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. […] 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. […] When showering or bathing, do not use soap or antiseptics of any kind in the anal area. […] A bulking agent such as Fybogel (1 sachet twice daily). […] 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. If problems such as haemorrhoids are felt to be causing the problem, they will be able to recommend an appropriate management plan. […] Proper assessment and treatment usually gives good relief of symptoms.

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

  https://www.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. […] When showering or bathing, do not use soap or antiseptics of any kind in the anal area. […] For hygiene, use wet toilet paper, a moist cotton ball, baby wipes or a wet washcloth to blot the area clean. […] Try not to scratch the itchy area. Scratching produces more damage, which in turn makes the itch worse.

• #3 Anal itching – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/symptoms-causes/syc-20369345

  Anal itching is a common condition. If the symptoms don’t clear up with self-care, talk with your health care provider. With treatment, most people get complete relief. […] Medical care isn’t needed for most anal itching. But see your health care provider if: Anal itching is severe or constant. […] Often the cause of anal itching isn’t known.

• #4 Anal itching

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20369333

  If the symptoms don’t clear up with self-care, talk with your health care provider. With treatment, most people get complete relief. […] 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. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] 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. This type of doctor is called a proctologist.

• #5 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.

• #6 Anal Itching – Digestive Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/anal-itching

  The best way to treat anal itching is to treat the underlying disorder. For example, medications can be taken for parasitic infections (such as pinworms), and creams can be applied for fungal infections (such as candidiasis). […] Proper hygiene is important. After bowel movements, the anal area should be cleaned with absorbent cotton or plain soft tissue moistened with warm water or a commercial cleanser made specifically for hemorrhoids. People should avoid using soaps and premoistened wipes. […] Corticosteroid ointments (such as 1% hydrocortisone) often help relieve symptoms but should taken only for short periods of time or under a doctor’s supervision.

• #7 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.

• #8 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. […] Clean the anus gently after bowel movements, without scrubbing. Use a squeeze bottle of water, unscented baby wipes, a wet washcloth, or wet unscented toilet paper. […] 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.

• #9 Anal Itching – Digestive Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/anal-itching

  The best way to treat anal itching is to treat the underlying disorder. For example, medications can be taken for parasitic infections (such as pinworms), and creams can be applied for fungal infections (such as candidiasis). […] Proper hygiene is important. After bowel movements, the anal area should be cleaned with absorbent cotton or plain soft tissue moistened with warm water or a commercial cleanser made specifically for hemorrhoids. People should avoid using soaps and premoistened wipes. […] Corticosteroid ointments (such as 1% hydrocortisone) often help relieve symptoms but should taken only for short periods of time or under a doctor’s supervision.

• #10 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.

• #11 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.

• #12 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/

  Pruritus ani is a condition associated with the urge to scratch the skin around the anus. Common causes of anal itching include skin problems such as infection or rash, excessive washing, excessive sweating, residual stool and hemorrhoids. […] Listed below are some of the treatments that may be recommended. These may take 4-6 weeks or more to be effective. Itching that does not improve should be evaluated by your physician; further evaluation and testing may be necessary. […] It is very important to keep the area clean and dry. When showering or bathing, cleanse the area gently using a mild soap. Avoid using scented soaps, deodorants and bubble baths. Rinse the area well to avoid leaving residual soap. Dry the area gently, do not scratch or rub the area with a towel. A hairdryer on a cool setting can also be used.

• #13 Pruritus Ani (Anal Itching) – Gastrointestinal Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/pruritus-ani-anal-itching

  Most anal itching is […] Systemic causes and parasitic or fungal infections must be treated specifically. […] Foods and topical agents suspected of causing pruritus ani should be eliminated. […] After bowel movements, the patient should clean the anal area with absorbent cotton or plain soft tissue moistened with water or a commercial perianal cleansing preparation for hemorrhoids; soaps and premoistened wipes should be avoided. […] Practicing appropriate, nonirritating hygiene (ie, not too little but not too vigorous, avoiding strong soaps and chemicals) and decreasing local moisture can help alleviate symptoms.

