other topical products to clean the anal region or vigorous scrubbing with a washcloth or rough toilet paper can cause irritation. A hypersensitivity reaction may occur if perfumed powders, lotions, creams, ointments, or other products are applied in the anal region.

Excess perspiration or moisture may become trapped in the anal area if constricting or tight-fitting underwear is worn. Some foods and beverages, such as carbonated drinks, caffeinated beverages (coffee, tea, colas) and spicy or acidic foods (tomatoes, citrus fruits) have been linked to the condition. Having frequent bowel movements (diarrhea) or infrequent ones (constipation) may also play a role.

Other causes of pruritus ani include:

  • Infections: Some types of bacteria, fungi (yeast), or parasites can cause itching. Staphylococcus aureus or Streptococcus pyogenes (types of bacteria), Candida albicans (a yeast), pinworms (mainly in children), and Sarcoptes scabiei (scabies mites) are some organisms that result in itching and irritation.
  • Dermatological conditions: Psoriasis, contact dermatitis (inflammation due to allergens or other irritants), or atopic dermatitis (a chronic condition found in patients with allergies) may cause a rash in the perianal region.
  • Inflammatory bowel disease (Crohn’s disease)
  • Psychological factors such as stress or anxiety
  • Systemic diseases: These include diabetes mellitus, leukemia, lymphoma, thyroid disease, renal disease, and liver disorders (obstructive jaundice).
  • Colorectal and anal disorders: Rectal prolapse, internal or external hemorrhoids, anal fissures (ulcers), or fistulas (abnormal tube-like passages) are associated with pruritus ani. Residual amounts of feces may be difficult to remove with large external hemorrhoids. Internal hemorrhoids may cause bleeding, fecal soiling, or drainage.
  • Systemic or topical medications: Use of drugs such as quinine, colchicine, and mineral oil has been linked to pruritus ani.
  • Fecal or urinary incontinence: Children and the elderly are more likely to experience incontinence of the bowel or bladder.



Diagnosis and Tests

How is pruritus ani (anal itching) diagnosed?

The doctor will obtain a full medical history and perform a physical examination to identify possible underlying causes, such as dermatological conditions and other illnesses. He or she will visually inspect the area to look for changes in skin color or texture, rashes, or lesions. The doctor will ask about any medications that you take and the type and frequency of bowel movements.

The doctor may obtain skin specimens and perform tests to screen for bacterial or other infections.

Parents of children who may have pinworms can place a small piece of surgical tape, or scotch tape, near the child’s anus before bedtime. The worms are more likely to emerge at night. In the morning, when the child awakens, the tape can be removed to see if the worms or their eggs are present. This is called the scotch tape test.



Management and Treatment

How is pruritus ani (anal itching) treated?

Usually, treatment focuses on establishing and maintaining a routine for proper anal hygiene. If a secondary or underlying cause is found, the treatment will depend on the specific condition.

  • Topical medications: Topical steroids, such as creams or ointments containing 1% hydrocortisone, may help to relieve itching and irritation. The cream or ointment may be applied two or three times to the affected area each day. Topical capsaicin has been studied as an alternative to steroids for patients with chronic pruritus ani.
  • Oral medications: Antibiotic or antifungal medications may be prescribed if an infection is present.
  • Methylene blue injection (anal tattooing): This technique may be used to treat more advanced cases that do not respond to topical medications. Methylene blue (a dye) is injected under the skin in the perianal region. It is thought that the methylene blue relieves pain and itching by deadening the nerve endings where the dye is injected.

What are some tips for self-care?

  • Resist the urge to scratch. The itching might seem worse at night, so people might unconsciously scratch the anal area with their fingernails during sleep. Wear clean, soft cotton gloves at bedtime to prevent irritation and infection.
  • Keep the perianal area clean and dry. Use clear water instead of soap or moistened toilet paper to clean the perianal region after a bowel movement. A shower head or bidet may be used to gently clean the perianal area. Use a hair dryer on a low setting to dry the area. If using toilet paper or a towel, gently pat or blot the area until it is dry.
  • Apply a small amount of cornstarch or piece of cotton to the area to keep it dry during the day. A small cotton gauze pad can be used instead.
  • Do not use soap when cleansing the anal area or scrub vigorously with toilet paper or a washcloth.
  • Avoid using perfumed creams, lotions, bubble baths, powders, or other products that may cause irritation to the area.
  • Eat foods high in fiber. A healthy diet can help prevent diarrhea or constipation and ensure regular bowel movements. Avoid any foods that might promote itching, such spicy or acidic foods or caffeinated beverages.
  • Avoid wearing tight or constricting underwear. Cotton underwear can help to absorb moisture better than synthetic fabrics. Make sure underwear fits properly and change it frequently. Wash clothing with fragrance-free detergents.
  • Use topical medications as directed. Apply the cream or ointment sparingly and discontinue use if the itching does not subside or gets worse.

13 Common Causes For Itchy Butt Rashes And Bumps, According To MDs

Rashes are kind of the worst, no matter where they are on your body. But getting one on your butt? That’s a whole ‘nother level of misery. (Have you ever discreetly scratched a butt itch in public? No, because you can’t.)

Inconvenience aside, they’re also a little concerning. Sure, that little bump on your butt could just be a pimple, but what if it’s a little more serious—say, a little bigger and redder and actually kind of painful? Can you treat it with an over-the-counter cream, or do you need to make an appointment with your doc?

Complicating matters further: Many skin conditions present differently on light skin than they do on dark skin. And imagery of rashes—like the ones below—often feature white models and not models of color.

“When the the images in the textbooks and images in the lectures aren’t diverse and aren’t really reflective of society and what you will see in the real world, then that bias is ingrained in medical education,” says Caroline Robinson, MD, FAAD, founder and CEO of Tone Dermatology in Chicago. “The result of that is either under-diagnosis, misdiagnosis, or taking a longer time to diagnosis for our patients of color. I know that there are so many efforts ongoing to address that, but unfortunately we’re not there.”

With that in mind, keep reading for the signs of the most common rear-end rashes, and how they may present differently depending on your skin tone. You’ll also get familiar with their treatments to help you beat the itch.

If the rash is: wrinkled and smudgy

American Academy of Dertmatology

It’s probably: c

utaneous t-cell lymphoma

“A lot of people miss this diagnosis. I see it all the time. They call it eczema, they call it dry skin, and it’s not,” says Adam Friedman, MD, FAAD, professor of dermatology at GW School of Medicine and Health Sciences. Cutaneous t-cell lymphoma (CTL) is actually a type of skin cancer, relating to abnormal immune cells called lymphocytes. And this condition has a predilection for areas that are covered.

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CTL typically looks like a wrinkled, smudgy rash, and while the image above shows red-colored irritation, Dr. Robinson says that on darker skin it can present hypopigmented (lighter than the surrounding skin) or hyperpigmented (darker than the surrounding skin).

While this cancer isn’t super common, when not treated, Dr. Friedman says it can turn into a more serious health situation.

If the rash is: itchy, shiny, and near the anus

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It’s probably: l

ichen sclerosis

This one involves the perianal area. It’s thought to be an autoimmune disease where the immune system is attacking the skin, thinning its top layer and thickening the bottom part where your hair follicles and sweat glands are, according to Dr. Friedman.

“This condition is exquisitely itchy,” he says. It’s usually treated aggressively with steroids. And if left untreated the disease can easily turn into squamous cell carcinoma, another type of skin cancer.

What you want to look out for is a kind of shiny lighter-colored rash in the anal area. When active, Dr. Friedman says, the edges of the rash will sometimes turn purple.

Again, a biopsy is needed to diagnosis this disease, so if you’re starting to see a similar rash appear, give your doc a call ASAP.

If the rash is: red or hyperpigmented dry bumps

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It’s probably: keratosis pilaris

Never heard of it before? Don’t worry, it’s actually a relatively harmless rash. Go ahead and touch your butt. Do the bumps back there feel like sandpaper? If so, you might have keratosis pilaris, which is caused when excess skin grows over where a hair follicle would usually come out. People often experience keratosis pilaris on the back of their arm and thighs, but it can occur on the butt as well. (While the bumps may turn from flesh-colored to red from inflammation on light skin, they often turn hyperpigmented on dark skin.)

