Materiały źródłowe

• #1 Pruritus Ani (Itchy Bottom) – Causes & treatment | Glasgow Colorectal Centre

  https://colorectalcentre.co.uk/pruritus-ani-itchy-bottom.html

  Pruritus ani means a chronic (persistent) itchy feeling around the anus. It is commonly know as itchy bottom or itchy bum. The main symptom is an irresistible urge to scratch the anus or bottom. […] Chronic itching of the anal area may lead to feelings of embarrassment and both your mood and sleep can be affected. […] A careful examination by your doctor may identify a definite cause for the itching. Your doctor may recommend treatment to eliminate the specific problem. Treatment of pruritus ani may include these four points. […] If a cause for pruritus ani can be identified, it is easier to treat and relieve your symptoms. Most people start to experience relief from itching within a week, but it may take several weeks to obtain complete relief. […] Yes. Glasgow Colorectal Centre surgeons Richard Molloy and Ahmed Alani are both experienced in the assessment and management of patients with pruritus ani. They will be able to perform an assessment and will also be able to exclude bowel problems such as an anal fissure or haemorrhoids.

• #2

  https://link.springer.com/article/10.1007/s43472-024-00130-z

  Anal pruritus is a frequent disorder accounting for many proctological consultations, affecting mainly middle-aged males. […] Treatment depends principally on the underlying aetiology. […] Diagnosis and treatment are mainly based on eviction testing to identify the incriminated irritant agent. […] Treatment should be directed through whatever causing factor that has been identified. […] When dietary or lifestyle measures remain insufficient, local treatments can be applied, such as mild steroid creams for short periods. […] Another treatment that was studied is perianal intradermal injection of methylene blue. […] Treatment strategies must often be escalated until a good regimen is found, which can be a long road for the patient and the clinician. […] Anal pruritus is a common source of proctological consultations, and the appropriate management depends on the identification of a potential secondary cause through rigorous history taking, physical examination and directed complementary investigations.

• #3 Pruritus Ani

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4755774/

  Pruritus ani is a common condition with many different potential causes. Because of this, it can be difficult to treat. It is important to identify and eliminate any inciting factors, which are often unintentional consequences of the patient’s attempts to alleviate symptoms. If no reversible cause is found, simple measures with diet modification and perianal hygiene are tried before using topical medications or procedures. […] The quality of evidence for regimens to treat pruritus ani ranges from none to scantfew rigorous trials exist to favor one therapy over another. As a result, most of the treatments described here are based on experience and expert opinion. […] Initial treatment should be directed toward any secondary causes identified. This may include topical and oral therapies, including steroids and antifungals when appropriate. If there is no clear source or etiology, then efforts should be directed toward idiopathic pruritus. The first and perhaps most important step is to manage the patient’s expectations: an instant cure is unlikely, and a period of trial and error is required to assess for common triggers of pruritus.

• #4 Itchy Bottom (Pruritus Ani): Causes and Treatment

  https://patient.info/skin-conditions/itchy-bottom-pruritus-ani

  An itchy bottom (pruritus ani) is a persistent itch around the anus. Treatments depend on the cause, but include hygiene measures and creams or ointments to treat the itching. […] 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, it is best to be examined and checked out by a doctor to diagnose or rule out known causes. Treatment depends on the cause. […] A particular treatment may be advised by a doctor or pharmacist. For example: You may be advised to use a steroid cream for a short while if there is eczema (dermatitis) around the anus. An antifungal cream will clear fungal infections and thrush. Antibiotics may help with certain other types of infection. Anal conditions such as piles (haemorrhoids) or anal fissure may need treatment. A medicine can clear threadworms if they are the cause.

• #5 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  Anal itching (pruritus ani) is a skin condition that affects your perianal area, which may become worse at night or after a bowel movement. Treatments include creams, ointments, medications and home remedies. […] Treatment for an itchy anus usually first focuses on establishing good anal hygiene. Thoroughly clean your anus after pooping, dry the area and apply nonmedicated talcum powder. […] If you have secondary pruritis ani, your treatment depends on the specific cause. […] Treatments may include: Over-the-counter (OTC) hydrocortisone is a corticosteroid combined with an anesthetic pain reliever that you rub on your affected area two to three times each day. […] Studies suggest capsaicin topical cream is a good alternative to corticosteroids if you have chronic (long-lasting) anal itching.

• #6 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  Anal itching (pruritus ani) is a skin condition that affects your perianal area, which may become worse at night or after a bowel movement. Treatments include creams, ointments, medications and home remedies. […] Treatment for an itchy anus usually first focuses on establishing good anal hygiene. Thoroughly clean your anus after pooping, dry the area and apply nonmedicated talcum powder. […] If you have secondary pruritis ani, your treatment depends on the specific cause. […] Treatments may include: Over-the-counter (OTC) hydrocortisone is a corticosteroid combined with an anesthetic pain reliever that you rub on your affected area two to three times each day. […] Studies suggest capsaicin topical cream is a good alternative to corticosteroids if you have chronic (long-lasting) anal itching.

• #7 Anal itching – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/diagnosis-treatment/drc-20369350

  Your health care provider may be able to diagnose the cause of your itching by asking about your symptoms, medical history and personal habits. […] Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as using an anti-itch cream or treating an infection or fecal incontinence. […] If symptoms are worse at night, an oral antihistamine might be prescribed. This is medicine that you take by mouth. It can help give relief until an anti-itch cream takes effect. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] If you already have anal itching, try these self-care steps to ease your symptoms: Cleanse gently. Clean the area around the anus when it’s soiled or after each bowel movement when possible.

• #8 Anal Itching: Causes & Treatment | University of Utah Health

  https://healthcare.utah.edu/general-surgery/colorectal/anal-itching

  Anal itching, also known as pruritis ani, has many different causes. If you have anal itching, you should get a rectal exam to evaluate the cause. You may need a skin biopsy and referral to see a dermatologist. […] In most cases, providers treat anal itching by doing the following: Thoroughly, but gently dry the anal area after every bowel movement. Use a squeeze bottle with warm water or bidet to rinse the area after bowel movements. You may also try a wet tissue or piece of cotton to clean the area. You can add soapless cleanser, such as Balneol (over-the counter), to the tissue or cotton. Pat (do not rub) the area dry with toilet paper. You can use a hair dryer on a cool setting to help dry the area. After the area is dry, dab witch hazel on it with cotton. You can also use medicated pads that contain witch hazel, such as Tucks Medicated Pads. These medications are available over the counter. Use an over-the-counter barrier cream containing zinc oxide, such as Desitin or Boudreauxs Butt Paste, by applying a small amount to the anal area. These creams tend to be greasy, so you may want to place a piece of gauze to prevent staining your underwear. Apply a one percent hydrocortisone cream two to three times a day for no more than two weeks to relieve symptoms. Drying agents such as cornstarch or baby powder may also be effective. If you have hemorrhoid tissue that protrudes after a bowel movement, this needs to reduce internally in order to clean and dry the area. Resist the urge to scratch, no matter how itchy the area becomes. The itch will pass, or at least decrease over a short time. The more you scratch, the longer it will take for the itching to go away.