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

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

  You can also purchase several over-the-counter topical creams to treat anal itching. These include zinc oxide, hydrocortisone cream, or topical capsaicin cream. […] Living a healthy lifestyle can help prevent an itchy anus. Prevention techniques include: Maintaining a healthy diet and exercise routine. Eating well and getting regular exercise can help promote digestive regularity to prevent diarrhea and hemorrhoids. Practicing good hygiene habits. Practicing good hygiene can help prevent itching. Good practices include refraining from scratching and keeping the anal area clean and dry. Wearing loose clothing. Wearing loose-fitting clothing with natural, breathable fibers can minimize irritation and moisture. Using clear soaps and detergents. Refraining from using soaps and detergents with dyes and perfumes can also prevent skin irritation that leads to an itchy anus.

• #15 Symptom Management

  https://crohnsandcolitis.ca/About-Crohn-s-Colitis/IBD-Journey/Symptom-Management/Anal-Itching-and-Irritation

  Adjust your clothing to try to allow air to the area: […] Wear cotton underwear and avoid synthetic material. […] Cotton allows the skin to breathe. […] Avoid tight clothing. […] If you use incontinence pads, make sure they are soft and that no plastic touches your skin. […] If you are still experiencing discomfort, talk to your IBD team to see what other products can help heal your sore skin. Treatment options may include: […] A barrier product to protect your skin. They come in different forms such as creams and wipes. Check to make sure you are not allergic. Use a little of the cream because too much can make the area sweaty. […] Topical medications for anal irritation and itching include topical steroid creams or ointments, applied two or three times a day to the affected area for short periods of time. An alternative is topical capsaicin cream. […] Oral medications can be prescribed if there is an infection. These include antibiotic and antifungal medications.

• #16 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.

• #17 Pruritus Ani

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

  The patient should be admonished not to scratch the area, as this may lead to more excoriation and irritation. Although soilage of the perianal region is a common etiology of pruritus, many patients cause more excoriation through overzealous hygiene. […] In severe cases of soilage or irritation, Berwick’s solution (crystal violet 1%, brilliant green 1%, 95% ethanol 50%, distilled water as much as sufficient 100%) can be applied followed by cool air drying. […] Capsaicin, a component of chili peppers, has been suggested as a treatment of pruritus due to its ability to suppress histamine release and the subsequent itchscratch response. […] There is some suggestion that topical application of tacrolimus ointment for 4 weeks may decrease itch intensity and frequency in pruritus ani. […] Topical cortisone cream can also decrease itching symptoms.

• #18 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/

  Wash the anal area with water, a wet piece of cotton or unscented mild baby wipe. Sitz baths, showers or a bidet (a special toilet with an irrigation system) can also be used; be sure to carefully pat the area dry, moisture can worsen the problem. […] If itching is related to excess moisture, placing a small thin wafer of cotton up against the anus can be very effective in reducing irritation. It should be changed when it becomes damp and after each bowel movement. A sanitary napkin is not a substitute. Cotton underwear and loose-fitting clothing is also recommended. […] Apply the cream gently with your finger to the affected area and then apply the cotton wafer. Some creams come with a plastic applicator; do not use this. Simply apply the ointment with your fingertip to the affected area.

• #19 Pruritis Ani (anal itching) Treatment – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/pruritis-ani-anal-itching-treatment/

  Anal pruritis (itching) is often due to increased moisture of the skin around the anus. This results in itching and scratching. This causes further skin damage. Hemorrhoids, infections, and other anal diseases may lead to itching. There may be no clear cause. Poor local hygiene will usually cause itching. Perfumed soaps and sprays can also lead to anal irritation. Dietary factors such as caffeine (coffee, black teas, colas), beer, milk products, chocolate, nuts, citrus fruits, tomatoes, spicy seasonings, jalapeno peppers and salsa may cause problems. In many cases no specific underlying cause can be identified. […] The following is a list of DOs and Donts to help relieve anal itching […] DO use plain white Kleenex or a moist cotton washcloth to wipe after bowel movements DO take warm tub baths 2-3 times daily especially after bowel movements DO place several cotton balls gently between the buttocks to absorb excess moisture especially if you perspire. DO use bulk: 100% bran (up to 1/3 cup daily), whole grains or metamucil (1 teaspoon in a glass of water or juice twice daily). Decrease your fiber intake if you become bloated or have excess gas. Do watch your diet and eliminate foods that seem to make the condition worse. DO take medications as prescribed DO wear all-cotton underwear DO return to the office as scheduled

