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Why does my anis itch. Anal Itching: Causes, Treatments, and Home Remedies for Relief

by alexxlab

What causes anal itching. How to treat anal itching at home. When to see a doctor for persistent anal itch. What medical conditions can lead to pruritus ani. How to prevent recurrence of anal itching.

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Understanding Anal Itching: An Overview of Pruritus Ani

Anal itching, medically known as pruritus ani, is a common condition characterized by an intense urge to scratch the skin around the anus. While often embarrassing to discuss, this irritating problem affects many people and can significantly impact quality of life if left untreated.

Pruritus ani can be classified into two main types:

  • Primary (idiopathic) pruritus ani: This is the most common form, accounting for 50-90% of cases. It has no identifiable underlying cause.
  • Secondary pruritus ani: This type is caused by an underlying condition such as an infection, skin disorder, or systemic disease.

Studies estimate that 1-5% of the population experiences anal itching, with men being about 4 times more likely to be affected than women. Understanding the causes, symptoms, and treatment options for pruritus ani is crucial for finding relief and preventing recurrence.

Common Causes of Anal Itching: From Irritants to Medical Conditions

Anal itching can stem from various factors, ranging from simple irritation to more complex medical issues. Identifying the root cause is essential for effective treatment. Some common causes include:

1. Irritants and Hygiene Practices

Improper hygiene or the use of harsh products can lead to irritation and itching in the anal area. Common culprits include:

  • Harsh soaps or cleansers
  • Scented toilet paper or wet wipes
  • Excessive cleaning or scrubbing of the area
  • Insufficient cleaning, leaving residual fecal matter
  • Use of perfumed powders, lotions, or creams in the anal region

2. Skin Conditions

Various dermatological issues can cause or exacerbate anal itching:

  • Contact dermatitis
  • Psoriasis
  • Eczema
  • Seborrheic dermatitis

3. Infections

Both bacterial and fungal infections can lead to anal itching:

  • Yeast infections (Candida)
  • Sexually transmitted infections
  • Pinworm infections

4. Medical Conditions

Certain systemic diseases and localized conditions can contribute to anal itching:

  • Hemorrhoids
  • Anal fissures
  • Diabetes
  • Thyroid disorders
  • Inflammatory bowel disease

5. Dietary Factors

Certain foods and beverages may trigger or worsen anal itching in some individuals:

  • Spicy foods
  • Citrus fruits
  • Tomatoes
  • Coffee
  • Chocolate
  • Alcohol

Can dietary changes help alleviate anal itching? In some cases, yes. Keeping a food diary and eliminating potential trigger foods may help identify and avoid items that exacerbate symptoms.

Recognizing the Symptoms: When Anal Itching Becomes a Concern

While occasional mild itching in the anal area is common, persistent or severe symptoms may indicate a more serious underlying condition. Key symptoms to watch for include:

  • Intense itching, particularly at night or after bowel movements
  • Burning or soreness in the anal area
  • Redness or inflammation of the skin around the anus
  • Thickened or scaly skin in the affected area
  • Bleeding or discharge from the anus
  • Pain during bowel movements

Is anal itching always a sign of a serious problem? Not necessarily. Many cases of pruritus ani are benign and can be managed with simple home remedies and lifestyle changes. However, persistent or severe symptoms warrant medical attention to rule out underlying conditions and prevent complications.

Diagnosing Pruritus Ani: What to Expect at the Doctor’s Office

If you’re experiencing persistent anal itching, seeking medical advice is crucial for proper diagnosis and treatment. During your appointment, your healthcare provider may:

  1. Take a detailed medical history, including questions about your symptoms, hygiene practices, and dietary habits
  2. Perform a physical examination of the anal area
  3. Conduct tests to rule out infections or other underlying conditions, such as:
    • Skin scrapings or swabs for fungal or bacterial cultures
    • Stool samples to check for parasites
    • Blood tests to assess for systemic diseases like diabetes
  4. In some cases, recommend a colonoscopy or anoscopy to examine the rectum and lower colon

How long does it typically take to diagnose the cause of anal itching? The time frame can vary depending on the complexity of the case and the tests required. Some causes may be identified during the initial examination, while others might require follow-up appointments and additional testing.