• #9 Pruritus Ani (Itchy Bottom) – Causes & treatment | Glasgow Colorectal Centre

  https://www.colorectalcentre.co.uk/pruritus-ani-itchy-bottom.html

  When showering or bathing, do not use soap or antiseptics of any kind in the anal area. […] Avoid all medicated, perfumed and deodorant powders including talcum powder which can irritate the skin. […] You might be prescribed a steroid cream. This can be helpful in the short term but use for more than 10 days can damage the skin, leading to worsening problems in the long term, and can also encourage fungal infection. […] If a cause for pruritus ani can be identified, it is easier to treat and relieve your symptoms. Most people start to experience relief from itching within a week, but it may take several weeks to obtain complete relief. […] Yes. Glasgow Colorectal Centre surgeons Richard Molloy and Ahmed Alani are both experienced in the assessment and management of patients with pruritus ani. They will be able to perform an assessment and will also be able to exclude bowel problems such as an anal fissure or haemorrhoids. […] Proper assessment and treatment usually gives good relief of symptoms.

• #10 About hydrocortisone for piles and itchy bottom – NHS

  https://www.nhs.uk/medicines/hydrocortisone-for-piles-and-itchy-bottom/about-hydrocortisone-for-piles-and-itchy-bottom/

  Hydrocortisone is used in some medicines to treat: […] itchy bottom. […] These treatments do not cure piles, but they can help with the pain and itching. […] Hydrocortisone treatments for piles and itchy bottom come as creams, ointments, sprays and suppositories. […] The pain and itching should get better within a few days of starting treatment. […] Do not use hydrocortisone treatments for longer than 7 days.

• #11 Anal Pruritus | Colorectal Surgeons Sydney

  http://colorectalsurgeonssydney.com.au/conditions/anal-conditions/anal-pruritus

  Stronger 1% corticosteroid ointments or creams containing hydrocortisone (Egorcort Sigmacort) betamethasone (Diprosone) may be obtained with a prescription, and have been shown to reduce inflammation and relieve itching. […] Topical capsaicin cream (Zostrix) is a novel agent that has achieved success rates of up to 70%. […] There is good evidence for high success rates with methylene blue tattooing for even severe intractable cases of idiopathic pruritus ani that have not responded to the above conservative measures.

• #12 Wirral Surgeon – Pruritus ani is itching around the opening of the back passage (the anus). It is a common symptom and it causes a strong desire to scratch the area.

  https://www.wirralsurgeon.co.uk/conditions-treated/pruritus-ani.html

  In order to control symptoms, a short course of a steroid ointment may be tried. A weak topical steroid such as 1% hydrocortisone cream used two to three times a day for a short period of time can be effective in relieving symptoms of pruritis. A long-acting topical steroid such as betamethasone may also be effective. Strong steroids or prolonged use can lead to skin atrophy (weakness and thinning) which sometimes worsens pruritis ani. […] A skin barrier cream such as zinc oxide may also be helpful in protecting the skin around the anus from irritants. Additional topical agents such as menthol, phenol, camphor, or a combination of them may be helpful. […] If there is any concern that there may be an infection, topical antibiotics (gentamicin, clindamycin, or bacitracin) or antifungals (clotrimazole, nystatin) may be added in conjunction with other therapies.

• #13 Anal itching – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/diagnosis-treatment/drc-20369350

  Apply ointments, creams 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 to ease inflammation and itching, apply hydrocortisone 1% cream 2 to 3 times daily for a week or two. […] Most people won’t need to see a health care provider about anal itching. But if the itching doesn’t stop even after taking self-care measures, seek help. Your care provider may refer you to a skin doctor called a dermatologist, or to a doctor who specializes in treating rectal and anal problems.

• #14 Anal Itching: Causes & Treatment | University of Utah Health

  https://healthcare.utah.edu/general-surgery/colorectal/anal-itching

  Anal itching, also known as pruritis ani, has many different causes. If you have anal itching, you should get a rectal exam to evaluate the cause. You may need a skin biopsy and referral to see a dermatologist. […] In most cases, providers treat anal itching by doing the following: Thoroughly, but gently dry the anal area after every bowel movement. Use a squeeze bottle with warm water or bidet to rinse the area after bowel movements. You may also try a wet tissue or piece of cotton to clean the area. You can add soapless cleanser, such as Balneol (over-the counter), to the tissue or cotton. Pat (do not rub) the area dry with toilet paper. You can use a hair dryer on a cool setting to help dry the area. After the area is dry, dab witch hazel on it with cotton. You can also use medicated pads that contain witch hazel, such as Tucks Medicated Pads. These medications are available over the counter. Use an over-the-counter barrier cream containing zinc oxide, such as Desitin or Boudreauxs Butt Paste, by applying a small amount to the anal area. These creams tend to be greasy, so you may want to place a piece of gauze to prevent staining your underwear. Apply a one percent hydrocortisone cream two to three times a day for no more than two weeks to relieve symptoms. Drying agents such as cornstarch or baby powder may also be effective. If you have hemorrhoid tissue that protrudes after a bowel movement, this needs to reduce internally in order to clean and dry the area. Resist the urge to scratch, no matter how itchy the area becomes. The itch will pass, or at least decrease over a short time. The more you scratch, the longer it will take for the itching to go away.

• #15 Wirral Surgeon – Pruritus ani is itching around the opening of the back passage (the anus). It is a common symptom and it causes a strong desire to scratch the area.

  https://www.wirralsurgeon.co.uk/conditions-treated/pruritus-ani.html

  In order to control symptoms, a short course of a steroid ointment may be tried. A weak topical steroid such as 1% hydrocortisone cream used two to three times a day for a short period of time can be effective in relieving symptoms of pruritis. A long-acting topical steroid such as betamethasone may also be effective. Strong steroids or prolonged use can lead to skin atrophy (weakness and thinning) which sometimes worsens pruritis ani. […] A skin barrier cream such as zinc oxide may also be helpful in protecting the skin around the anus from irritants. Additional topical agents such as menthol, phenol, camphor, or a combination of them may be helpful. […] If there is any concern that there may be an infection, topical antibiotics (gentamicin, clindamycin, or bacitracin) or antifungals (clotrimazole, nystatin) may be added in conjunction with other therapies.

• #16 Anal itching: Causes, treatments, and home remedies

  https://www.medicalnewstoday.com/articles/168728

  The following treatments may be available from pharmacies with or without a prescription: soothing ointments can relieve symptoms, corticosteroids can reduce inflammation, emollients and barrier creams, such as aluminum hydroxide gel, cocoa butter, and glycerin, form a physical barrier to protect the skin. […] Anal itching is a common problem, and lifestyle choices or over-the-counter medications can usually resolve it. If treatment does not resolve the itching within a few weeks, a doctor may refer the person to a specialist. […] Treating an underlying condition can help stop the itching, and it may prevent further complications.