• #20 Anal Itching: Causes and Treatments – Hemorrhoid Centers of America

  https://hemorrhoidcentersamerica.com/anal-rectal-problems/anal-itching/

  The most common cause of occasional anal itching (pruritus ani) is a fungus/yeast infection. Enlarged hemorrhoids cause the leakage of moisture, stool, and fungus. Repeated wiping, cleaning, scratching, and the use of harsh cleaners make the itching worse. It is frequently worse at night. […] If the infection is mild you may be able to stop the itching with improved hygiene. Gently clean with soap and water. Dry with soft paper. Decrease the yeast in your diet by decreasing refined carbohydrates. Increase your fiber to have a more formed stool and less leakage. […] Topical hydrocortisone creams are occasionally helpful on a short term basis. Bacterial infections may require topical antibiotics. […] Over the counter anti-fungal creams are not approved by the FDA for rectal usage. They are only approved for athletes foot, ring worm, certain vaginal infections, or jock itch.

• #21 Anal Itching and Discomfort: Causes and Treatment Options

  https://www.kaizengastrocare.com/anal-itching-and-discomfort-causes-and-treatment-options/

  Dietary Modifications: Avoid trigger foods and increase fiber intake to promote soft, regular bowel movements. Drink adequate water to stay hydrated. […] Topical Medications: Steroid creams for inflammation, antifungal or antibacterial creams for infections, zinc oxide ointments to soothe irritation and protect skin. […] Antihistamines or Antiallergic Medications: For itching related to allergies or skin sensitivity. […] Treatment for Hemorrhoids or Fissures: Depending on the severity: Sitz baths, laxatives or stool softeners, rubber band ligation or laser treatment for hemorrhoids, surgical procedures like Lateral Internal Sphincterotomy (LIS) for chronic fissures. […] Fistula or Abscess Treatment: Dr. Jankar specializes in advanced treatments like VAAFT (Video-Assisted Anal Fistula Treatment), Laser Fistula Treatment, Fistula Plug Surgery.

• #22 Pruritis Ani (anal itching) Treatment – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/pruritis-ani-anal-itching-treatment/

  DONT scratch or rub the anal area, wipe gently or pat dry. DONT use scented, colored or floral pattern toilet tissue DONT use harsh or scented soaps DONT use cleansing pads containing alcohol, avoid wet wipes in general DONT drink coffee, tea, alcoholic beverages or cola DONT eat spices, peppers, tomatoes or nuts. When your symptoms improve you may be able to resume eating some of these foods. […] Itching will not stop immediately, have patience. […] The following is a good barrier cream to be used at night in those suffering from pruritis.

• #23 Evaluation and Management of Common Anorectal Conditions | AAFP

  https://www.aafp.org/pubs/afp/issues/2012/0315/p624.html

  Pruritus ani, or perianal itching, is managed by treating the underlying cause, ensuring proper hygiene, and providing symptomatic relief with oral antihistamines, topical steroids, or topical capsaicin. […] Treatment of pruritus ani should address the underlying cause. Physicians should educate patients about proper hygiene and avoidance of perfumes, dyes, dietary irritants (especially caffeine), and tight clothing. […] If conservative measures are ineffective, topical steroids can be used for a maximum of two to four weeks and only in low-potency formulations to minimize the risk of skin atrophy. […] A small trial found a 68 percent reduction in pruritus ani with topical hydrocortisone. […] A trial of capsaicin 0.006% cream (not commercially available but can be diluted with white paraffin) for chronic idiopathic pruritus ani showed relief in 31 of 44 patients in the treatment group compared with one of 44 patients in the placebo group.

• #24 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. […] 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. […] Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus.

• #25 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.

• #26 Anal itching – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/anal-itching/

  Apply ointments or gels. Protect the affected skin from moisture by applying a thin layer of a zinc oxide ointment (Desitin, Balmex) or petroleum jelly (Vaseline). If needed, apply hydrocortisone 1 percent cream two to three times a day for a brief period to relieve symptoms. […] If the itching persists even after taking self-care measures, mention it to your primary care doctor.