If you think you’re suffering from keratosis, head to your closest drug store. You’re going to want to buy something known as a keratolytic, which is basically a kind of therapy that treats excess skin. Just make sure yours contains ingredients like urea and ammonia lactate.

If the rash is: a cluster of painful or burning bumps and blisters

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It’s probably: a herpes outbreak

Herpes is typically thought of as something that can only affect your mouth and genitals, but it can crop up on your butt, too, says Joshua Zeichner, MD, director of cosmetic and clinical research in dermatology at Mount Sinai Hospital. (It can even find its way to your lower back, adds Dr. Robinson.)

When the virus flares up—due to stress or illnesses that weaken your immune system—it can come to the surface of the skin, causing a rash, explains Dr. Zeichner. The rash will probably go away on its own in about a week, but it’s contagious through direct contact, so it’s best to avoid getting too intimate. You can also try an OTC cold-sore medication or see your dermatologist for a prescription antiviral to clear up the outbreak faster, says Dr. Zeichner.

If the rash is: a red or hyperpigmented circle with a lighter scaly ring around it

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It’s probably: a fungal infection

If you’ve ever picked up athlete’s foot (a.k.a. ringworm or tinea corporis) from your gym’s locker room, you’ve seen this fungus before—and, yeah, it can show up on your butt, too.

It thrives in hot, humid environments, so working out in the summer time (or sitting around in sweaty workout clothes or steam rooms) increases your risk, says Dr. Zeichner. He recommends treating the rash ASAP with an athlete’s foot cream so it doesn’t spread; apply it twice a day for one to two weeks and see your doctor if it doesn’t go away.

If the rash is: unbearably itchy and around the anus

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It’s probably: pinworm

This is a kind of rash that would take place in your gluteal crack or perianal area. But it actually stems from an intestinal worm infection. “The worm comes out of the anus and implants eggs into skin folds,” Dr. Friedman says—and this causes severe itch.

In order to find out if you have a pinworm, a dermatologist would take tape, put it on your perianal area, and pull it off. What’s left on the tape will be examined using a microscope—and that’s where they’ll be able to see the pinworms and treat you with an anti-parasite medication.

If the rash is: red or hyperpigmented with tender, pimple-like bumps

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It’s probably: folliculitis

Most people call this “butt acne,” but that’s not entirely accurate, says Dr. Zeichner. Those pimple-like bumps are actually superficial infections of the hair follicles—otherwise known as folliculitis.

Mild cases may be helped by washing with antibacterial soap. For recurring cases, Dr. Zeichner recommends washing with a surgical-grade cleanser like Hibiclens or an acne-treatment wash with benzoyl peroxide. To prevent future outbreaks, keep the skin clean and dry (especially after workouts) and wear breathable fabrics.

If the rash is: itchy with potentially pus-filled bumps

It’s probably: a yeast infection

Most people consider yeast infections strictly vaginal. But this type of infection can occur in skin folds on the body (like the butt!).

What people don’t understand is that yeast is not the problem itself. “We have yeast everywhere, as it’s part of our microbiome,” Dr. Friedman says. What’s actually happening is that people are experiencing intertrigo or irritant dermatitis, inflammation of the skin in skin folds caused by poor hygiene and friction. Yeast (which is a fungus) may overgrow in the inflamed area, leading to infection.

Watch for itchiness on your butt, closer to your perianal area. You might see satellite pustules, or small pus-filled bumps situated slightly away from the main rash area.

As far as treatment goes, OTC ointments or creams for yeast infections should do the trick.

If the rash is: plaques covered in scales and located inside your butt crack

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It’s probably: psoriasis

In this chronic (and often genetic) condition, your body’s immune system “gets angry and attacks the skin,” says Dr. Zeichner. Psoriasis usually shows up on elbows and knees, but in between the butt cheeks is a common spot, too.

“In the textbooks it is described as this ‘salmon pink color,’ and this is one of the reasons why psoriasis is under diagnosed in patients of color—I imagine because everyone is looking for that salmon and it’s not there,” says Dr. Robinson. “On patients of color it can often look slightly violet. Less often it’s hyperpigmented or hypopigmented.”

You can treat psoriasis with a 1 percent hydrocortisone cream, but prolonged use can damage your skin. If it’s not going away, check in with your doctor for a prescription-strength anti-inflammatory cream.

If the rash is: patchy and itchy, sometimes with tiny bumps

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It’s probably: eczema

Eczema is an inflammatory skin condition that causes skin to dry out and crack—often caused by genetics, irritants, or allergies. These microscopic cracks develop in the outer layer of skin, so the key to treatment is hydrating and repairing the skin barrier with moisturizers and anti-inflammatory creams, according to Dr. Zeichner.

Eczema on your butt may be caused by irritating fabrics, detergents, toilet paper, or cleansing wipes, so be mindful of what’s coming into contact with your skin back there.

The severity of eczema is typically under-diagnosed in people of color because, again, redness isn’t a common symptom in dark skin, yet docs have been trained to monitor the level of redness to make treatment recommendations.

If the rash is: super itchy and on your anus

Getty Images

It’s probably: hemorrhoids

Straining during bowel movements (thanks, chronic constipation or pregnancy) causes hemorrhoids, which are swollen and dilated blood vessels around your anus. These protrusions are itchy, painful, and hard to ignore.

They’re pretty common and can be treated with OTC hemorrhoid ointments, but Dr. Zeichner recommends getting medical attention (or a GI evaluation) if they’re causing you to bleed during bowel movements—that’s something you never want to ignore.

If the rash is: itchy with acne-like bumps

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It’s probably: miliaria (a.k.a. heat rash)

Heat rash occurs when sweat-duct openings become blocked, which can happen when wearing tight-fitting clothing that traps in sweat and bacteria. The resulting bumps are typically flesh-colored on darker skin and red on lighter skin, says Dr. Robinson.

“That trapping results in an inflammatory response,” Dr. Friedman says. But don’t worry, heat rashes are easily treatable with a little OTC medication. Dr. Friedman recommends antibacterial washes or acne washes that contain benzoyl peroxide or salicylic acid. Pro tip: benzoyl peroxide can stain, so be careful when applying.

If the rash is: swollen and sometimes watery

-aniaostudio-Getty Images

It’s probably: an allergic reaction

Unlike a heat rash (which is often caused by irritation), other rashes are sparked by allergic reactions.

Here’s how to spot the difference: Irritant rashes are often itchy and they hurt like crazy, Dr. Friedman says. The bumps will appear raised and tend to be a darker pink to red color on light skin and hyperpigmented on dark skin. Rashes caused by an allergic reaction are often times more swollen, pink in light skin or hyperpigmented in dark skin, and maybe even watery. Head to your doctor’s office if you’re unsure what you’re dealing with so they can provide the proper treatment or medication.

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Itchy Anus/Bottom (Pruritus Ani) | Causes and Treatment

What is pruritus ani?

Pruritus ani is the medical term for a persistent (chronic) itchy feeling around the anus. The main symptom is an urge to scratch your anus, which is difficult to resist. The urge to scratch may occur at any time. However, it tends to be more common after you have been to the toilet to pass a bowel motion and at night (particularly just before falling asleep). The itch may be made worse by:

  • Heat.
  • Wool.
  • Moisture or wetness around the anus. This may be caused by sweating, or by incomplete drying of that area after washing. It may also be caused by leaking urine (incontinence).
  • Stools (faeces) being in contact with the skin around the anus. This can be due to leaking of stools out of the anus, or due to incomplete cleaning after opening your bowels.
  • Stress and anxiety.

Persistent scratching of the anal skin can damage the skin and make it more likely to develop a skin infection in that area. Also, chronic itching of the anal area may lead to feelings of embarrassment. Both your mood and sleep can be affected.

Who develops an itchy bottom?

An itchy bottom (pruritus ani) is a common problem but the exact number of people who develop an itchy bottom is unknown. Some sources suggest around 1 to 5 out of every 100 people have an itchy bottom. It seems to be more common in men than in women. It most commonly affects people between the ages of 40-60. However, it can affect people of any age, including children.