• #17 Anal Pruritus | Colorectal Surgeons Sydney

  http://colorectalsurgeonssydney.com.au/conditions/anal-conditions/anal-pruritus

  Stronger 1% corticosteroid ointments or creams containing hydrocortisone (Egorcort Sigmacort) betamethasone (Diprosone) may be obtained with a prescription, and have been shown to reduce inflammation and relieve itching. […] Topical capsaicin cream (Zostrix) is a novel agent that has achieved success rates of up to 70%. […] There is good evidence for high success rates with methylene blue tattooing for even severe intractable cases of idiopathic pruritus ani that have not responded to the above conservative measures.

• #18 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  Anal itching (pruritus ani) is a skin condition that affects your perianal area, which may become worse at night or after a bowel movement. Treatments include creams, ointments, medications and home remedies. […] Treatment for an itchy anus usually first focuses on establishing good anal hygiene. Thoroughly clean your anus after pooping, dry the area and apply nonmedicated talcum powder. […] If you have secondary pruritis ani, your treatment depends on the specific cause. […] Treatments may include: Over-the-counter (OTC) hydrocortisone is a corticosteroid combined with an anesthetic pain reliever that you rub on your affected area two to three times each day. […] Studies suggest capsaicin topical cream is a good alternative to corticosteroids if you have chronic (long-lasting) anal itching.

• #19 Itchy Bottom (Pruritus Ani): Causes and Treatment

  https://patient.info/skin-conditions/itchy-bottom-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, bath oil, perfume, etc, near your anus. Use plain, non-coloured toilet tissue. Wipe your anus gently after passing stools (faeces). […] 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. 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. […] 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. This would only be done via a hospital clinic. Further research is needed to clarify the place of these new treatments.

• #20 Pruritus ani – Wikipedia

  https://en.wikipedia.org/wiki/Pruritus_ani

  Pruritus ani is the irritation of the skin at the exit of the rectum, known as the anus, causing the desire to scratch. The goal of treatment is asymptomatic, intact, dry, clean perianal skin with reversal of morphological changes. For pruritus ani of unknown cause (idiopathic pruritus ani) treatment typically begins with measures to reduce irritation and trauma to the perianal area. Stool softeners can help prevent constipation. If this is not effective topical steroids or injected methylene blue may be tried. Another treatment option that has been met with success in small-scale trials is the application of a very mild (0.006%) topical capsaicin cream. A successful treatment option for chronic idiopathic pruritus ani has been documented using a clean, dry and apply (if necessary) method. For otherwise idiopathic, intractable cases, a double-blind trial with 44 patients found that capsaicin may be an effective treatment. By applying topical capsaicin mixed with paraffin wax (both available over the counter) with a concentration of 0.006% to the perianal area every 1-2 days, approximately three quarters of patients reported total (or near-total) relief of symptoms.

• #21 Pruritus Ani (Anal Itch) | Section of Colon and Rectal Surgery | Washington University in St. Louis

  https://colorectalsurgery.wustl.edu/patient-care/cope-center/anorectal-disorders/pruritus-ani-anal-itch/

  Hydrocortisone creams such as Cortaid and Preparation H anti-itch can be applied to the affected area. Any steroid cream should only be used for a short time as using them too long can worsen the problem. […] Barrier creams (zinc oxide) available over the counter include Calmoseptine, Desitin and Balmex. Most diaper-rash type ointments can be used to protect the skin from moisture, especially during summer months or during heavy activity or exercise. […] Lidocaine ointment or jelly can also help by numbing the area and decreasing the urge to scratch, but are very short-acting. Your physician can prescribe this. […] This management program should be adjusted depending on your symptoms. The use of the cotton wafer should be the last measure stopped and the first to be resumed. Recurrences are common, especially during summer months.

• #22 Anal Itching: Treatment, Causes, Symptoms & Home Remedies

  https://www.medicinenet.com/anal_itching/article.htm

  Anal itching (known medically as pruritus ani) is irritation of the skin at the opening of the anal canal through which stool exits the body which leads to itching. […] An itchy bottom can be caused by irritating chemicals in the foods we eat, such as are found in spices, hot sauces, and peppers. […] Treatment with antibiotics can lead to a yeast infection and irritation of the anus. […] Many over-the-counter (OTC) products are sold for the treatment of an itchy anus and are available as ointments, creams, gels, suppositories, foams, and pads. […] Initial self-care for simple itching is directed toward relieving symptoms, like burning and soreness. It is important to clean and dry the anus thoroughly and avoid leaving soap in the anal area. […] Local anesthetics temporarily relieve pain, burning, and itching by numbing the nerve endings.

• #23 Anal itching – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/diagnosis-treatment/drc-20369350

  Your health care provider may be able to diagnose the cause of your itching by asking about your symptoms, medical history and personal habits. […] Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as using an anti-itch cream or treating an infection or fecal incontinence. […] If symptoms are worse at night, an oral antihistamine might be prescribed. This is medicine that you take by mouth. It can help give relief until an anti-itch cream takes effect. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] If you already have anal itching, try these self-care steps to ease your symptoms: Cleanse gently. Clean the area around the anus when it’s soiled or after each bowel movement when possible.

• #24 Anal itching – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/diagnosis-treatment/drc-20369350

  Your health care provider may be able to diagnose the cause of your itching by asking about your symptoms, medical history and personal habits. […] Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as using an anti-itch cream or treating an infection or fecal incontinence. […] If symptoms are worse at night, an oral antihistamine might be prescribed. This is medicine that you take by mouth. It can help give relief until an anti-itch cream takes effect. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] If you already have anal itching, try these self-care steps to ease your symptoms: Cleanse gently. Clean the area around the anus when it’s soiled or after each bowel movement when possible.

• #25 Anal Pruritus | Colorectal Surgeons Sydney

  http://colorectalsurgeonssydney.com.au/conditions/anal-conditions/anal-pruritus

  A small group with pruritus ani may have a degree of obsessive compulsive personality, and this group may require more targeted cognitive behaviour therapy to avoid ritualistic repetitive cleaning practices. […] Anal pruritus is often exacerbated by watery stools. A tablespoon or sachet of ispaghula husk (Metamucil or Fibogel) twice a day, can firm loose stools. […] There are many over-the-counter creams or ointments that can be applied to the anus to reduce itch. Ointments contain petroleum jelly (Vasoline) as the barrier compound, whereas creams are non-oily water based and may contain zinc oxide. These both act as a skin protectants and should be applied as a thin film to avoid excessive moisture. […] Antihistamines have been shown to reduce itch. However, most are sedative, and are best taken in the evening. These can be particularly useful for nocturnal itch.