• #27 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. […] 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. […] Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus.

• #28 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.

• #29

  https://fascrs.org/patients/diseases-and-conditions/a-z/pruritus-ani

  A thorough examination by a colon and rectal surgeon may identify the cause of itching. In some cases, no underlying reason is identified. Treatment of pruritis ani involves preventing further irritation and moisture in the affected area and avoiding scratching. […] Use medications as directed by your physician. Apply prescription medications such as topical steroids sparingly to the anal area. Prolonged use of prescription or over-the-counter topical medications may result in irritation or skin dryness, making the condition worse. […] Most people experience some relief from itching within a week. If symptoms do not resolve after six weeks, make a follow-up appointment with your physician. Recurring symptoms are not uncommon and patients may need to make long-term lifestyle changes to remain symptom free.

• #30 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. […] Cleanse the anal area gently right away after bowel movements and dry thoroughly. Wear cotton underwear and loose clothing. Try not to scratch.

• #31 Pruritus Ani

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

  The patient should be admonished not to scratch the area, as this may lead to more excoriation and irritation. Although soilage of the perianal region is a common etiology of pruritus, many patients cause more excoriation through overzealous hygiene. […] In severe cases of soilage or irritation, Berwick’s solution (crystal violet 1%, brilliant green 1%, 95% ethanol 50%, distilled water as much as sufficient 100%) can be applied followed by cool air drying. […] Capsaicin, a component of chili peppers, has been suggested as a treatment of pruritus due to its ability to suppress histamine release and the subsequent itchscratch response. […] There is some suggestion that topical application of tacrolimus ointment for 4 weeks may decrease itch intensity and frequency in pruritus ani. […] Topical cortisone cream can also decrease itching symptoms.

• #32 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. […] 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. […] Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus.

• #33 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. […] 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. […] If there is no obvious cause (’idiopathic pruritus ani’), this is a common situation. The following tips often help to stop the itch: Avoid any potential irritants: Stop using scented soaps, talcum powder, bubble bath, bath oil, perfume, etc, near your anus. Use plain, non-coloured toilet tissue. Wipe your anus gently after passing stools (faeces).

• #34 Itchy anus (pruritus ani) | healthdirect

  https://www.healthdirect.gov.au/itchy-anus

  An itchy anus, also known as pruritus ani is characterised by a constant urge to scratch the anus causing distress. […] Treatment options include steroid ointments. […] Lifestyle changes may also help manage the condition, for example, avoiding soaps and harsh wiping, shorter showers that are not too hot and wearing cotton clothing. […] Your doctor may prescribe you a low strength steroid ointment. […] If threadworms are causing your itching, you can buy over the counter medicines from your pharmacy. This treatment should be repeated 2 weeks later. The whole family will need to be treated. […] Your doctor can check that rare and specific causes of itchy anus (such as worms and anal cancer) aren’t overlooked. They can prescribe treatments for the cause of the itch, and can also give you advice to manage your symptoms, so you are less likely to scratch.

• #35 Topical capsaicin—a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1773800/

  Pruritus ani is a common and embarrassing proctological condition which can be very difficult to treat. […] We report the results of a double blind placebo controlled study of treatment with capsaicin. […] Capsaicin is a new, safe, and highly effective treatment for severe intractable idiopathic pruritus ani. […] Capsaicin is a natural alkaloid derived from plants of the Solanaceae family. Topical capsaicin is known to be effective and safe in the treatment of pain and itching. […] Our study demonstrated, for the first time, that capsaicin can be used successfully to treat chronic intractable pruritus ani. […] In summary, perianal application of 0.006% capsaicin cream is a new and promising approach to the treatment of chronic idiopathic intractable pruritus ani. This drug concentration was significantly effective and safe in this pathology.

• #36 Pruritus ani – Wikipedia

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

  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.

• #37 Pruritis Ani (Anal Itching): Causes, Diagnosis and Treatment

  https://www.clevelandclinicabudhabi.ae/en/health-hub/health-resource/diseases-and-conditions/pruritis-ani

  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.

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

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

  Your doctor may advise a short course of a cream or ointment: A bland soothing ointment may be recommended to use after going to the toilet and at bedtime. There are many to choose from. 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.