What causes an itchy bottom?

An itchy bottom (pruritus ani) is a symptom, not a final diagnosis. Various conditions may cause an itchy bottom. When the cause is another condition which has been identified, this is known as secondary pruritus ani. However, in many cases the cause is not clear. This is called ‘idiopathic pruritus ani’ which means ‘itchy anus of unknown cause’.

Known causes of an itchy bottom

There are lots of possible causes. See the separate leaflets linked to each condition below for more detail. These are just some of the possible causes:

Skin conditions
There are a number of skin conditions which may affect the skin around the anus and cause itch. For example:

  • Eczema.
  • Psoriasis.
  • Lichen sclerosus.
  • Lichen planus.
  • Seborrhoeic dermatitis.
  • An allergic or irritant dermatitis. Dermatitis means inflammation of the skin. This may be caused by:
    • Excess sweat and moisture around the anus. Young children who may not wipe themselves properly, adults with sweaty jobs and adults with a lot of hair round their anus may be especially prone to this.
    • Excess cleaning of the anal area.
    • Some soaps, perfumes, creams, or ointments, or the dye in some toilet tissue, may irritate (sensitise) the skin around the anus in some people. You may be ‘allergic’ to one or more of the ingredients in these products.

Skin conditions cause about half of all cases of secondary pruritus ani.

Infections

  • Thrush and fungal infections are caused by germs that thrive in moist, warm, airless areas, such as around the anus. Thrush is more common in people with diabetes.
  • Threadworms are a very common cause in children. Up to 4 in 10 children in the UK have threadworms at some stage. Threadworms live in the gut and lay eggs around the anus which cause itch. Children may pass them on to adults in the same home. Consider this cause particularly if there is more than one person in the home with an itchy bottom. Also, with threadworms, the itch is mainly at night.
  • Other infections such as scabies, infections with germs (bacteria), herpes infection, anal warts and some other sexually transmitted infections can cause itch around the anus. You are likely to have other symptoms too such as a rash, lump or discharge.

Conditions affecting the anus
These include:

Some diseases
Generalised itch, which may seem more intense around the anus at times, may be caused by some diseases. For example:

With these conditions you are likely to be unwell with other symptoms.

Some foods
When certain foods are not fully digested, they may irritate the skin around the anus after you have gone to the toilet to pass stools. These include:

  • Citrus fruits.
  • Grapes.
  • Tomatoes.
  • Spices and chilli peppers.
  • Large amounts of beer.
  • Milk.
  • Caffeine – in coffee, tea or cola.

Some medicines

  • Some antibiotics can lead to diarrhoea. Passing lots of diarrhoea can irritate the anal skin and cause an itchy bottom.
  • If you are taking steroid medication or other medicines that can weaken your immune system, you are at increased risk of developing skin infections which may affect the skin around the anus.
  • Other medicines such as colchicine (for gout) and peppermint oil (for wind and bloating) may cause an itchy bottom as a side-effect.
  • Medicines that are put on to the skin near the anus to treat problems such as haemorrhoids may irritate the anal skin and cause a type of dermatitis.

Unknown causes of an itchy bottom (idiopathic pruritus ani)

In many cases, the cause is not clear. In some people, it may be that something is irritating your skin. This may be an ointment that you are using, or your sweat, or the toilet tissue that you use but you cannot pinpoint the cause exactly.

In other people, it is thought to be caused by a small amount of stool leaking from the anus and irritating the nearby skin, causing itching. Also, an itchy bottom may affect some people with problems such as depression. However, the cause can sometimes remain a complete mystery.

An itchy bottom and a vicious circle

A ‘vicious circle’ (itch-scratch cycle) sometimes develops. The more you scratch, the more irritated the skin becomes and the more it itches. Various factors can keep this cycle going. For example, you may have a mild itch around your anus. You may then clean your anus with a scented soap. This may contain an ingredient which irritates your skin. You then develop a worse itch. You may think the itch means the anus needs more cleaning. Therefore, you clean it even more with the scented soap – which makes things worse and so on.

Another example of a ‘vicious circle’ is: you may buy an ointment if you have a small pile (haemorrhoid). This may contain an ingredient that your skin is sensitive to, particularly if your skin is already a little inflamed. It may sensitise the skin even more and the itch becomes worse. You may think that the haemorrhoid has become worse, so you put on more ointment. But, in fact it is the ointment itself making the itch worse and so on.

Most creams and ointments do not irritate the skin in most people. However, be aware that there are many preparations with various ingredients and you may become sensitive to one of them. 

What should I do if I have an itchy bottom?

If the itch is persistent and you are not sure of the cause, it is best to see a doctor. As there are a number of possible causes (listed above), it is best to be examined and checked out by a doctor to diagnose or rule out known causes. Treatment depends on the cause.

Pruritus ani treatment

If a cause is found

A particular treatment may be advised by a doctor or pharmacist. For example:

If there is no obvious cause (‘idiopathic pruritus ani’)

This is a common situation. The following tips often help to stop the itch:

  • Avoid any potential irritants:
    • Stop using scented soaps, talcum powder, bubble bath, perfume, etc, near your anus.
    • Use plain, non-coloured toilet tissue. Wipe your anus gently after passing stools (faeces).
    • If any foods or medicines could be causing the itch, try avoiding for a while the foods and drinks listed above (such as fruits and tomatoes). If you take laxatives regularly, some of your stool may be leaking on to your anal skin.
  • Pay special attention to hygiene around your anus:
    • Wash your anus after going to the toilet to pass stools. The aim is to clear any remnant of stool which may irritate the skin. Also, wash your anus at bedtime.
    • When washing around your anus, it is best to use water only. If you use soap, use bland non-scented soap.
    • When you are not at home, use a moistened cloth or a special moistened tissue to clean your anus. You can buy moistened tissues from pharmacies. Avoid scented or perfumed versions.
    • Have a bath or shower daily. If possible, wash your anus with water only. If you use soap around your anus, rinse well.
    • Change your underwear daily.
  • Avoid excessive moisture around your anus:
    • After washing, dry around your anus properly by patting gently (rather than rubbing) with a soft towel. Even better, use a hairdryer, especially if your anal skin is hairy.
    • Do not put on underwear until your anus is fully dry.
    • Wear loose cotton underwear (not nylon). Avoid wearing tight-fitting trousers. If possible, do not sit for long periods and try not to get too hot. The aim is to allow air to get to your anus as much as possible and to avoid getting too sweaty.
    • If you sweat and moisture gathers around your anus, put a cotton tissue in your underwear to absorb the moisture.
  • Consider the ‘itch-scratch cycle’:
    • Scratching can make the itch worse – which makes you want to scratch more, etc.
    • As much as possible, try not to scratch. This is especially difficult at night when the itch tends to be worse while you are trying to get to sleep.
    • You may also scratch in your sleep without realising. To help this:
      • Keep your fingernails short to limit any damage done to the skin by scratching.
      • Consider wearing cotton gloves at night to prevent sharp scratching with fingernails.
      • An antihistamine medicine that makes you drowsy may be worth a try at bedtime. Your doctor will advise.
  • Your doctor may advise a short course of a cream or ointment:
    • A bland soothing ointment may be recommended to use after going to the toilet and at bedtime. There are many to choose from. (However, remember an ingredient of an ointment may sometimes cause sensitivity and itch around the anus.) You should not use a cream such as this for longer than two weeks unless you are advised otherwise by your doctor.
    • A short course (up to 14 days but no more) of a mild steroid cream may ease symptoms if there is inflammation of your anal skin. Steroids reduce inflammation (but should not normally be used on infected skin).

Other possible treatments

The above measures will usually stop the itch. If symptoms persist for three or four weeks after doing the above then your doctor may refer you to a specialist. This may be a skin specialist (a dermatologist) or a colorectal surgeon (who specialises in problems affecting the colon and anus). Tests may be needed to make sure a known cause has not been missed.