• #26 Anal Pruritus | Colorectal Surgeons Sydney

  http://colorectalsurgeonssydney.com.au/conditions/anal-conditions/anal-pruritus

  A small group with pruritus ani may have a degree of obsessive compulsive personality, and this group may require more targeted cognitive behaviour therapy to avoid ritualistic repetitive cleaning practices. […] Anal pruritus is often exacerbated by watery stools. A tablespoon or sachet of ispaghula husk (Metamucil or Fibogel) twice a day, can firm loose stools. […] There are many over-the-counter creams or ointments that can be applied to the anus to reduce itch. Ointments contain petroleum jelly (Vasoline) as the barrier compound, whereas creams are non-oily water based and may contain zinc oxide. These both act as a skin protectants and should be applied as a thin film to avoid excessive moisture. […] Antihistamines have been shown to reduce itch. However, most are sedative, and are best taken in the evening. These can be particularly useful for nocturnal itch.

• #27 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus. […] If your body doesn’t respond to other treatments, your healthcare provider may treat your itchy anus with a methylene blue injection. Your healthcare provider will inject methylene blue under the skin in your perianal area. Methylene blue relieves pain and itching by deadening the nerve endings in the injected areas. […] Several home remedies may help relieve anal itching, including: Some toilet paper products contain dyes or scents, which can irritate your skin. […] Harsh soaps, scents and deodorants may contain allergens or chemical irritants, which can make your symptoms worse. […] Cotton underwear absorbs moisture. […] Dairy products, carbonated drinks, caffeinated beverages and acidic or spicy foods may cause anal itching.

• #28 Itchy Anus: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/itchy-anus

  Anal itching, or pruritus ani, is a common symptom of a variety of conditions. A person may experience burning, itching, redness, or soreness in the anal area. Depending on the underlying cause, a doctor can prescribe an appropriate medication. […] If the itching is due to an infection, a doctor can prescribe an antifungal, antibacterial, or antiparasitic treatment to get rid of the infectious organisms. Prescription ointments that have higher steroid doses can also lessen itching and reduce inflammation. […] Hemorrhoids that cause anal itching may require more invasive treatments, such as banding to shrink the hemorrhoid or surgical removal of the hemorrhoid. […] Avoiding foods and medications known to cause itchiness in the anus can also reduce symptoms. […] You can take several steps at home to treat an itchy anus. Consider the following: Apply petroleum jelly to the affected area. Clean the area with water and a soft washcloth when bathing. Dry the anal area thoroughly after using the restroom and bathing. Refrain from scratching the anal area. Refrain from using bath products that contain perfumes or dyes, which can irritate the skin or cause an allergic reaction. Use toilet paper that doesn’t contain harsh dyes or bleaches. You may prefer to buy types that are described as soft. Wear breathable cotton underwear that’s not too tight. Wipe with moistened wipes or toilet paper moistened with water to prevent stool from staying on the anal skin.

• #29 Anal Itching: Causes and Treatments

  https://www.webmd.com/skin-problems-and-treatments/what-to-know-anal-itching

  If you think you may have a yeast infection or other fungal infection, ask your doctor about the best treatment options. They may recommend over-the-counter treatments for yeast infections. They may also suggest a prescription-strength medicine to treat the condition. […] Try these home remedies to ease discomfort: […] Use water and mild soap to clean the area. Scrub gently, and pat the skin dry. […] Try creams or ointments to soothe the skin around your anus. Over-the-counter hemorrhoid medicines may help if you have hemorrhoids. Other ointments, such as the kinds used for diaper rash, might also be helpful. […] Your doctor will probably want to treat the cause as well as the itching. If you think you have a condition such as pinworms or scabies, they can give you a medication to treat it. […] In most cases, you can find relief from anal itching. Talk to your doctor if home care doesn’t help with the discomfort.

• #30 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus. […] If your body doesn’t respond to other treatments, your healthcare provider may treat your itchy anus with a methylene blue injection. Your healthcare provider will inject methylene blue under the skin in your perianal area. Methylene blue relieves pain and itching by deadening the nerve endings in the injected areas. […] Several home remedies may help relieve anal itching, including: Some toilet paper products contain dyes or scents, which can irritate your skin. […] Harsh soaps, scents and deodorants may contain allergens or chemical irritants, which can make your symptoms worse. […] Cotton underwear absorbs moisture. […] Dairy products, carbonated drinks, caffeinated beverages and acidic or spicy foods may cause anal itching.

• #31 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus. […] If your body doesn’t respond to other treatments, your healthcare provider may treat your itchy anus with a methylene blue injection. Your healthcare provider will inject methylene blue under the skin in your perianal area. Methylene blue relieves pain and itching by deadening the nerve endings in the injected areas. […] Several home remedies may help relieve anal itching, including: Some toilet paper products contain dyes or scents, which can irritate your skin. […] Harsh soaps, scents and deodorants may contain allergens or chemical irritants, which can make your symptoms worse. […] Cotton underwear absorbs moisture. […] Dairy products, carbonated drinks, caffeinated beverages and acidic or spicy foods may cause anal itching.

• #32 Anal Pruritus | Colorectal Surgeons Sydney

  http://colorectalsurgeonssydney.com.au/conditions/anal-conditions/anal-pruritus

  Stronger 1% corticosteroid ointments or creams containing hydrocortisone (Egorcort Sigmacort) betamethasone (Diprosone) may be obtained with a prescription, and have been shown to reduce inflammation and relieve itching. […] Topical capsaicin cream (Zostrix) is a novel agent that has achieved success rates of up to 70%. […] There is good evidence for high success rates with methylene blue tattooing for even severe intractable cases of idiopathic pruritus ani that have not responded to the above conservative measures.

• #33 Anal Pruritus | endoscopy online

  https://www.endoscopyonline.com.au/anal-pruritus/

  Anal pruritus is often exacerbated by watery stools. A tablespoon or sachet of ispaghula husk (Metamucil or Fibogel) twice a day, can firm loose stools. […] There are many over-the-counter creams or ointments that can be applied to the anus to reduce itch. […] Antihistamines have been shown to reduce itch. […] Stronger 1% corticosteroid ointments or creams containing hydrocortisone (Egorcort Sigmacort) betamethasone (Diprosone) may be obtained with a prescription, and have been shown to reduce inflammation and relieve itching. […] Topical capsaicin cream (Zostrix) is a novel agent that has achieved success rates of up to 70%. […] There is good evidence for high success rates with methylene blue tattooing for even severe intractable cases of idiopathic pruritus ani that have not responded to the above conservative measures.