Effective Treatment Options for Anal Itching

Treatment for pruritus ani depends on the underlying cause and severity of symptoms. A comprehensive approach often involves a combination of medical interventions and lifestyle modifications:

1. Topical Treatments

  • Over-the-counter hydrocortisone creams (for short-term use)
  • Prescription-strength corticosteroid creams for more severe cases
  • Antifungal creams for yeast infections
  • Antibiotic ointments for bacterial infections
  • Capsaicin cream to reduce nerve sensation and itching

2. Oral Medications

  • Antihistamines to reduce itching and improve sleep
  • Oral antifungal medications for persistent yeast infections
  • Antibiotics for bacterial infections

3. Lifestyle Modifications

  • Improved anal hygiene practices
  • Dietary changes to avoid trigger foods
  • Wearing loose-fitting, breathable underwear
  • Using unscented, hypoallergenic products for cleaning

4. Treatment of Underlying Conditions

Addressing any underlying medical issues, such as hemorrhoids, diabetes, or thyroid disorders, is crucial for long-term relief.

How quickly can one expect relief from anal itching with proper treatment? While some people may experience improvement within a few days of starting treatment, others may require several weeks of consistent therapy for significant relief. Patience and adherence to the treatment plan are key.

Home Remedies and Self-Care Strategies for Anal Itching Relief

In addition to medical treatments, several home remedies and self-care practices can help alleviate anal itching:

  1. Sitz baths: Soaking the anal area in warm water for 10-15 minutes, 2-3 times daily, can help soothe irritation and reduce itching.
  2. Cold compresses: Applying a cold, damp cloth to the area can provide temporary relief from itching and burning sensations.
  3. Proper wiping technique: Use soft, unscented toilet paper and wipe gently from front to back to avoid spreading bacteria.
  4. Avoid scratching: While tempting, scratching can further damage the skin and worsen symptoms. Try patting the area instead.
  5. Wear cotton underwear: Breathable fabrics help keep the area dry and reduce moisture buildup.
  6. Use fragrance-free products: Opt for hypoallergenic soaps, detergents, and toilet paper to minimize irritation.
  7. Apply barrier creams: Zinc oxide or petroleum jelly can help protect the skin from moisture and irritation.

Do natural remedies like apple cider vinegar or coconut oil help with anal itching? While some people report benefits from these natural remedies, scientific evidence supporting their effectiveness is limited. It’s best to consult with a healthcare provider before trying any alternative treatments.

Prevention Strategies: Keeping Anal Itching at Bay

Preventing recurrence of anal itching involves maintaining good hygiene practices and addressing potential triggers. Here are some effective prevention strategies:

  • Keep the anal area clean and dry
  • Avoid using soap directly on the anus; rinse with warm water instead
  • Pat the area dry gently after washing or bowel movements
  • Wear loose-fitting, breathable clothing
  • Change out of wet or sweaty clothes promptly
  • Maintain a healthy diet rich in fiber to promote regular bowel movements
  • Stay hydrated to prevent constipation
  • Avoid known dietary triggers
  • Manage stress levels, as stress can exacerbate itching in some individuals

Is it possible to completely prevent anal itching? While it may not be possible to eliminate all risk factors, adopting these preventive measures can significantly reduce the likelihood of experiencing persistent anal itching.