Other possible treatments for an itchy bottom (pruritus ani) are currently being researched. One such treatment is capsaicin cream. The theory is that capsaicin blocks a chemical in the skin that is involved in sensations of pain and itch. Another treatment involves injecting a chemical called methylthioninium chloride (methylene blue) into and beneath the skin of the anus. Further research is needed to clarify the place of these new treatments.

What is the outlook (prognosis) for an itchy bottom?

If a cause for the itchy bottom (pruritus ani) can be identified, it is easier to treat and relieve your symptoms. Most people respond well to treatment for an itchy bottom. However, in some people it can become a persistent (chronic) problem. Also, if you have had an itchy bottom in the past, you are more likely to develop it again at some point in the future.

The following symptoms are not symptoms of a straightforward itchy bottom (pruritus ani). See a doctor if any of these symptoms develop:

  • Pain.
  • Bleeding from the bottom.
  • Mucous discharge.
  • Lumps around the anus.
  • Changes in your regular bowel habit.

Anal itching – Diagnosis and treatment

Diagnosis

Your doctor may be able to diagnose the cause of your itching simply by asking you questions about your symptoms, medical history and personal care habits. If pinworms are suspected, your doctor may suggest doing a test for pinworms. You may also need a physical exam, including a digital rectal exam.

If the cause of your itching isn’t obvious or it doesn’t respond to initial treatment, your doctor may refer you to a skin specialist (dermatologist). It’s possible the cause of the itching may never be identified.

Treatment

Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as nonprescription anti-itch cream or treating an infection or hemorrhoids.

If your symptoms are worse at night, an oral antihistamine might help until an anti-itch cream takes effect.

With proper care most people experience relief from anal itching. See your doctor if the itching persists.

Lifestyle and home remedies

Prevention of anal itching mainly involves a careful washing routine that keeps the area clean, cool and dry, while avoiding further irritating the skin.

If you already have anal itching, try these self-care measures:

  • Cleanse gently. Clean the area around the anus with plain water or mild soap and a soft (nonterry) washcloth once daily. Avoid scrubbing. Pat dry or use a hair dryer set on low.

    If you have fecal incontinence or diarrhea, clean the area around the anus with moist cotton balls or a squirt bottle of plain water. It may also help to apply a moistened or dry cotton ball to the outside of the anus.

  • Don’t scratch. Scratching further irritates your skin. You may find some relief by applying a moist, room-temperature compress to the area or taking a lukewarm oatmeal bath. Trim your nails short and wear cotton gloves while you’re sleeping to help prevent scratching.
  • Wear white cotton underwear that don’t bind. This helps keep the area dry. Avoid wearing pantyhose and other tightfitting garments because these can trap moisture
  • Avoid irritants. Avoid bubble baths, genital deodorants, harsh or perfumed soaps, and moist wipes. Use white, unscented toilet paper.
  • Change your diet. Cut back on or avoid coffee, cola, alcohol, citrus fruits, chocolate, spicy foods, tomatoes and foods that may cause diarrhea. Avoid overuse of laxatives.
  • Apply ointments or gels. Protect the affected skin from moisture by applying a thin layer of a zinc oxide ointment (Desitin, Balmex) or petroleum jelly (Vaseline). If needed, apply hydrocortisone 1 percent cream two to three times a day for a brief period to relieve symptoms.
  • Maintain regular, firm bowel movements. If soft stools or frequent bowel movements are a problem, gradually adding fiber to your diet may help. Fiber supplements such as psyllium (Metamucil) and methylcellulose (Citrucel) also may help.

Preparing for your appointment

Often you won’t need to see a doctor about anal itching. If the itching persists even after taking self-care measures, mention it to your primary care doctor. He or she may refer you to a skin specialist (dermatologist) or a doctor who specializes in treating rectal and anal problems (proctologist).

Here’s some information to help you get ready for your appointment.

What you can do

Before your appointment make a list of:

  • Symptoms you’ve been having, including any that may seem unrelated to anal itching
  • How long you’ve been experiencing your symptoms
  • All medications, vitamins and supplements you take, including the doses
  • Questions to ask your doctor

For anal itching, some basic questions to ask your doctor include:

  • What’s the most likely cause of my symptoms?
  • What tests do I need?
  • Is this problem temporary?
  • What treatments are available? Which do you recommend?
  • Do you think I need to see a specialist?
  • Do you have any brochures or other printed material that I can take with me? What websites do you recommend?

What to expect from your doctor

Your doctor is likely to ask you a number of questions, such as:

  • Have your symptoms been continuous, or do they come and go?
  • How severe are your symptoms?
  • Have you had recent changes in your bowel movements, such as diarrhea?
  • What type of soap or other products do you use on your body?
  • Does anything seem to improve your symptoms?
  • What, if anything, worsens your symptoms?
  • Have you noticed any other changes in your general health?
  • Are others in the home experiencing a similar itch?

What you can do in the meantime

Cleanse the anal area gently immediately after bowel movements and dry thoroughly. Wear cotton underwear and loose clothing. Try not to scratch.


Sept. 15, 2020

Anal Itching – Digestive Disorders

























Pain in the rectum (sometimes) and/or abdomen (often)



Examination of the lower portion of the large intestine, the rectum, and the anus with an endoscope (sigmoidoscopy) or of the entire large intestine (colonoscopy)


With internal hemorrhoids, bleeding (a small amount of blood on toilet paper or in the toilet bowl)


With external hemorrhoids, a painful, swollen lump on the anus



Usually examination of the rectum with an endoscope (anoscopy) or sigmoidoscopy


Inflamed, red area, sometimes visible scratching






Sometimes examination of a sample of skin scrapings under a microscope (to identify the fungus)




Sometimes present in several family members

Microscopic examination of transparent tape that was applied to the anal area to check for pinworm eggs


Intense itching, usually worse at night


Possibly itching of other body areas


Possibly pink, thin, slightly raised lines or bumps (burrows) on the affected areas



Examination of skin scrapings

Cancer of the skin around the anus (perianal skin)


Examination of a tissue sample (biopsy)


An itchy, red, oozing, and crusty rash



Sometimes itchy or painful patches on the skin



Current or recent use of an antibiotic

Elimination of the drug to see whether symptoms are relieved

Foods and dietary supplements

Beer, caffeine, chocolate, hot peppers, milk products, nuts, tomato products, citrus fruits, spices, or vitamin C tablets

Symptoms that occur after a substance is ingested

Elimination of the substance from the diet to see whether symptoms are relieved


Excessive sweating described by the person, particularly with wearing of tight and/or synthetic clothing

Measures to limit sweating (such as wearing loose cotton underwear and changing underwear frequently) to see whether symptoms are relieved

Overly meticulous or aggressive cleansing of the anal area



Inappropriate cleansing practices described by the person

A change in cleansing practices to see whether symptoms are relieved

Anesthetic preparations, ointments, soaps, and sanitary wipes

Use of a possibly irritating substance described by the person

Avoidance of the substance to see whether symptoms are relieved

Buttock Rash – Symptoms, Causes, Treatments

Rash is a symptom that causes the affected area of skin to turn red and blotchy, and to swell. A rash may cause spots that are bumpy, scaly, flaky, or filled with pus. Rashes can vary in location, pattern and extent and may occur in any area of the body. A buttock rash can have a variety of causes, and it may indicate something occurring around the buttock itself or suggest a systemic (body-wide) condition.

Contact dermatitis (skin inflammation) is caused by an adverse reaction to something that touches the skin, including chemicals found in detergent, soap or a fragrance. For example, you may develop a rash on your buttock when you wear pants or underwear that was washed with a particular detergent or treated with a chemical. Cleaning chemicals used on toilet seats may be another cause of buttock rash. 

Diaper rash, which can cause redness and itching on the buttock, as well as the abdomen and legs, is a very common condition in infants and toddlers. Changing your baby’s diaper frequently can help prevent this condition. In addition, the gluteal skin fold between the buttocks is a warm, shaded, moist area – a perfect environment for germs to grow. Fungal skin infections can thrive there.

Allergies to food and medications are potentially serious sources of rash. Peanuts, shellfish, strawberries and avocados are just some of the foods that can trigger allergic reactions. These foods may cause mild reactions; however, in some cases, reactions could develop into potentially life-threatening conditions characterized by vomiting, difficulty breathing, or swelling. Allergic purpura is a serious, often life-threatening allergic reaction that can cause a skin rash but can also affect the joints, gastrointestinal tract, and kidneys.