• #39 Pruritus Ani

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

  The patient should be admonished not to scratch the area, as this may lead to more excoriation and irritation. Although soilage of the perianal region is a common etiology of pruritus, many patients cause more excoriation through overzealous hygiene. […] In severe cases of soilage or irritation, Berwick’s solution (crystal violet 1%, brilliant green 1%, 95% ethanol 50%, distilled water as much as sufficient 100%) can be applied followed by cool air drying. […] Capsaicin, a component of chili peppers, has been suggested as a treatment of pruritus due to its ability to suppress histamine release and the subsequent itchscratch response. […] There is some suggestion that topical application of tacrolimus ointment for 4 weeks may decrease itch intensity and frequency in pruritus ani. […] Topical cortisone cream can also decrease itching symptoms.

• #40 Anal Itching: Causes and Treatments – Hemorrhoid Centers of America

  https://hemorrhoidcentersamerica.com/anal-rectal-problems/anal-itching/

  The most common cause of occasional anal itching (pruritus ani) is a fungus/yeast infection. Enlarged hemorrhoids cause the leakage of moisture, stool, and fungus. Repeated wiping, cleaning, scratching, and the use of harsh cleaners make the itching worse. It is frequently worse at night. […] If the infection is mild you may be able to stop the itching with improved hygiene. Gently clean with soap and water. Dry with soft paper. Decrease the yeast in your diet by decreasing refined carbohydrates. Increase your fiber to have a more formed stool and less leakage. […] Topical hydrocortisone creams are occasionally helpful on a short term basis. Bacterial infections may require topical antibiotics. […] Over the counter anti-fungal creams are not approved by the FDA for rectal usage. They are only approved for athletes foot, ring worm, certain vaginal infections, or jock itch.

• #41 Anal Yeast Infection: Symptoms, Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/22907-anal-yeast-infection

  Anal yeast infections are a common fungal infection caused by a yeast called Candida. Symptoms include an intense itching sensation around your anus called pruritus ani. Treatment includes antifungal creams, ointments or suppositories. […] Treatment for an anal yeast infection may include an antifungal medication. Many of the same antifungal medications used for vaginal yeast infections can be used for anal yeast infections as well. Your healthcare provider may recommend an antifungal cream, ointment or suppository. You can buy many antifungal medications over the counter. Your healthcare provider may prescribe a stronger antifungal medication if necessary. Antifungal medications include: […] You may be able to get rid of an anal yeast infection with home remedies. Home treatment options haven’t been researched as thoroughly as FDA-approved antifungal medications. But scientists have performed some small studies. You should ask your healthcare provider before trying any home treatment remedies. Home treatment options may include:

• #42 Anal Itching: Causes and Treatments – Hemorrhoid Centers of America

  https://hemorrhoidcentersamerica.com/anal-rectal-problems/anal-itching/

  The most common cause of occasional anal itching (pruritus ani) is a fungus/yeast infection. Enlarged hemorrhoids cause the leakage of moisture, stool, and fungus. Repeated wiping, cleaning, scratching, and the use of harsh cleaners make the itching worse. It is frequently worse at night. […] If the infection is mild you may be able to stop the itching with improved hygiene. Gently clean with soap and water. Dry with soft paper. Decrease the yeast in your diet by decreasing refined carbohydrates. Increase your fiber to have a more formed stool and less leakage. […] Topical hydrocortisone creams are occasionally helpful on a short term basis. Bacterial infections may require topical antibiotics. […] Over the counter anti-fungal creams are not approved by the FDA for rectal usage. They are only approved for athletes foot, ring worm, certain vaginal infections, or jock itch.

• #43 Itchy anus (pruritus ani) | healthdirect

  https://www.healthdirect.gov.au/itchy-anus

  An itchy anus, also known as pruritus ani is characterised by a constant urge to scratch the anus causing distress. […] Treatment options include steroid ointments. […] Lifestyle changes may also help manage the condition, for example, avoiding soaps and harsh wiping, shorter showers that are not too hot and wearing cotton clothing. […] Your doctor may prescribe you a low strength steroid ointment. […] If threadworms are causing your itching, you can buy over the counter medicines from your pharmacy. This treatment should be repeated 2 weeks later. The whole family will need to be treated. […] Your doctor can check that rare and specific causes of itchy anus (such as worms and anal cancer) aren’t overlooked. They can prescribe treatments for the cause of the itch, and can also give you advice to manage your symptoms, so you are less likely to scratch.