When to Seek Medical Attention: Red Flags for Anal Itching

While many cases of anal itching can be managed at home, certain symptoms warrant prompt medical attention. Consult a healthcare provider if you experience:

  • Persistent itching that doesn’t improve with over-the-counter treatments
  • Severe pain or burning in the anal area
  • Bleeding from the anus or blood in the stool
  • Signs of infection, such as fever or pus discharge
  • Changes in bowel habits or stool consistency
  • Unexplained weight loss
  • Itching accompanied by other systemic symptoms

Should you see a specialist for anal itching? If your primary care physician is unable to diagnose or effectively treat your symptoms, they may refer you to a dermatologist or colorectal specialist for further evaluation and management.

Anal itching, while common and often benign, can significantly impact quality of life if left untreated. By understanding the causes, recognizing symptoms, and implementing appropriate treatment and prevention strategies, most people can find relief from this uncomfortable condition. Remember, persistent or severe symptoms should always be evaluated by a healthcare professional to rule out underlying medical conditions and ensure proper management.

Anal itching – Symptoms and causes

Overview

Anal itching is a common condition. The itch, situated in or around your anus, is often intense and may be accompanied by a strong urge to scratch. You may find anal itching to be embarrassing and uncomfortable.

Also called pruritus ani (proo-RIE-tus A-nie), anal itching has many possible causes, such as skin problems, hemorrhoids, and washing too much or not enough.

If anal itching is persistent, talk with your doctor. With proper treatment and self-care, most people get complete relief from anal itching.

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Symptoms

Anal itching may be associated with redness, burning and soreness. The itching and irritation may be temporary or more persistent, depending on the cause.

When to see a doctor

Most anal itching doesn’t require medical care. See your doctor if:

  • Anal itching is severe or persistent
  • You have anal bleeding or stool leakage
  • The anal area seems to be infected
  • You can’t figure out what’s causing a persistent itch

Persistent anal itching may be related to a skin condition or other health problem that requires medical treatment.

Causes

Sometimes the cause of anal itching isn’t identifiable. Possible causes of anal itching include:

  • Irritants. Fecal incontinence and long-term (chronic) diarrhea can irritate the skin. Or your skin care routine may include products or behaviors that irritate the skin, such as using harsh soaps or moist wipes and washing too aggressively.
  • Infections. These include sexually transmitted infections, pinworms, and yeast infections.
  • Skin conditions. Sometimes anal itching is the result of a specific skin condition, such as psoriasis or contact dermatitis.
  • Other medical conditions. These include diabetes, thyroid disease, hemorrhoids, anal tumors.


Sept. 15, 2020

Show references

  1. Breen E, et al. Approach to the patient with anal pruritus. https://www.uptodate.com/contents/search. Accessed Sept. 5, 2018.
  2. Bope ET, et al. General principles of treatment. In: Conn’s Current Therapy 2018. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Sept. 5, 2018.
  3. AskMayoExpert. Pruritus ani. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
  4. Nasseri Y, et al. Pruritus ani: Diagnosis and treatment. Gastroenterology Clinics of North America. 2013;42:801.

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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.

Why Does My Butt Itch? [Practical information you need]: Lisa A. Perryman, MD, FACS, FASCRS: Colon and Rectal Surgeon

Pruritus Ani is Latin for “itchy anus”, and is a bothersome irritation of the skin around the anus. Numerous factors can cause anal itch, and it is treatable. Factors that can put you more at risk include dietary factors, fecal matter on underwear, diabetes, antibiotic use, skin conditions such as psoriasis and seborrhea, and excessive sweating. It could also be your hemorrhoids itching!
When you scratch, you irritate the skin even more. So, what can you do to stop the embarrassing itchy anus?

Is it what I’m eating? Sure, it may play a role with pruritus ani. Coffee, tea, energy drinks, citrus fruits, spicy food, beer, dairy products, and nuts can contribute. That’s because certain foods can make your stool irritating. Try eliminating one of these at a time for several weeks, and see if it helps.

Is it what I’m using down there? Yes, scented toilet paper, soaps and creams, and detergents can contribute to your problem. Avoid soaps to anal area, use plain white toilet paper, and keep the area dry. Check with your doctor about over-the-counter ointments and creams—the wrong one can make the itch worse!