• #34 Pruritus Ani (Itchy Bottom) – Causes & treatment | Glasgow Colorectal Centre

  https://colorectalcentre.co.uk/pruritus-ani-itchy-bottom.html

  Pruritus ani means a chronic (persistent) itchy feeling around the anus. It is commonly know as itchy bottom or itchy bum. The main symptom is an irresistible urge to scratch the anus or bottom. […] Chronic itching of the anal area may lead to feelings of embarrassment and both your mood and sleep can be affected. […] A careful examination by your doctor may identify a definite cause for the itching. Your doctor may recommend treatment to eliminate the specific problem. Treatment of pruritus ani may include these four points. […] If a cause for pruritus ani can be identified, it is easier to treat and relieve your symptoms. Most people start to experience relief from itching within a week, but it may take several weeks to obtain complete relief. […] Yes. Glasgow Colorectal Centre surgeons Richard Molloy and Ahmed Alani are both experienced in the assessment and management of patients with pruritus ani. They will be able to perform an assessment and will also be able to exclude bowel problems such as an anal fissure or haemorrhoids.

• #35 Itchy Bottom (Pruritus Ani): Causes and Treatment

  https://patient.info/skin-conditions/itchy-bottom-pruritus-ani

  An itchy bottom (pruritus ani) is a persistent itch around the anus. Treatments depend on the cause, but include hygiene measures and creams or ointments to treat the itching. […] 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, it is best to be examined and checked out by a doctor to diagnose or rule out known causes. Treatment depends on the cause. […] A particular treatment may be advised by a doctor or pharmacist. For example: You may be advised to use a steroid cream for a short while if there is eczema (dermatitis) around the anus. An antifungal cream will clear fungal infections and thrush. Antibiotics may help with certain other types of infection. Anal conditions such as piles (haemorrhoids) or anal fissure may need treatment. A medicine can clear threadworms if they are the cause.

• #36 Itchy Bottom (Pruritus Ani): Causes and Treatment

  https://patient.info/skin-conditions/itchy-bottom-pruritus-ani

  An itchy bottom (pruritus ani) is a persistent itch around the anus. Treatments depend on the cause, but include hygiene measures and creams or ointments to treat the itching. […] 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, it is best to be examined and checked out by a doctor to diagnose or rule out known causes. Treatment depends on the cause. […] A particular treatment may be advised by a doctor or pharmacist. For example: You may be advised to use a steroid cream for a short while if there is eczema (dermatitis) around the anus. An antifungal cream will clear fungal infections and thrush. Antibiotics may help with certain other types of infection. Anal conditions such as piles (haemorrhoids) or anal fissure may need treatment. A medicine can clear threadworms if they are the cause.

• #37 Itchy Anus: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/itchy-anus

  Anal itching, or pruritus ani, is a common symptom of a variety of conditions. A person may experience burning, itching, redness, or soreness in the anal area. Depending on the underlying cause, a doctor can prescribe an appropriate medication. […] If the itching is due to an infection, a doctor can prescribe an antifungal, antibacterial, or antiparasitic treatment to get rid of the infectious organisms. Prescription ointments that have higher steroid doses can also lessen itching and reduce inflammation. […] Hemorrhoids that cause anal itching may require more invasive treatments, such as banding to shrink the hemorrhoid or surgical removal of the hemorrhoid. […] Avoiding foods and medications known to cause itchiness in the anus can also reduce symptoms. […] You can take several steps at home to treat an itchy anus. Consider the following: Apply petroleum jelly to the affected area. Clean the area with water and a soft washcloth when bathing. Dry the anal area thoroughly after using the restroom and bathing. Refrain from scratching the anal area. Refrain from using bath products that contain perfumes or dyes, which can irritate the skin or cause an allergic reaction. Use toilet paper that doesn’t contain harsh dyes or bleaches. You may prefer to buy types that are described as soft. Wear breathable cotton underwear that’s not too tight. Wipe with moistened wipes or toilet paper moistened with water to prevent stool from staying on the anal skin.

• #38 Itchy Anus: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/itchy-anus

  Anal itching, or pruritus ani, is a common symptom of a variety of conditions. A person may experience burning, itching, redness, or soreness in the anal area. Depending on the underlying cause, a doctor can prescribe an appropriate medication. […] If the itching is due to an infection, a doctor can prescribe an antifungal, antibacterial, or antiparasitic treatment to get rid of the infectious organisms. Prescription ointments that have higher steroid doses can also lessen itching and reduce inflammation. […] Hemorrhoids that cause anal itching may require more invasive treatments, such as banding to shrink the hemorrhoid or surgical removal of the hemorrhoid. […] Avoiding foods and medications known to cause itchiness in the anus can also reduce symptoms. […] You can take several steps at home to treat an itchy anus. Consider the following: Apply petroleum jelly to the affected area. Clean the area with water and a soft washcloth when bathing. Dry the anal area thoroughly after using the restroom and bathing. Refrain from scratching the anal area. Refrain from using bath products that contain perfumes or dyes, which can irritate the skin or cause an allergic reaction. Use toilet paper that doesn’t contain harsh dyes or bleaches. You may prefer to buy types that are described as soft. Wear breathable cotton underwear that’s not too tight. Wipe with moistened wipes or toilet paper moistened with water to prevent stool from staying on the anal skin.

• #39 Itchy Anus: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/itchy-anus

  Anal itching, or pruritus ani, is a common symptom of a variety of conditions. A person may experience burning, itching, redness, or soreness in the anal area. Depending on the underlying cause, a doctor can prescribe an appropriate medication. […] If the itching is due to an infection, a doctor can prescribe an antifungal, antibacterial, or antiparasitic treatment to get rid of the infectious organisms. Prescription ointments that have higher steroid doses can also lessen itching and reduce inflammation. […] Hemorrhoids that cause anal itching may require more invasive treatments, such as banding to shrink the hemorrhoid or surgical removal of the hemorrhoid. […] Avoiding foods and medications known to cause itchiness in the anus can also reduce symptoms. […] You can take several steps at home to treat an itchy anus. Consider the following: Apply petroleum jelly to the affected area. Clean the area with water and a soft washcloth when bathing. Dry the anal area thoroughly after using the restroom and bathing. Refrain from scratching the anal area. Refrain from using bath products that contain perfumes or dyes, which can irritate the skin or cause an allergic reaction. Use toilet paper that doesn’t contain harsh dyes or bleaches. You may prefer to buy types that are described as soft. Wear breathable cotton underwear that’s not too tight. Wipe with moistened wipes or toilet paper moistened with water to prevent stool from staying on the anal skin.

• #40 Itchy Anus: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/itchy-anus

  You may also want to consider a sitz bath. In a sitz bath, you place your butt and hips in warm water for up to 20 minutes. Sitting in a sitz bath after a bowel movement can help reduce irritation and itching. Always gently dry the anal area after the bath. […] You can also purchase several over-the-counter topical creams to treat anal itching. These include zinc oxide, hydrocortisone cream, or topical capsaicin cream. […] Practicing good hygiene can help prevent itching. Good practices include refraining from scratching and keeping the anal area clean and dry. […] Refraining from using soaps and detergents with dyes and perfumes can also prevent skin irritation that leads to an itchy anus.