• #44 Pruritus ani (itchy anus)

  https://dermnetnz.org/topics/itchy-anus

  What is the treatment for itchy anus? […] General measures include cleansing regularly but gently using plain water, avoiding abrasive or fragranced toilet tissue, patting the perianal skin dry rather than rubbing with a towel, and using cool compresses. […] Specific measures involve treating the specific underlying condition, avoiding contact with potential topical allergens, and using topical treatments for itch such as bland emollient or barrier cream, short term low potency topical steroid, and local anaesthetic spray or ointment. […] Systemic and other treatments for itch may include sedating antihistamines at night, tricyclic antidepressants, and local methylene blue intradermal injections. […] Perianal itch usually improves with attention to the above.

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

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

  People can take steps to manage itching at home. These can include: avoiding known irritants, keeping the anal area clean and washing after emptying the bowel, washing with plain warm water, drying the area well, and using an aqueous cream or emollient as a barrier, applying unscented powder to help keep the area dry, and soothing irritated skin by soaking cotton balls in cold water and applying them to the affected area. […] 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. […] 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.

• #46 Management and Treatment of Pruritus

  https://www.skintherapyletter.com/urticaria/management-treatment/

  UV phototherapy is used to treat various pruritic conditions including chronic renal failure; AD; HIV; aquagenic pruritus; solar, chronic, and idiopathic urticaria; urticaria pigmentosa; polycythemia vera; pruritic folliculitis of pregnancy; breast carcinoma skin infiltration; Hodgkin’s lymphoma; chronic liver disease; and acquired perforating dermatoses, among others. […] In addition to the nonprescription medications mentioned above, there are other OTC treatments that can be helpful for treating and managing pruritus. […] Several alternatives to traditional treatment of pruritus have been proposed. […] The management of symptoms is paramount in the treatment of pruritus. Patients should be educated regarding the self-care aspects of this condition. […] Pruritus is a common complaint, but one that can often be a challenge to treat. It can be a major quality of life issue for patients, so it is important that both the underlying disease and associated symptoms are treated as quickly and effectively as possible.

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

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

  Protectants prevent irritation of the perianal area by forming a physical barrier on the skin that prevents contact of the irritated skin with aggravating liquid or stool from the rectum. […] Astringents cause coagulation (clumping) of proteins in the cells of the perianal skin or the lining of the anal canal. […] Antiseptics inhibit the growth of bacteria and other organisms. […] Keratolytics are chemicals that cause the outer layers of skin or other tissues to disintegrate. […] Analgesic products, like anesthetic products, relieve pain, itching, and burning by depressing receptors on pain nerves. […] Corticosteroids reduce inflammation and can relieve itching, but their chronic use can cause permanent damage to the skin. […] For persistent anal itching, efforts are directed toward identifying an underlying cause. An examination by a doctor can rapidly identify the most causes of anal itching. Adjustments in diet, treatment of infections, or surgical procedures to correct the underlying cause may be required.

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

  https://www.mwhtc-stl.com/blog/can-anything-stop-my-anal-itching

  For your anorectal condition, we treat the root cause of your symptom to eliminate the discomfort. […] 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. […] We recommend you practice good anal hygiene, such as using moist toilet paper to gently wipe or pat away stool after a bowel movement. […] If your at-home treatments fail to provide long-term relief, let us help you.

• #49 Evaluation and Management of Common Anorectal Conditions | AAFP

  https://www.aafp.org/pubs/afp/issues/2012/0315/p624.html

  Treatment of anal fissure starts with stool softeners, fiber, sitz baths, and topical analgesics. […] Topical nitroglycerin 0.2% ointment (compounded by a pharmacist) relaxes the sphincter and enables healing of the fissure. […] In a randomized clinical trial, 20 units of onabotulinumtoxinA (Botox) injected into the internal anal sphincter was shown to be superior to topical nitroglycerin for the treatment of anal fissure. […] Other studies have found favorable results with low-dose calcium channel blockers, such as topical diltiazem 2% and nifedipine 0.5%, or agents that relax the anal sphincter, such as bethanechol 0.1%. […] If pruritus persists after treatment, the area should be biopsied.