Is my chronic diarrhea causing the itch? Good question, because stool is very irritating and a common cause of pruritus ani. Keep the area clean—plain water rinses are good—and gently wipe and dry after every bowel movement. Do not scrub, and avoid scratching as much as possible. Cool compresses can be soothing, too.

What other conditions can cause itchy anal itching? Sexually transmitted diseases, fungal and yeast infections, parasites, precancerous lesions, and tumors can be primary to your itching. That’s why it is so important to be examined and treated by a board certified colon & rectal surgeon. Don’t be embarrassed, and please don’t wait!

Contact Dr. Lisa A. Perryman, a board certified colon & rectal surgeon in Denver at (303)840-8822, or request an appointment at www.ColoradoColon.com.

Anal Itch (Pruritus Ani) – Harvard Health

What Is It?

Anal itch, also known as pruritus ani, is an irritating, itchy sensation around the anus (the opening through which stool passes out of the body). Anal itch is a symptom, not an illness, and it can have many different causes. In most cases, a person with anal itch does not have a disease of the anus or rectum. Instead, the itchy sensation is a sign that one or more of the following has irritated the skin in the area: 

  • Stool on the skin around the anal opening — If the anal area isn’t cleaned properly after a bowel movement, a small amount of stool may be left behind on the skin, causing the area to itch. Less often, watery stools may leak out of the anal opening and cause itching. This sometimes happens in otherwise healthy people whose diets include very large amounts of liquids. 
  • A diet containing foods or beverages that irritate the anus — A number of foods and drinks can irritate the anus, including  spices and spicy foods, coffee (both caffeinated and decaffeinated), tea, cola, milk, alcoholic beverages (especially beer and wine), chocolate, citrus fruits, vitamin C tablets and tomatoes. Once a person eats or drinks something that can irritate the anus, it usually takes 24 to 36 hours before anal itching begins. That’s the time it takes the food to travel through the digestive tract. 
  • Treatment with antibiotics — Some powerful antibiotics that work against many different bacterial species can trigger anal itch by disturbing the normal ecology of the intestines. These drugs are called broad-spectrum antibiotics, and include tetracyclines and erythromycin (both sold under several brand names). 
  • A local chemical irritation or skin allergy in the anal area — In sensitive people, chemicals and medications that are applied to the anal area can cause local irritation or allergic reactions. Some major culprits include dyes and perfumes used in toilet paper (especially scented toilet paper), feminine hygiene sprays and other deodorants for the area around the anus or genitals, medicated talcum powders, and medicated skin cleansers and soaps, especially perfumed soaps. Anal itch also can be triggered by over-the-counter medications (suppositories, creams, ointments) intended to treat anal problems. 
  • Intense cleaning after a bowel movement — Although the anal area should be cleaned after every bowel movement, this cleaning must be gentle. Aggressive rubbing and scrubbing, especially with soaps or other skin cleansers, can irritate the skin and trigger anal itch. 

Less often, anal itch is a symptom of some illness or condition that either affects the anal area alone, or involves larger areas of the digestive tract or skin. Some examples include: 

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Why Does My Anus Itch?

There is no end to the amount of embarrassment gastrointestinal problems can cause. Of all these, a problem at the end of your GI tract is among the most annoying. Other digestive issues can cause smells and noises and rushes to the bathroom, but there is nothing quite like being stuck in public and needing to deal with an itchy anus. 

What is Anal Itching?

Itchy anus, also known as, pruritus ani, is a fairly common symptom that can be associated with a variety of conditions. In many cases, itching around the perianal area is not dangerous, and you can often treat your condition at home.  

Many different things can lead to itching around the anus. These causes can be as diverse as nothing more than the toilet paper you buy or as serious as rectal bleeding from a tumor in your gastrointestinal tract.  