• #41 itchy anus | anal itching | itching in the anus │ ProctyClean®

  https://www.proctyclean.net/en/blog/anal-itching

  The causes for the annoying itching of the anus are varied and the level of suffering is usually high. […] A conversation and an examination provide clarity about the trigger, which is also the basis for treatment. […] ProctyClean has been proven to improve the cleanliness in this sensitive area in Grades 1 and 2 hemorrhoids and thus leads to significant alleviation of the associated symptoms. […] The treatment: How is anal itching treated? […] Which treatment is recommended for itching of the anus depends entirely on its cause. In general, however, the cause is always treated and once this is resolved, the itching in the anus disappears immediately. […] ProctyClean Prophylaxis and relief for anal itching. […] Optimized anal hygiene is necessary to prevent anal itching. […] The specially shaped head of the ProctyClean intimate hygiene pen is simply moistened with ProctyClean vitamin E oil and then carefully inserted into the anal canal.

• #42 Anal Itching: Causes & Treatment | University of Utah Health

  https://healthcare.utah.edu/general-surgery/colorectal/anal-itching

  In many cases, you can prevent anal itching by taking the following steps: Practice good anal hygiene gently cleanse the anal area after every bowel movement by using wet, unscented and dye-free toilet paper. Wipe gently or blot the area. Never rub or scrub. Do not use wet wipes that contain alcohol. When bathing or showering, use only water to clean the anal area, never soap. Avoid using medicated powders, perfumed sprays, or deodorants on the anal area. Eat a sensible diet that does not include many food and drinks that cause anal irritation.

• #43 Anal Itching: Causes & Treatment | University of Utah Health

  https://healthcare.utah.edu/general-surgery/colorectal/anal-itching

  Anal itching, also known as pruritis ani, has many different causes. If you have anal itching, you should get a rectal exam to evaluate the cause. You may need a skin biopsy and referral to see a dermatologist. […] In most cases, providers treat anal itching by doing the following: Thoroughly, but gently dry the anal area after every bowel movement. Use a squeeze bottle with warm water or bidet to rinse the area after bowel movements. You may also try a wet tissue or piece of cotton to clean the area. You can add soapless cleanser, such as Balneol (over-the counter), to the tissue or cotton. Pat (do not rub) the area dry with toilet paper. You can use a hair dryer on a cool setting to help dry the area. After the area is dry, dab witch hazel on it with cotton. You can also use medicated pads that contain witch hazel, such as Tucks Medicated Pads. These medications are available over the counter. Use an over-the-counter barrier cream containing zinc oxide, such as Desitin or Boudreauxs Butt Paste, by applying a small amount to the anal area. These creams tend to be greasy, so you may want to place a piece of gauze to prevent staining your underwear. Apply a one percent hydrocortisone cream two to three times a day for no more than two weeks to relieve symptoms. Drying agents such as cornstarch or baby powder may also be effective. If you have hemorrhoid tissue that protrudes after a bowel movement, this needs to reduce internally in order to clean and dry the area. Resist the urge to scratch, no matter how itchy the area becomes. The itch will pass, or at least decrease over a short time. The more you scratch, the longer it will take for the itching to go away.

• #44 Anal Itching: Causes & Treatment | University of Utah Health

  https://healthcare.utah.edu/general-surgery/colorectal/anal-itching

  Anal itching, also known as pruritis ani, has many different causes. If you have anal itching, you should get a rectal exam to evaluate the cause. You may need a skin biopsy and referral to see a dermatologist. […] In most cases, providers treat anal itching by doing the following: Thoroughly, but gently dry the anal area after every bowel movement. Use a squeeze bottle with warm water or bidet to rinse the area after bowel movements. You may also try a wet tissue or piece of cotton to clean the area. You can add soapless cleanser, such as Balneol (over-the counter), to the tissue or cotton. Pat (do not rub) the area dry with toilet paper. You can use a hair dryer on a cool setting to help dry the area. After the area is dry, dab witch hazel on it with cotton. You can also use medicated pads that contain witch hazel, such as Tucks Medicated Pads. These medications are available over the counter. Use an over-the-counter barrier cream containing zinc oxide, such as Desitin or Boudreauxs Butt Paste, by applying a small amount to the anal area. These creams tend to be greasy, so you may want to place a piece of gauze to prevent staining your underwear. Apply a one percent hydrocortisone cream two to three times a day for no more than two weeks to relieve symptoms. Drying agents such as cornstarch or baby powder may also be effective. If you have hemorrhoid tissue that protrudes after a bowel movement, this needs to reduce internally in order to clean and dry the area. Resist the urge to scratch, no matter how itchy the area becomes. The itch will pass, or at least decrease over a short time. The more you scratch, the longer it will take for the itching to go away.

• #45 Anal Itching: Causes & Treatment | University of Utah Health

  https://healthcare.utah.edu/general-surgery/colorectal/anal-itching

  Anal itching, also known as pruritis ani, has many different causes. If you have anal itching, you should get a rectal exam to evaluate the cause. You may need a skin biopsy and referral to see a dermatologist. […] In most cases, providers treat anal itching by doing the following: Thoroughly, but gently dry the anal area after every bowel movement. Use a squeeze bottle with warm water or bidet to rinse the area after bowel movements. You may also try a wet tissue or piece of cotton to clean the area. You can add soapless cleanser, such as Balneol (over-the counter), to the tissue or cotton. Pat (do not rub) the area dry with toilet paper. You can use a hair dryer on a cool setting to help dry the area. After the area is dry, dab witch hazel on it with cotton. You can also use medicated pads that contain witch hazel, such as Tucks Medicated Pads. These medications are available over the counter. Use an over-the-counter barrier cream containing zinc oxide, such as Desitin or Boudreauxs Butt Paste, by applying a small amount to the anal area. These creams tend to be greasy, so you may want to place a piece of gauze to prevent staining your underwear. Apply a one percent hydrocortisone cream two to three times a day for no more than two weeks to relieve symptoms. Drying agents such as cornstarch or baby powder may also be effective. If you have hemorrhoid tissue that protrudes after a bowel movement, this needs to reduce internally in order to clean and dry the area. Resist the urge to scratch, no matter how itchy the area becomes. The itch will pass, or at least decrease over a short time. The more you scratch, the longer it will take for the itching to go away.

• #46 Wirral Surgeon – Pruritus ani is itching around the opening of the back passage (the anus). It is a common symptom and it causes a strong desire to scratch the area.

  https://www.wirralsurgeon.co.uk/conditions-treated/pruritus-ani.html

  Pruritus ani is itching around the opening of the back passage (the anus). It is a common symptom and occurs more often in men than in women. It causes a strong desire to scratch the area, which often makes things worse. […] The ultimate goal of treatment is to create dry, healthy, and intact skin. […] Medications that thicken stool and create a formed bowel movement minimize leakage or seepage and allow for complete evacuation. Most people can benefit from taking a fibre supplement (Easyfibre, Psyllium husk powder, Metamucil etc). This can be taken in powder or capsule/tablet form, once or twice daily. If stools still remain loose, additional medications may be helpful. Loperamide (Imodium) is an antidiarrheal agent which can thicken or firm stool and help decrease seepage. […] Dietary changes are often necessary. There are several common foods and beverages including coffee, colas, tea, chocolate, tomatoes and beer that are related to pruritus ani. Avoiding overuse of these items may improve symptoms. It may be helpful to remove one item at a time from the diet for several weeks. If symptoms improve, one could try reintroduction of the item in smaller volume and see if there is a limit without producing symptoms.