Rashes may also be associated with skin conditions, such as eczema, psoriasis and impetigo. Some of these are chronic skin conditions that may flare up for a time, then resolve. Other causes for rash include autoimmune disorders that occur when the body is attacked by its own immune system, which normally serves to protect it from foreign invaders (antigens). Many viruses that occur during flu season, or those associated with childhood diseases, can produce rash.

Rashes can be caused by an allergic reaction to food, medications, lotions or detergents. These reactions can range from mild to potentially life threatening, especially if swelling and constriction of breathing occurs, which could indicate anaphylaxis.
Seek immediate medical care (call 911) if a rash is accompanied by any serious symptoms, including swelling of the face, swelling and constriction of the throat, difficulty breathing, fainting, change in level of consciousness or alertness, pale skin, or purple rash.

Seek prompt medical care if a rash is persistent and causes you concern.

90,000 causes of redness and treatment on the bottom

Itching on the buttocks is a delicate problem that many are ashamed of. For this reason, patients rarely seek medication. However, this symptom may indicate a serious health problem. But you can completely get rid of it if you eliminate the irritating factor and undergo effective treatment.

Causes of itchy skin on the buttocks

The most common reason is tight underwear and a sedentary lifestyle.

The occurrence of an unpleasant symptom includes:

  • allergic reaction;
  • dermatological diseases;
  • pathological condition of internal organs;
  • violation of metabolic processes.

Each of these diseases has similar symptoms: burning and itching in and between the buttocks.

Allergy

Allergens can be synthetic fabrics, chemicals, food and medicines.A similar condition manifests itself in the form of dermatitis and urticaria. In the second case, itchy blisters are noticeable on the buttocks, and symptoms such as an increase in body temperature and a deterioration in general condition are also disturbing.

Allergic dermatitis manifests itself in the form of redness and flaking of the skin. The severe form of the disease is accompanied not only by itching, but by swelling and profuse rash.

Skin diseases

Severe itching can be a symptom of eczema or neurodermatitis. Such diseases occur against the background of stress and disturbances in the functioning of internal organs.

The characteristic signs of eczema are severe itching, and with neurodermatitis, dryness and rashes on the skin are disturbing.

Worms

Worms can cause the development of many diseases. A large number of them live in the intestines. The symptoms of such a pathology include itching between the buttocks, which worries mainly at night.

To reduce the risk of infection, wash your hands more often and avoid eating dirty vegetables and fruits.

Diseases of internal organs

Skin irritation may appear due to the presence of kidney and liver diseases or inflammation of the internal organs of the genitourinary system.

Itching on the buttocks and between them can be provoked by:

  • cholecystitis;
  • pyelonephritis;
  • prostatitis.

In the latter case, the external genitals may also itch in men.

Violation of the metabolic process

Experts say that the buttocks can itch against the background of diabetes mellitus. In this case, due to metabolic disorders, large and small vessels are damaged.

The obvious signs of metabolic disorders include:

  • dry skin;
  • formation of abscesses;
  • fungal infection of the skin;
  • severe itching.

Formed wounds heal slowly and poorly. Itching on the buttocks causes a lot of inconvenience, interferes with normal sleep and rest, and also affects performance. Combed lesions can become infected, which leads to the development of a pustular disease.

Diagnostic methods

To identify the cause of the itching on the buttocks, you should consult a doctor. Only after examination and diagnosis will he be able to prescribe an effective treatment.

Diagnostic algorithm:

  1. Doctor examining a patient.
  2. Writes directions for analysis of blood and feces.
  3. If the patient is a woman, he gives her a referral for a gynecological examination.

If necessary, the doctor recommends an examination by specialists of a narrow profile.

Home treatment

You can get rid of the unpleasant chas in the buttocks and between them with the help of traditional medicine. There are several effective recipes:

  1. Vegetable oil should be rubbed into the affected skin, then washed off with chamomile tincture.
  2. Pour boiling water over dry nettle leaves and leave for a couple of days. It should be applied to the affected skin several times a day.
  3. 1 kg of barley is poured with water and boiled for about 3-4 hours. The skin is washed with a ready-made product.
  4. Chamomile and bay leaves must first be mixed, then covered with boiling water. The medicine is considered ready in 3 hours. It is applied to the skin before bed.
  5. Onion compress is recommended if there are wounds on the skin and there is a possibility of infection.To prepare the product, you need to grate one medium onion and mix it with 10 ml of burdock oil. The compress is applied to the affected area for half an hour.
  6. You can prepare a decoction from the string, which is used to steam the buttocks.

Conservative treatment

The following medications will help cure irritation on the buttocks or get rid of itching:

  • “Uniderm” – eliminates inflammation and redness of the skin;
  • Bepanten cream – restores the skin;
  • “Traumeel” – effectively relieves irritation and promotes rapid skin regeneration;
  • “Fenistil” – relieves redness and irritation, and also minimizes the risk of developing other negative symptoms.If the main problem is itching, then it is better to use drops of this drug;
  • ointment “Bamipin-Ratiopharm” – rubbed into the skin until it dries;
  • Radevit ointment – is prescribed if the symptoms disturb: burning, itching and irritation.

Preventive measures

In order not to disturb the unpleasant itching between the buttocks, you should follow the mandatory rules:

  1. Observe personal hygiene.
  2. After water procedures, use a hypoallergenic moisturizer or lotion.
  3. Give preference to underwear made from natural fabrics.
  4. Iron the washed items.
  5. Food should be rich in vitamins, minerals and trace elements.
  6. Give up addictions that reduce the body’s defenses.
  7. Treat infectious and fungal diseases without delay.
  8. In the event of frequent allergic reactions, seek the help of an immunologist for testing.
  9. Avoid stressful situations and experiences.

By following all the recommendations and leading a correct lifestyle, you can reduce the risk of itching on the butt.

Itching is a symptom that indicates problems of the skin or the body as a whole, therefore, before starting self-treatment, you should consult a doctor to accurately identify the cause and obtain the correct therapy regimen.

90,000 Itching on the buttocks in women and men: the main causes

Itching on the buttocks of an adult is considered a delicate topic with which many are ashamed to go to a specialist.Nevertheless, the skin is an indicator of human health: the occurrence of irritation on it can indicate a variety of problems. In order to eliminate this trouble, you need to know the reasons for its occurrence.

Causes of itching

There are various reasons that cause itching on the butt of an adult, the most common are:

  • Excessive dryness of the skin develops due to the fact that the buttocks do not have sebaceous glands.This part of the body regularly comes into contact with irritants, which are chairs, a sofa. In addition, she does not receive enough oxygen, because she is constantly in contact with underwear, which creates favorable conditions for the development of itching and acne.
  • Physical inactivity often leads to this problem. Usually people with active lifestyles do not have such troubles.
  • If a person’s self-cleaning of the skin is disturbed, then he is often worried about such problems.This is due to the fact that the dead cells do not peel off, but remain on the skin, thereby causing itching.
  • Hormonal disruptions can lead to itchy buttocks in women.
  • Synthetic tight underwear.
  • Allergic reaction to washing powder, detergents.
  • Hypothermia due to sitting on a cold surface.

In addition, this manifestation can develop as an aftereffect of certain diseases, such as:

  • Failures in the functioning of the liver.
  • Endocrine disorders.
  • Damage to the body with helminths, which irritate the passages of the rectum, due to which a person experiences itching simultaneously on both the right and left buttock.
  • Skin diseases.
  • Inflammatory processes that have developed on the external genital organs.
  • Inflammatory process of the rectal mucosa usually develops in spicy food lovers. Also, a similar condition occurs in persons who have been using drugs for a long time.
  • Injury to the anus.
  • Infectious processes affecting the genitals.

The exact cause of the disease can be identified by a dermatologist after an examination.