Only rarely is anal itching a sign of a serious medical condition. Most cases of itchy anus can clear up on their own or with simple home remedies. If you begin seeing large amounts of blood in your stool or in the toilet after you have had a bowel movement, however, something serious could be going on and you should consider getting medical treatment immediately. 

What Causes an Itchy Anus?

The list of causes of anal itching is quite long. Thankfully, many of the common causes of itching around the anus are not dangerous, and can be prevented simply by avoiding certain irritants like spicy food or the wrong kind of toilet paper. It is also possible that improper wiping following a bowel movement can lead to itching.

Friction from wiping with rough toilet paper is enough to cause irritation to the skin in the anal area. Dyes and perfumes present in some toilet paper, soaps, or detergents are also potential sources of irritation if your body develops an allergic reaction to certain chemicals. Allergic dermatitis is the name given to this condition when the skin has become irritated by chemicals your body is reacting to. This can sometimes create additional discomfort if you are using cleansing wipes that contain alcohol, dyes, or perfumes that could be irritating the skin you are trying to care for. 

Various infections and medical conditions can also be at fault. These can vary from common yeast infections to sexually transmitted infections, bacterial infections, and even infections from various parasites such as pinworms.

Skin conditions can cause itching all over the body, and the anus is no exception. A form of eczema known as atopic dermatitis can lead to itching in the anal area, as can psoriasis. Skin tags, which can occur in various places on the body, can trap small quantities of stool or moisture that may produce anal itching. 

Hemorrhoids are usually associated with pain or a burning sensation around your anus, but unpleasant itching can also be a symptom. The swollen blood vessels known as hemorrhoids are not typically dangerous to your health, but they can cause significant discomfort.

Digging a little deeper into the list of problems, we move from skin conditions affecting the outside of your body to conditions inside you. Anal fissures, or small tears in the lining of the rectum and anus, can also lead to serious discomfort and itching. 

More serious medical conditions can also lead to a nasty itch in your shorts. Prolonged bouts of diarrhea can lead to irritation around the anus, partly because they result in the need to wipe more often. Though needing to wipe often is not a serious concern in and of itself, the loss of fluids and nutrients from loose stools can be a problem, especially for older Americans. Fecal incontinence is another potential source of irritation. In this case, your body is no longer able to maintain control over your bowel movements, which can lead to anal leakage and the skin irritation that comes with it.  

Real cause for concern begins to mount as we get to the end of the list of possible causes of anal irritation. Anal tumors, anal cancer, and serious gastrointestinal diseases including colon cancer could possibly result in rectal bleeding and irritation of the perianal area. These conditions are very serious, as advanced cancers in the gastrointestinal tract can prove lethal. With few other symptoms, colon or rectal cancer can often reach a late stage without being diagnosed until blood begins appearing in your stool. 

What Foods Cause Itchy Anus?

Lifestyle and disease factors can possibly result in itching around your anus, but it is possible that the food you eat could contribute as well. Anyone who has eaten too much hot salsa may know the unique pain of a warm reminder the next day after a bowel movement. The same peppers that make spicy food irresistible to eat can cause discomfort and irritation to the skin around your anus. 

Too much spicy food is only one potential dietary cause of anal itchiness. Citrus fruits, tomatoes, caffeinated drinks, dairy products, and even chocolate have been identified as potential irritants. 

Not everyone who is scratching at their shorts is going to have to give up their beloved chocolate bar or much-loved caffeine jolt, but it is possible that you may need to modify your diet if you have a condition such as inflammatory bowel disease or Crohn’s disease.  

How Do I Care For an Itchy Anus?

An itchy bottom is something you certainly don’t want to talk about, and some people may be hesitant to practice good self care of their backsides. There is no reason to be hesitant, though, as simple home remedies can often clear up the underlying cause of your anal itching.