• #47 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus. […] If your body doesn’t respond to other treatments, your healthcare provider may treat your itchy anus with a methylene blue injection. Your healthcare provider will inject methylene blue under the skin in your perianal area. Methylene blue relieves pain and itching by deadening the nerve endings in the injected areas. […] Several home remedies may help relieve anal itching, including: Some toilet paper products contain dyes or scents, which can irritate your skin. […] Harsh soaps, scents and deodorants may contain allergens or chemical irritants, which can make your symptoms worse. […] Cotton underwear absorbs moisture. […] Dairy products, carbonated drinks, caffeinated beverages and acidic or spicy foods may cause anal itching.

• #48 Wirral Surgeon – Pruritus ani is itching around the opening of the back passage (the anus). It is a common symptom and it causes a strong desire to scratch the area.

  https://www.wirralsurgeon.co.uk/conditions-treated/pruritus-ani.html

  Pruritus ani is itching around the opening of the back passage (the anus). It is a common symptom and occurs more often in men than in women. It causes a strong desire to scratch the area, which often makes things worse. […] The ultimate goal of treatment is to create dry, healthy, and intact skin. […] Medications that thicken stool and create a formed bowel movement minimize leakage or seepage and allow for complete evacuation. Most people can benefit from taking a fibre supplement (Easyfibre, Psyllium husk powder, Metamucil etc). This can be taken in powder or capsule/tablet form, once or twice daily. If stools still remain loose, additional medications may be helpful. Loperamide (Imodium) is an antidiarrheal agent which can thicken or firm stool and help decrease seepage. […] Dietary changes are often necessary. There are several common foods and beverages including coffee, colas, tea, chocolate, tomatoes and beer that are related to pruritus ani. Avoiding overuse of these items may improve symptoms. It may be helpful to remove one item at a time from the diet for several weeks. If symptoms improve, one could try reintroduction of the item in smaller volume and see if there is a limit without producing symptoms.

• #49 Pruritus Ani (Itchy Bottom) – Causes & treatment | Glasgow Colorectal Centre

  https://colorectalcentre.co.uk/pruritus-ani-itchy-bottom.html

  Pruritus ani means a chronic (persistent) itchy feeling around the anus. It is commonly know as itchy bottom or itchy bum. The main symptom is an irresistible urge to scratch the anus or bottom. […] Chronic itching of the anal area may lead to feelings of embarrassment and both your mood and sleep can be affected. […] A careful examination by your doctor may identify a definite cause for the itching. Your doctor may recommend treatment to eliminate the specific problem. Treatment of pruritus ani may include these four points. […] If a cause for pruritus ani can be identified, it is easier to treat and relieve your symptoms. Most people start to experience relief from itching within a week, but it may take several weeks to obtain complete relief. […] Yes. Glasgow Colorectal Centre surgeons Richard Molloy and Ahmed Alani are both experienced in the assessment and management of patients with pruritus ani. They will be able to perform an assessment and will also be able to exclude bowel problems such as an anal fissure or haemorrhoids.

• #50 Pruritus Ani (Itchy Bottom) – Causes & treatment | Glasgow Colorectal Centre

  https://www.colorectalcentre.co.uk/pruritus-ani-itchy-bottom.html

  When showering or bathing, do not use soap or antiseptics of any kind in the anal area. […] Avoid all medicated, perfumed and deodorant powders including talcum powder which can irritate the skin. […] You might be prescribed a steroid cream. This can be helpful in the short term but use for more than 10 days can damage the skin, leading to worsening problems in the long term, and can also encourage fungal infection. […] If a cause for pruritus ani can be identified, it is easier to treat and relieve your symptoms. Most people start to experience relief from itching within a week, but it may take several weeks to obtain complete relief. […] Yes. Glasgow Colorectal Centre surgeons Richard Molloy and Ahmed Alani are both experienced in the assessment and management of patients with pruritus ani. They will be able to perform an assessment and will also be able to exclude bowel problems such as an anal fissure or haemorrhoids. […] Proper assessment and treatment usually gives good relief of symptoms.

• #51 Anal itching – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/diagnosis-treatment/drc-20369350

  Your health care provider may be able to diagnose the cause of your itching by asking about your symptoms, medical history and personal habits. […] Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as using an anti-itch cream or treating an infection or fecal incontinence. […] If symptoms are worse at night, an oral antihistamine might be prescribed. This is medicine that you take by mouth. It can help give relief until an anti-itch cream takes effect. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] If you already have anal itching, try these self-care steps to ease your symptoms: Cleanse gently. Clean the area around the anus when it’s soiled or after each bowel movement when possible.

• #52 Anal Itch (Pruritus Ani) – Harvard Health

  https://www.health.harvard.edu/a_to_z/anal-itch-pruritus-ani-a-to-z

  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). […] In most cases, anal itch can be treated by: […] Applying topical remedies such as zinc oxide or hydrocortisone ointment (1%) on a regular schedule, or as needed, to help you avoid scratching. […] If treating anal itch yourself doesn’t relieve the itch after three to four weeks, call your doctor. […] The outlook is excellent, since most people who have itching in the anal area don’t have an illness involving the anus or rectum. Overall, about 90% of patients find relief by avoiding scratching and other simple therapies.

• #53

  https://fascrs.org/patients/diseases-and-conditions/a-z/pruritis-ani-expanded-version

  In order to control symptoms, a short course of a steroid ointment may be tried. […] A skin barrier cream such as zinc oxide may also be helpful in protecting the skin around the anus from irritants. […] Patients coming to the doctor for evaluation of pruritis ani with moderate to severe changes of the skin, may be treated by application of Berwicks dye (which is a combination of gentian violet and brilliant green pigment) with alcohol. […] For a small number of patients, pruritis ani can be quite difficult to manage, and it may be difficult to completely relieve their symptoms.

• #54 Itchy Anus Symptoms, Causes & Treatments | Spire Healthcare

  https://www.spirehealthcare.com/symptoms/itchy-anus/

  In most cases, an itchy anus lasts a short time and clears up on its own without treatment. […] An itchy anus that’s severe lasts more than a few days or keeps coming back could be a sign of an underlying medical condition and can cause anal pain. […] You can book an appointment with a Spire private GP today. […] In most cases, you won’t need medical treatment for an itchy anus. Things you can do to treat and prevent an itchy anus include: […] If these don’t work, your GP may recommend: […] If you are using creams or ointments to treat your itchy anus, don’t use more than one cream or ointment at the same time. […] If the cause of your itchy anus is known, it is easier to identify the most appropriate treatment and relieve your symptoms. Most people respond well to treatment. However, some people can develop a persistent problem with the itchiness recurring. […] Petroleum jelly is good for an itchy anus as it protects the skin from excess moisture or sweat, which can cause irritation and itchiness.