What not to do

In order not to aggravate the situation, you need to know what to do is not recommended. First of all, you should not self-medicate and buy medicines, guided by the recommendation of a pharmacist at a pharmacy.Since improperly prescribed treatment can cause an allergic reaction, thereby exacerbating the person’s condition. In addition, it is not necessary to squeeze out acne on the priest, as this is fraught with infection and the development of secondary infection of the skin. If a pimple interferes with contact with the surface, itches, then you can disinfect it and pierce it with a sterile needle. Then treat with alcohol and apply a patch and ointment.

First aid

In order to get rid of rashes and itching, you need to visit a dermatologist.A specialist can make the correct diagnosis by determining the nature of the disease. However, before visiting a doctor, the following recommendations will help alleviate the condition:

  • Use the shower at least 2 times a day, using baby soap. During an exacerbation, it is forbidden to use washcloths, scrubs. After the procedure, the skin should be treated with cotton wool soaked in calendula tincture.
  • Also, after showering, you can apply Fukortsil to the skin with a cotton pad.Before going to bed, you should lubricate the skin with Skinoren.
  • Bath, sauna, solarium will help to alleviate the well-being.
  • Women are advised to give up thongs, they literally start to pour on the skin.
  • It is best to use natural swimming trunks as underwear.
  • If the patient has a sedentary work, then every 30 minutes you need to do small warm-ups, which is useful for improving blood circulation.
  • To dry the rash, it is recommended to lubricate the rash with iodine.
  • If the body starts to itch, then sitz baths with a decoction of herbs such as chamomile, string, celandine will help to relieve the state of health.

Treatment of itching

Itching on the buttocks and buttocks is a rather unpleasant symptom that requires medical attention. Usually, in order to cure the pathology, an integrated approach is required, which also consists of drug therapy. First of all, it is necessary to take antihistamines that relieve the allergic nature of the disease, also eliminate itching, swelling, and rash.If the pathology does not have a pronounced clinical picture, then usually this method is enough to relieve itching and rash, provided that the cause that caused the discomfort is eliminated. Most often, for these purposes, the appointment of Suprastin, Fenistil, Zodak is required.

At an uncomplicated stage, the use of non-hormonal local agents is recommended, which include zinc ointment, Bepanten, Baziron, Miramistin. They eliminate irritation, relieve itching, swelling, get rid of microorganisms while not drying the skin and nourishing it.You can dry the rash with salicylic ointment before applying the ointments for 1 hour. It must be remembered that all ointments must be applied to previously cleansed skin. On the first day of the appearance of the rash, you can treat it with an iodine solution.

If the itching and rash on the buttocks bother for a long time, then the doctor may prescribe hormonal ointments that perfectly relieve inflammation. For these purposes, the doctor recommends the use of Fucicort, Akriderma, Advantant.

Also, in order to calm the patient from itching, it is recommended to take sedatives that will help put the nervous system in order.Most often it is Novopassit, motherwort tincture, Valerian. To completely eliminate the symptoms, you need to undergo a complete examination of the body, perhaps the reasons lie in the functioning of the internal organs. Then, in order to prevent the occurrence of itching in the future, therapy of the underlying disease will be necessary.

Methods of treatment with alternative methods

Traditional medicine often comes to the aid of people suffering from itching on the buttocks. However, it is necessary to consult with your doctor before using it, so as not to worsen the general condition.Washing with bay leaves, lemon balm, mint, chamomile will help eliminate irritation, soothe the skin. Mix all components in equal proportions. Take 1 table. lies. the resulting collection, pour 1 liter of boiling water. Barley will also help remove irritation: it soothes itching well, eliminates rashes, and nourishes the skin. For a healing product, pour ½ kg of flax seeds, pour 2 liters of water and simmer over low heat for 1.5 hours.

If the body itches, a nettle leaf will help get rid of the itching.Dry grass is poured with boiling water and infused for 48 days, after this washing it is necessary to wash the skin with clean water.

Soda has long been known for its antipruritic properties. It can be used as compresses and baths. Together with the methods that are used topically, it is recommended to take soothing herbs such as lemon balm, mint, motherwort.

Diet for itching on the buttocks

Treatment of itching will not give the expected result without adherence to special nutrition.The diet should be regulated by the attending physician, depending on the cause of the skin irritation. Usually, the diet consists of foods with a reduced amount of protein, as well as hypoallergenic foods. Permitted products include cereals, pasta, lean meats and fish, fermented milk products, offal, fresh vegetables and non-red fruits. To restore the vitamin balance will help compotes, rosehip broth. The restoration of the acid-base balance, the elimination of toxins from the body is facilitated by mineral water with released gases.

It is necessary to limit or completely stop the intake of foods that cause an allergic reaction, these include: nuts, chocolate, coffee, citrus fruits, ginger, red fruits and vegetables. It is necessary to exclude the use of smoked meats, fried, pickled, salty, sweet dishes, since often itching on the pope develops due to problems with the functioning of the intestines.

Prevention of itching on the bottom

As you know, it is better to prevent a disease than to cure it later, the same applies to itching.Simple rules will help prevent irritation on the skin.

  • it is necessary to make a choice of linen in favor of natural;
  • when sedentary work, you need to do a warm-up every 30 minutes;
  • A bath with a birch broom gives a good effect;
  • in case of excessive sweating, it is recommended to use baby powder;
  • Do not wear tight clothes;
  • at least 1 time a week you need to use scrubs that will help clear clogged pores;
  • If you frequently sit on a hard surface, you should use a soft cushion to soften the contact.

Such a nuisance as itching on the buttocks causes a lot of discomfort, in order to get rid of it, you need to contact a specialist and follow his recommendations.

90,000 Why does a rash appear on the buttocks: 11 possible causes

The rash is unpleasant anywhere. But painful blisters on the fifth point are a separate kind of suffering.

Even because of one inflamed pimple it hurts to sit. The rash rubs against clothing, sometimes itches, sometimes flakes. Why is this happening, says healthline.com.

Red circle with a lighter scaly rim

Probably a fungus. Lichen fungus can affect different areas of the skin, and he especially likes warm, humid environments. Therefore, after summer training in people prone to such rashes, the chances of seeing lichen on the buttocks increase.

Flat redness around of the anus , which is very itchy

This is what lichen sclerosis looks like – an autoimmune disease.This means that the immune system has attacked the skin in the area where hair follicles and sweat glands are present. The top layer becomes thinner – and severe itching appears.

Red, dryish cones, rough to the touch

Most likely, it is hair keratosis. A relatively harmless phenomenon: excess skin grows over the area where the hair follicle “sits”. The same rash can appear on the back of the arms and thighs.

Burning, painful blisters

Very similar to herpes.It “sits” not only on the lips and genitals, buttocks are also a favorite place of the virus. If the immune system is weakened, then the “hidden” pathogen will manifest itself in all its glory.

Very severe itching around the gluteal cleft

Can talk about the presence in the intestines of pinworms – specific worms that lay their eggs in the skin folds of the anus.

Red painful pimples

Folliculitis is a “classic of the genre”. The most common type of rash is on the buttocks.It is an infection of the hair follicles. If you wash your skin thoroughly with soap, the rash will go away.

Purulent itchy pimples

Yeast infections settle not only on the mucous membranes of the genital organs. They are able to multiply on the skin folds of the buttocks, form inflamed areas there.

Scaly plaques between the buttocks

There is a possibility that it is psoriasis. Psoriasis eruptions in such patients can be seen on the elbows and knees.

Spotted itchy rash with small bumps

This is an inflammation of the skin called eczema. Microcracks bring even more discomfort due to friction against linen, toilet paper.

Small itchy bumps

When the sweat channels are blocked, prickly heat occurs – the so-called heat rash. Often, sweat flakes appear under tight clothing.

M rash red rash with fuzzy borders

This is a possible sign of oncology – T-cell lymphoma.It is often mistaken for eczema or dry skin. But it may turn out that these are abnormal immune cells – lymphocytes.

No matter how the rash looks, you do not need to diagnose yourself and look for treatment on the Internet. Only a doctor will be able to understand why the skin on the buttocks suffers, and choose the right treatment.

Earlier, Yellmed talked about the danger of the protracted course of COVID-19.