The first thing to do is ensure you are keeping the area around your anus free of excess moisture and other potential irritants. Cleaning the area with warm water and a clean washcloth when you bathe is a start. Ensuring you are keeping the area around your anus dry is the next step. Wearing loose, breathable cotton underwear can help ensure excess moisture does not build up on irritated skin.

Over-the-counter medications are available to help relieve the itching and burning associated with hemorrhoids and other conditions. These creams are applied to the affected area and contain a variety of active ingredients, including hydrocortisone, zinc-oxide, or capsaicin cream. 

If your anal itching proves to be persistent and hard to get rid of, you may need to seek medical advice. Depending on the underlying cause of your condition, your doctor may prescribe an antifungal or antibiotic cream. 

How Can I Prevent an Itchy Anus?

Keeping the area around your anus clean is the best way to make sure you aren’t getting the urge to scratch at your behind. Preventing or treating pruritis ani is often possible by keeping your backside clean and ensuring you are getting everything dry after you bathe. Just be careful to be gentle and not overdo it. It is important to keep things clean down below, but too much cleaning can also irritate the sensitive skin around your anus.

Practicing good hygiene overall will help reduce the possibility of fungal or yeast infections, and managing your diet if you have any known food allergies or digestive conditions like inflammatory bowel disease are all ways to help prevent the need to scratch at your anus. 

Maintaining a good diet and getting enough exercise also helps keep things under control under your beltline. Exercise and proper attention to what you eat can improve overall gastrointestinal health, which can help you avoid diarrhea at one end of the spectrum and excessively hard stool at the other. These conditions can bring about irritation in the form of anal fissures or irritation to the anus from having to wipe too often. 

When to Seek Medical Help

For most people, having a doctor probing around your bottom to find out what is irritating you does not sound like a recipe for a good time. Despite the potential embarrassment and discomfort of getting your rear end inspected, there are some very serious medical conditions that can have anal itching as a symptom. 

If conservative home remedies are not providing relief, and even over-the-counter medication designed to reduce swelling, inflammation, and itching are proving to be ineffective, it is time to seek medical advice. 

Another sign you should seek medical help is the sudden appearance of large quantities of blood in your stool. Small spots of blood on your toilet paper is nothing to be worried about and could be more common if the skin around your anus is irritated. Frequent wiping with rough toilet paper is enough to possibly produce tiny amounts of bleeding. 

A large amount of blood in your stool is another story. This is potentially worrisome if you find blood in your stool over a longer period of time. If there is a noticeable quantity of blood in your feces or in the toilet after you have used the bathroom, it is time to call your doctor. Anal cancer and colorectal cancer can be lethal if they are not caught early enough, and rectal bleeding is a sign that something serious may have gone wrong in your gastrointestinal tract.

At Cary Gastroenterology Associates, we are here to help you understand the difference between a condition that is annoying or potentially embarrassing and one that could be life-threatening. Our focus on and experience in dealing with gastrointestinal disease means we can quickly identify the cause of your discomfort and help you get on the road to healing. 

Many causes of anal itching are not a reason for concern. There are some causes, though, that can be very serious and even life-threatening. In these cases, it is important to have experts by your side. If you are concerned about prolonged itching around your anus that is not responding to treatment, and especially if you are experiencing a large amount of bleeding from your rectum, make an appointment with Cary Gastroenterology Associates today. We can help you sort through the potential causes and point you in the right direction no matter how serious your condition might be. 

Can Anything Stop My Anal Itching?: Betsy F. Clemens, M.D.: Board Certified Physician

The intense itch and urge to scratch makes anal itchiness a difficult symptom to ignore. This may have you searching the internet looking for any remedy or treatment to relieve your discomfort. 

At Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri, we understand how you feel. Dr. Betsy Clemens, our board-certified family physician, specializes in the diagnosis and treatment of anorectal disorders like anal itchiness. 

We want to share some of the things that may stop your anal itching.