• #55 Anal itching – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/diagnosis-treatment/drc-20369350

  Your health care provider may be able to diagnose the cause of your itching by asking about your symptoms, medical history and personal habits. […] Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as using an anti-itch cream or treating an infection or fecal incontinence. […] If symptoms are worse at night, an oral antihistamine might be prescribed. This is medicine that you take by mouth. It can help give relief until an anti-itch cream takes effect. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] If you already have anal itching, try these self-care steps to ease your symptoms: Cleanse gently. Clean the area around the anus when it’s soiled or after each bowel movement when possible.

• #56 Anal Itch (Pruritus Ani) – Harvard Health

  https://www.health.harvard.edu/a_to_z/anal-itch-pruritus-ani-a-to-z

  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). […] In most cases, anal itch can be treated by: […] Applying topical remedies such as zinc oxide or hydrocortisone ointment (1%) on a regular schedule, or as needed, to help you avoid scratching. […] If treating anal itch yourself doesn’t relieve the itch after three to four weeks, call your doctor. […] The outlook is excellent, since most people who have itching in the anal area don’t have an illness involving the anus or rectum. Overall, about 90% of patients find relief by avoiding scratching and other simple therapies.

• #57 Anal itching – self-care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000689.htm

  Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around and just inside the anus. […] To treat anal itching at home, you should keep the area as clean and dry as possible. […] Try over-the-counter creams, ointments, or gels with hydrocortisone or zinc oxide, made to soothe anal itching. Be sure to follow the directions for use on the package. […] Contact your health care provider if you have: A rash or lump in or around the anus, Bleeding or discharge from the anus, Fever. […] Also, contact your provider if self-care does not help within 2 or 3 weeks.

• #58 Anal itching – self-care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000689.htm

  Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around and just inside the anus. […] To treat anal itching at home, you should keep the area as clean and dry as possible. […] Try over-the-counter creams, ointments, or gels with hydrocortisone or zinc oxide, made to soothe anal itching. Be sure to follow the directions for use on the package. […] Contact your health care provider if you have: A rash or lump in or around the anus, Bleeding or discharge from the anus, Fever. […] Also, contact your provider if self-care does not help within 2 or 3 weeks.

• #59 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies

  https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani

  With proper hygiene and treatment, the outlook for people with anal itching is good. Your symptoms usually clear up within one to three weeks, though severe cases make take longer to treat. […] If you have an itchy anus, self-care tips include: Resist the urge to scratch. […] Keep your perianal area clean and dry. […] Apply products that absorb moisture. […] Be gentle. […] Avoid scented products. […] Use topical creams and ointments as directed. […] Call your healthcare provider if your itchy anus doesn’t improve with treatment, your itching gets worse after treatment or the area looks infected (discolored skin, irritation or swelling). […] Proper anal hygiene and OTC medications provide relief for most people. […] However, relief is available. Proper hygiene, medications and gentle care will help relieve an itchy anus.

• #60 Anal itching – self-care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000689.htm

  Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around and just inside the anus. […] To treat anal itching at home, you should keep the area as clean and dry as possible. […] Try over-the-counter creams, ointments, or gels with hydrocortisone or zinc oxide, made to soothe anal itching. Be sure to follow the directions for use on the package. […] Contact your health care provider if you have: A rash or lump in or around the anus, Bleeding or discharge from the anus, Fever. […] Also, contact your provider if self-care does not help within 2 or 3 weeks.

• #61 Anal itching – self-care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000689.htm

  Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around and just inside the anus. […] To treat anal itching at home, you should keep the area as clean and dry as possible. […] Try over-the-counter creams, ointments, or gels with hydrocortisone or zinc oxide, made to soothe anal itching. Be sure to follow the directions for use on the package. […] Contact your health care provider if you have: A rash or lump in or around the anus, Bleeding or discharge from the anus, Fever. […] Also, contact your provider if self-care does not help within 2 or 3 weeks.

• #62 Anal itching – self-care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000689.htm

  Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around and just inside the anus. […] To treat anal itching at home, you should keep the area as clean and dry as possible. […] Try over-the-counter creams, ointments, or gels with hydrocortisone or zinc oxide, made to soothe anal itching. Be sure to follow the directions for use on the package. […] Contact your health care provider if you have: A rash or lump in or around the anus, Bleeding or discharge from the anus, Fever. […] Also, contact your provider if self-care does not help within 2 or 3 weeks.

• #63 Anal itching – self-care: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000689.htm

  Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around and just inside the anus. […] To treat anal itching at home, you should keep the area as clean and dry as possible. […] Try over-the-counter creams, ointments, or gels with hydrocortisone or zinc oxide, made to soothe anal itching. Be sure to follow the directions for use on the package. […] Contact your health care provider if you have: A rash or lump in or around the anus, Bleeding or discharge from the anus, Fever. […] Also, contact your provider if self-care does not help within 2 or 3 weeks.

• #64

  https://link.springer.com/article/10.1007/s43472-024-00130-z

  Anal pruritus is a frequent disorder accounting for many proctological consultations, affecting mainly middle-aged males. […] Treatment depends principally on the underlying aetiology. […] Diagnosis and treatment are mainly based on eviction testing to identify the incriminated irritant agent. […] Treatment should be directed through whatever causing factor that has been identified. […] When dietary or lifestyle measures remain insufficient, local treatments can be applied, such as mild steroid creams for short periods. […] Another treatment that was studied is perianal intradermal injection of methylene blue. […] Treatment strategies must often be escalated until a good regimen is found, which can be a long road for the patient and the clinician. […] Anal pruritus is a common source of proctological consultations, and the appropriate management depends on the identification of a potential secondary cause through rigorous history taking, physical examination and directed complementary investigations.

• #65 Infektionskrankheiten der Haut | The itchy bottom: causes and treatment | springermedizin.at

  https://www.springermedizin.at/infektionskrankheiten-der-haut/hautpflege/the-itchy-bottom-causes-and-treatment/27197284

  Anal pruritus is a frequent disorder accounting for many proctological consultations, affecting mainly middle-aged males. […] Treatment depends principally on the underlying aetiology. […] Diagnosis and treatment are mainly based on eviction testing to identify the incriminated irritant agent. […] Reassurance is mandatory, with lifestyle counselling to avoid irritant factors. […] Treatment should be directed through whatever causing factor that has been identified. […] If an infection is suspected, microbiological swabs can be performed to confirm diagnosis. […] Treatment strategies must often be escalated until a good regimen is found, which can be a long road for the patient and the clinician. […] The treatment relies on the identification of a potential aetiology, and should be based on a step-up approach. […] Little evidence supports the use of specific medications to alleviate symptoms.

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