90,000 Itchy buttocks left and right without rashes and spots

A problem like itchy buttocks is a very delicate issue.Many of those who have encountered this phenomenon are embarrassed to talk about it, seek help from a doctor. But the cause of the itching can speak of rather serious problems or diseases. So why does one or both of the buttocks itch sometimes? How to get rid of this annoying misfortune?

What folk beliefs say

Buttocks itch

There are many popular signs about what this or that half of the priests itch. It is believed that this speaks of some upcoming event.The gender of the owner of the itchy buttocks is also important, his marital status:

  1. A sign if the bride’s buttock itches. Left – there will be many children in the marriage, right – you should get to know the groom well before marrying him: he may have problems with alcohol.
  2. Sign for a free woman (girl). If one of the buttocks itches, this may indicate: the left one is about an upcoming date with an interesting young man (man), about a beneficial period for marriage.It is believed that if you knock on the window pane during the itching and say the name of a man, then he will have a significant impact on the fate of the lady. The right one – about unpleasant news, vain vanity, unfavorable resolution of some business, excessive expenses, gossip, quarrels due to jealousy. During this period, you should not borrow money, buy expensive things.
  3. Sign for a married lady. Why does the left buttock itch? To a new surge of feelings and romantic relationships between spouses, the transition of marriage to a new stage.Why does the right itch? Bad news, a visit from an unpleasant person.
  4. Sign for a free man. If one of the buttocks itches, this means: the left one – heavy loads are expected at work. But if the work is done well, the management will notice and appreciate it. It is necessary to plunge headlong into working days. Why does the right itch? To trouble in the service. Do not argue with your superiors, so as not to be fired, transferred to a lower position. If you are planning a business trip, try to avoid it.Monetary damage is possible. Don’t buy lottery tickets, don’t gamble.
  5. Sign for a married man. The left half of the priests, like married women, itch to a new outburst of feelings in marriage. And why does the right buttock itch? Besides that of unmarried men.

If both buttocks itch, then for free men and women this means: slight itching – for fun, strong – for problems. For married men – to difficulties both at work and in the family, for married women – to routine, useless vanity, the arrival of multiple relatives.

What is causing this

The most common causes of itching are:

  1. Itching in the buttocks

    The minimum number of sebaceous glands. Due to the fact that sebum is practically not produced in this part of the body, the skin becomes dry in autumn. And since there is constant friction of the priests against various objects and things (chairs, clothes), this leads to skin irritation. The lack of sebum can explain why often itching, rashes on the bottom in the form of red spots occur without the appearance of acne.Acne breakouts can be triggered by insufficient oxygen supply and wearing synthetic underwear.

  2. Decreased physical activity. Often people who lead a sedentary life suffer from itching in the area of ​​the “fifth point”, as they sit most of the time.
  3. Accumulation of dead cells on the skin. Usually, the skin is capable of self-cleaning, getting rid of exfoliated particles. Due to the almost constant wearing of underwear, this does not always happen on the bottom, which is why itching occurs.
  4. Hypothermia, overheating. Cold leads to dryness of the skin. It becomes tight. In the heat, sweating increases, diaper rash occurs.
  5. Allergic reaction. Itching and staining can be caused by allergies to hygiene products, soap, and the fabric from which the underwear is sewn. Long-term use of steroids or antibiotics can lead to it.
  6. Various diseases and injuries. The butt can itch due to hormonal disruptions in women, abnormalities in the liver and endocrine system, skin and sexually transmitted diseases, skin infections, inflammation of the skin, external genital organs, rectal mucosa, weakened immunity, trauma to the anus.Sometimes both halves of the priests can itch severely with helminthic invasion.

Information: It happens that a spot that appears on the buttock itches, moreover, strongly, but without pain. Cracks and scales appear. This could be a symptom of psoriasis.

A dermatologist will be able to make the correct diagnosis after the necessary research.

What causes intergluteal itching

Intergluteal itching

In addition to the fact that sometimes one or both halves of the priests itch, there are cases when it itches between the buttocks.Like the first option, venereal diseases or helminth lesions can serve as a basis for this, other diseases are not excluded: inflammation of external hemorrhoids, proctitis, erythrasma, vulvatovaginitis in girls or elderly women, vesiculitis and prostatitis in men, inguinal-anal epidermophytosis.

Sometimes bloody discharge joins the itching between the buttocks. This may indicate cracks or tears of the rectum. This happens with repeated difficulty in defecation (constipation).

Attention: itching between the two buttocks can manifest itself in the early stage of diabetes mellitus.

Drug treatment and alternative methods

Treatment is usually complex and includes:

  1. the use of antihistamines that can relieve itching and blemishes when the clinical picture is not expressed;
  2. the use of non-hormonal ointments that relieve itching, swelling, red spots in an uncomplicated stage;
  3. the use of hormonal ointments that relieve inflammation in the case of a prolonged course of the disease;
  4. Carrying out drug therapy aimed at curing the underlying disease of internal organs, if the examination shows that it is it that provokes itching, redness, peeling, swelling.

Advice: since itching of the buttocks negatively affects the psychological state of a person, doctors recommend taking sedatives along with treatment.

Bathing

As traditional methods of treating itching, it is recommended to take baths or apply compresses with soda to the affected areas. Why might this help? Soda is known for its antipruritic properties. You can try washing with mint, lemon balm, laurel and chamomile, taken 1 tablespoon per 1 liter of boiling water.This method can relieve irritation. Before using folk recipes, it is imperative to consult a dermatologist!

Observe the rules of hygiene, wear underwear made from natural materials, take breaks – warm-ups in sedentary work every half hour, eat right, and you will minimize the risk of a very unpleasant problem when itching, and in other cases peeling, turning red or swelling of the buttocks. Already faced with this nuisance? Do not risk your health, do not self-medicate – seek help from a medical institution.

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90,000 Anal itching – which doctor to contact

Definition of the disease. Causes of the disease

Anal itching – (Latin pruritus ani) – a disease characterized by prolonged itching in the anus and perianal region. Itching in the anus is a delicate problem, often the patient is ashamed of his condition and avoids going to the doctor. Nevertheless, such manifestations may indicate a serious illness, but before you “suspect” you have any problems with the rectum, it is worthwhile to figure out what causes it more often.


Causes of itching in the anus

  • Worm infestations . With ascariasis or infection with other types of helminths, burning and itching occurs after bowel movement. Itching in the anus at night is a symptom of pinworm infestation, they lay eggs in the rectal area, which causes irritation. With giardiasis in children and adults, diarrhea often occurs, leading to inflammation of the skin. In addition, giardiasis is accompanied by a rash in the perineal region, which provokes an itching sensation.
  • State of dysbiosis . Dysbacteriosis of the intestine, caused by a violation of microflora, accompanied by diarrhea and / or constipation, leads to unpleasant sensations of irritation and itching in the anus.
  • Diseases and infections of the genitourinary system. Prostatitis and urethritis in men and gynecological pathologies in women, any genital infections (herpes types I and II, gonorrhea, chlamydia, trichomoniasis, human papillomavirus). Often itching in women is a sign of candidiasis (thrush).The most common dermatitis at my appointment is genital herpes. In some cases, anal itching is one of the manifestations of a common sexually transmitted disease – syphilis!
  • Skin diseases. Psoriasis, dermatitis of various origins, seborrheic eczema, lichen planus.
  • Hygiene violations . Itching in the anal area can be provoked by the use of rough toilet paper with the addition of various dyes and fragrances, insufficient hygiene of the perineal area, the inability to take a shower for several days; for women – the use of pads (including daily ones), tampons.Skin irritation can be caused by tight synthetic garments with rough seams or improperly sized garments. Itching leads to scratching of the affected area and the formation of microcracks, through which pathogenic bacteria enter the body that can cause serious infections and dermatitis.
  • Diabetes mellitus, pathology of internal organs. One of the symptoms of diabetes mellitus may be persistent itching in the anal area. The same discomfort can occur with lesions of the liver, pancreas, biliary dyskinesia, gastritis, gout, vitamin deficiency, infectious hepatitis, intoxication, and oncological pathology.
  • Obesity . Overweight patients often suffer from increased sweating, resulting in diaper rash and irritation in the perineal region, leading to itching.
  • Allergic manifestations . Allergic reactions can occur to food, alcohol, medicines, hygiene products, fabrics, blooms, etc. Itching in the anus is often a side effect of allergies.
  • Rectum pathologies. Internal or external hemorrhoids, genital warts, anal fimbria. If the onset of itching is accompanied by pain and bloody discharge, the cause of this is most often rectal fissures, anorectal fistulas and poips. The most serious factors that provoke itching are chronic proctosigmoiditis and malignant tumors of the rectum.
  • Neurogenic abnormalities, obsessive-compulsive disorder , the so-called “psychosomatics”. Stress, anxiety-depressive states lead to a weakening of the body, the skin becomes overly sensitive.Mental illness can manifest itself in an obsessive desire for cleanliness, constant treatment of the anus with soap and water, which leads to dryness and irritation of the skin and deprives the mucous membranes of their natural protective film. The neurogenic (nervous) nature of itching is often found in patients with exudative diathesis and neurodermatitis. In this case, the itching is so strong that the patient scratches the anus until there is blood, which is accompanied by burning and redness of the skin.