About your anal itch

Your anal itch, or what we medically call pruritus ani, is a symptom, not a diagnosis. When you’re searching for something to stop your anal itching, you first need to figure out the underlying cause.

You may develop the irritating, itchy, anal discomfort from a variety of causes. In most cases, the itching occurs because of irritation to the sensitive anal tissue from:

  • Not wiping all the stool away after a bowel movement
  • Consuming foods or drinks that irritate the tissue (spicy foods, alcohol)
  • Using toilet paper that has skin irritants (such as perfume or lotion)
  • Wiping too aggressively after a bowel movement
  • Taking antibiotics

Of course, your anal itchiness may also develop from an underling anorectal condition, such as hemorrhoids, skin tags, or anal fissures. Infections and chronic skin conditions may also cause anal itching. 

Though anal itchiness may be temporary, if the irritation and discomfort aren’t improving, we can help determine the cause and develop a plan to stop it. 

Stopping the anal itching

For immediate relief, over-the-counter (OTC) hydrocortisone or zinc oxide creams, lotions, or gels may help, according to the US National Library of Medicine. If your symptoms are keeping you up at night, an oral antihistamine may do the trick

Doing your best to ignore the urge to scratch may also help stop the irritating sensation. 

For your anorectal condition, we treat the root cause of your symptom to eliminate the discomfort. For hemorrhoids and mild anal fissures, we may suggest adding more fiber and fluids to your diet to help soften stool, or prescribe a stool softener.

We also perform minimally invasive procedures to remove hemorrhoids that don’t respond to lifestyle changes, including infrared coagulation (IRC) treatments for itchy prolapsed hemorrhoids.   

If your anal itching occurs because of a skin condition or a chronic anal fissure, we can refer you to some of the best specialists in the area for help. 

Preventing a recurrence

Once you experience the discomfort of anal itchiness you probably will want to do everything in your power to prevent a recurrence. We recommend you practice good anal hygeine, such as using moist toilet paper to gently wipe or pat away stool after a bowel movement. 

When bathing, don’t use soap to clean the anal tissue: water works just fine. After your bath, gently pat the area dry, and wear cotton underwear and loose-fitted clothing to keep things dry.

Also, avoid foods that may irritate your delicate anal tissue. 

Anal itching is hard to ignore, but resisting the urge to scratch may help stop the itch. If your at-home treatments fail to provide long-term relief, let us help you. 

Contact our office by calling 636-228-3186, or by scheduling an appointment online today.

Is It Normal to Have an Itchy Anus?: Betsy F. Clemens, M.D.: Board Certified Physician

Seemingly everyone experiences an itchy anus from time to time. Your anus is the opening at the bottom of your gastrointestinal tract, where your waste leaves your body as stools or feces. When you have anal itching, the sensation can occur inside or around your anus. In many cases, your symptoms worsen at night and can even interfere with your ability to sleep.

Even though having some anal itching can be normal, your symptoms shouldn’t be severe, persistent, or include:

  • Bleeding
  • Leaking stool
  • Signs of infection
  • No obvious cause 

As an anorectal specialist, Dr. Betsy Clemens brings the most advanced treatments available for issues causing anal itching. Learn what causes an itchy anus and how you can find relief at Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri.

Issues that cause anal itching

Anal itching can develop for several reasons, from skin problems and irritation to medical conditions. 

Skin conditions or infections

Skin conditions like eczema, psoriasis, or contact dermatitis aren’t for your hands, arms, or face alone; they can develop around your anus, too. You can also experience anal itching if you have a yeast infection, sexually transmitted disease, or parasite like pinworms.

Irritation

The sensitive skin around your anus can grow irritated for several reasons. Not only can issues with chronic diarrhea or fecal incontinence affect this area, but you can even develop symptoms from your hygiene practices, especially from using harsh soaps and wipes or washing too vigorously.

Medical conditions

You can also develop anal itching from an underlying medical condition, like thyroid disease, diabetes, and hemorrhoids. Sometimes an itchy anus can also come from an anal tumor.