Risk factors

  • Risk factors include the use of spicy, salty foods, condiments and alcohol.It is undesirable to use hygienic alcohol-containing napkins, which greatly dry the skin in the perianal area.
  • Anal itching can be caused by working in hot and dusty rooms, accompanied by harmful effects of mercury vapor, tobacco dust, lead, sulfur or other chemicals.
  • The cause of itching in the anus can be diseases of the stomach and intestinal tract: ulcers, hypo- and hyperacid gastritis, polyposis, dysbiosis, colitis, dyskinesia.
  • Itching in the anus can be caused by pharmacological agents – drugs for hemorrhoids (suppositories, ointments and gels) and vaginal suppositories for contraception.
  • Sometimes in women, itching appears during menopause, when there is a natural decrease in the synthesis of sex hormones – estrogens. Hormonal imbalance leads to disruption of the vaginal microbiocenosis and excessive dryness.
  • Important! In women, anogenital pruritus of unexplained genesis is sometimes found. A distinctive feature of this symptom is the absence of damage to the skin and mucous membranes.

Disease symptoms

Itching in the anal area is usually the patient’s only complaint.It can occur during the day, in the evening, at night and can contribute to insomnia. With a long course of the disease, the skin around the anus becomes covered with scratches and abrasions, turns red, coarsens or becomes thinner over time and becomes easily damaged. Deep, pronounced scratching can become infected – at this time, white blooms (which indicates the addition of a fungal infection) or multiple ulcers with discharge up to purulent (bacterial infection) may appear. Prolonged anal itching leads to severe scratching, can contribute to eczema, ulceration and bleeding.

I carried out statistics for 1.5 years of admission of patients to LLC “MMTs” URO-PRO “- taken in 2017 and 2018 – a total of 40 people complained of itching, including: genital herpes – 27 people, perianal dermatitis – 7 patients, anal fissures – 4 patients, chronic hemorrhoids (with perianal dermatitis) – 2 patients.

Total: out of 40 patients, 6 patients needed treatment by a proctologist, 36 patients were referred for consultation and further treatment to a dermatologist. This statistics suggests that if you have a symptom – itching – you do not need to immediately panic and urgently make an appointment with a proctologist, first you need to calm down and analyze your complaints.


So if:

  • You only have itching and nothing else bothers you, itching occurs during the day, regardless of the chair, then you should see a dermatologist. If the dermatologist deems it necessary, he will send you for additional examination to specialists – to the proctologist as well.
  • If you have itching, rashes (pimples, papules, redness), dampness, moisture outside near the anus, in the perineum and / or between the buttocks – you also see a dermatologist – these are clear signs of dermatitis.
  • If you have itching, growth of “warts”, dampness (it may not be) – you should see a proctologist, most likely, it may be genital warts.
  • If you have itching, bleeding, pain in the anus – then yes, you urgently need to make an appointment with a proctologist, as these are signs of anal fissure or hemorrhoids. Treatment directly depends on the factors and / or underlying disease causing anal itching.
  • If itching is accompanied by upset stools, flatulence, abdominal pain, it is better to consult a gastroenterologist to rule out intestinal diseases.
  • If itching bothers you periodically for 2-4 days at night, it is better to also visit a gastroenterologist – this itching may be associated with the life cycle of parasites.

Author: Coloproctologist Olga Ovchinnikova.

Anal itching

Anal itching is a condition characterized by severe itching in the anal area. Quite often, the pathology also extends to the external genital organs. As a rule, it develops in middle and old age, with a predominant lesion of males (according to medical statistics, it occurs in men 4 times more often than in women).

In medical practice, it is customary to distinguish between primary and secondary anal itching. Primary, or true, is quite rare, doctors cannot reliably establish the causes of its occurrence. Secondary is more common. As a rule, it is one of the main manifestations of some other disease.

The emergence of secondary pathology is most often due to the following reasons:

various diseases of the rectum and anus (hemorrhoids, anal fissure, paraproctitis, etc.))

excessive or, conversely, insufficient hygiene of the anus

presence of helminths

fungal or bacterial skin lesions in the buttocks

dermatological problems (psoriasis, lichen, dermatitis, eczema, etc.)

endocrine disorders (sugar diabetes)

warm and humid environmental conditions (tropical climate, wearing tight clothes, excessive sweating, etc.)

In addition, itching can occur as an allergic reaction to various foods (coffee, chocolate, spices, alcoholic beverages, etc.).), medicines (especially antibiotics) and cosmetics (soap, cream, etc.).

It is also advisable to distinguish between acute and chronic forms of pathology. Acute anal itching is characterized by a sudden onset and significant intensive development. At the same time, the constancy of manifestation of clinical signs of this condition is noted. In addition to the itching itself, patients often note symptoms such as: redness and sloughing of the skin in the anus, their moisture, the presence of constant scratching and abrasions, sleep disturbances and disabilities, depression.The chronic form of this condition, in contrast to the acute one, proceeds in waves: periods of relative calm are replaced by exacerbations of symptoms. The skin is most often very thinned, characterized by excessive dryness, and depigmentation. There are no bleeding scratches, however, there are thin linear abrasions located in a circle and resembling wheel spokes.

How people with neuropathic pain live – The Village

Sergey,

63 years old

In March 2012, I got up to go to work (I was an electric locks installer), tried to raise my hand – and could not.The legs did not obey either. My wife called an ambulance, and I was taken to the hospital with a stroke. I lay there for over a month. When I was discharged, I was given the first group of disabilities. I was 59 years old, half a year remained before retirement age. The left leg and arm still do not obey me.
Three months after discharge, strange pains began. It’s as if needles are injected all over the leg, then coldness in the hands, which does not go away, even if you apply a bottle of hot water. That feeling in the thigh, as if I were lying on hot stones.Then the muscles in the leg and back twist, like underwear after washing. It starts as soon as I wake up and move, and continues all day.
I had a book called Life After a Stroke, and I read there that this pain is called neuropathic pain. The neurologist confirmed that this is the case. Then a long history of pain treatment began, the cause of which was a lesion in the thalamus. I underwent a long course of therapy with strong pain relievers. When I drank the pill for the first time, after 20 minutes the pain seemed to be gone, there was a feeling that it was somewhere far away.The effect lasted all day.
Now, when I drink the pain reliever, I have to wait several hours for the effect: recently I had an attack of severe pain at 11 pm, I took a pill, and it only helped in the morning.
Last summer I had an operation: they put a stimulator in the spine – it has an antenna, and I use the remote control to turn it on, turn it off and change the frequency of the current. Immediately after the operation, it became better: when I returned home, I even walked around the apartment without a cane. Then I got sick and had to reconfigure the devices several times.Now I leave the stimulant on all day and take the pill every three to four days. The pain has not gone away, but I can tolerate it.
I manage to sleep with sleeping pills, and during the day I try to distract myself – I watch TV, solve scanwords, or sit at the computer, although my legs are numb behind it. Attention switches, but the pain in the background does not subside. If nothing changes, then next summer I will have another operation – they will implant a chip in the thalamus to stimulate the brain directly.

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