It’s also possible to have persistent anal itching without an obvious cause.

Treating anal itching

Whether your anal itching is mild or severe, Dr. Clemens can get your symptoms under control to increase your comfort.

First, Dr. Clemens diagnoses the cause of your anal itching by performing a comprehensive exam, discussing your symptoms, and reviewing your personal hygiene and medical history. Based on the cause of your symptoms, she might recommend a combination of treatments to address your specific condition.

Common approaches to managing anal itching include:

  • Not scratching 
  • Using anti-itch creams or skin protectants as directed
  • Gently cleansing the area with plain water or mild soap
  • Avoiding potential irritants, like harsh soaps, moist wipes, or bubble baths
  • Eliminating foods that can cause diarrhea, like coffee, alcohol, and chocolate
  • Increasing your fiber intake to support regular, firm bowel movements
  • Wearing white cotton underwear and avoiding pantyhose or other articles of tight clothing

If hemorrhoids or another medical condition is causing your anal itching, Dr. Clemens can provide specific treatment options or put you in touch with an expert for additional solutions.

To find relief for anal itching, call us at Midwest Hemorrhoid Treatment Center at 636-228-3136 to book your appointment, or send us a message requesting a call back here on our website.

90,000 Nose itches. The meaning of omens for each day of the week

Why does the nose itch? Our body is not in vain giving us certain signals. Experts say that each of them not only corresponds to our inner well-being, but can also predict the near future. According to experts, this is primarily due to the psychological mood and the surrounding energy of space. And he, in turn, gives signals, communicating with us through the subtle
impulses of our consciousness.

So the nose can itch not only because of nerves. And not only for two common reasons among the people – “get in the nose” or “drink”. Everything is much deeper. Experts have even invented the so-called “comb”, which helps predict by days of the week why your nose is bothering you.

Nose itching by days of the week

  • Your nose itched on Monday ? Pay attention to work cases. Problems or unexpected difficulties may arise.
  • If your nose itches on Tuesday ? For fun, good company and guests.
  • Nose itching Wednesday ? For a pleasant surprise or a nice gift.
  • And if your nose itched on Thursday , you will meet a very nice young man or girl. And this acquaintance can easily grow into something more. Or, if you already have a soul mate, wait for an invitation to a date.
  • Nose itching Friday ? It’s time to have fun and relax.Parties and a little alcohol are not forbidden. The main thing is in moderation.
  • Nose combed back on Saturday , be careful with your finances! This sign promises you possible losses, and maybe even theft! Better to refrain from making large purchases.
  • Well, if your nose was combed on Sunday , be careful. You can easily quarrel with loved ones.

It is important which part of your nose itches

  • If it is the tip of the nose , pleasant meetings, fun feasts, great news and good shopping await you.
  • But the itchy nose portends some problems, troubles, quarrels and even ill health of someone close.
  • Itching Right nostril ? Get ready for a promotion and an enjoyable romantic adventure!
  • And if combed the left – on the contrary, listen to your soul mate to avoid a major quarrel. And at work, be especially careful – your bosses are watching you!
  • The same itchy right wing of the nose promises financial success, but the left one – unforeseen expenses and monetary losses.
  • The inner side of the nose itches for financial well-being. But the itch under the nose means a return to the former lover. One will be successful or not – it depends only on you.

Nose itching for men or women

  • For women, itching inside the nose means trouble.
  • Is the right wing of the nose itchy? Get ready! There will be no end to men!
  • Left itch? Your chosen one can deceive you! Be careful!
  • For men, an itchy nose on the right portends a big profit.
  • But the wings of the nose itch for aggression and fights.
  • Well, if the tip of your nose itches, be restrained in relation to alcohol and do not trust random women.

Does your nose itch? Listen to the signals of the body, and suddenly they are the very signs of the Universe, thanks to which you can look into your own future.

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