• #50 Itchy Anal Fissures: 10 Treatments and Tips

  https://www.healthline.com/health/anal-fissure-itchy

  Soothing itchy anal fissures involves remedying current fissures, including with a sitz bath, ointments, and more. […] Some treatments relieve itching immediately, while others help clear up the fissures over time and relieve itching in the long term. […] A sitz bath is essentially a pool for your patootie. […] Warm water helps relax the tight anal sphincter muscle and improves blood flow to the anal mucosa, which can experience damage when you have anal fissures. […] Over-the-counter (OTC) and prescription analgesic creams and gels can help relieve itching. […] These medications work by relaxing the blood vessels in the anal canal, as well as relaxing the sphincter muscle, so the fissure is able to heal rather than being continuously reopened. […] If constipation doesn’t improve with the addition of a fiber supplement, then stool softeners or laxatives are appropriate for the treatment of root cause of anal fissure.

• #51 Pruritis Ani (anal itching) Treatment – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/pruritis-ani-anal-itching-treatment/

  Anal pruritis (itching) is often due to increased moisture of the skin around the anus. This results in itching and scratching. This causes further skin damage. Hemorrhoids, infections, and other anal diseases may lead to itching. There may be no clear cause. Poor local hygiene will usually cause itching. Perfumed soaps and sprays can also lead to anal irritation. Dietary factors such as caffeine (coffee, black teas, colas), beer, milk products, chocolate, nuts, citrus fruits, tomatoes, spicy seasonings, jalapeno peppers and salsa may cause problems. In many cases no specific underlying cause can be identified. […] The following is a list of DOs and Donts to help relieve anal itching […] DO use plain white Kleenex or a moist cotton washcloth to wipe after bowel movements DO take warm tub baths 2-3 times daily especially after bowel movements DO place several cotton balls gently between the buttocks to absorb excess moisture especially if you perspire. DO use bulk: 100% bran (up to 1/3 cup daily), whole grains or metamucil (1 teaspoon in a glass of water or juice twice daily). Decrease your fiber intake if you become bloated or have excess gas. Do watch your diet and eliminate foods that seem to make the condition worse. DO take medications as prescribed DO wear all-cotton underwear DO return to the office as scheduled

• #52 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. […] Dietary changes are often necessary. […] It will also be important to modify bowel hygiene or cleaning habits. […] One of the most important aspects of the management of pruritis ani is to avoid trauma to the skin. […] 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.

• #53 Why Does My Butthole Itch? Understanding the Causes and Solutions – Inspira Physical Therapy and Pilates

  https://brooklynphysicaltherapy.com/why-does-my-butthole-itch-understanding-the-causes-and-solutions/

  It’s a question that many of us may feel too embarrassed to ask: Why does my butthole itch? But rest assured, you’re not alone. Anal itching, also known as pruritus ani, is a common issue that can be both uncomfortable and frustrating. Here are some of the reasons behind this bothersome symptom and explore some holistic solutions. […] If you’re experiencing persistent anal itching, it’s essential to seek professional medical advice to determine the underlying cause and appropriate treatment options. In the meantime, there are steps you can take to help alleviate discomfort, including: […] Consulting with a healthcare provider or pelvic floor specialist for personalized guidance and treatment recommendations. At Inspira Physical Therapy in Brooklyn, we offer specialized physical therapy care by our dedicated team providing personalized treatment plans tailored to your unique needs, empowering you to achieve your health and wellness goals with confidence and compassion.

• #54 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.

• #55 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. […] Clean the anus gently after bowel movements, without scrubbing. Use a squeeze bottle of water, unscented baby wipes, a wet washcloth, or wet unscented toilet paper. […] 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.

• #56 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/

  Pruritus ani is a condition associated with the urge to scratch the skin around the anus. Common causes of anal itching include skin problems such as infection or rash, excessive washing, excessive sweating, residual stool and hemorrhoids. […] Listed below are some of the treatments that may be recommended. These may take 4-6 weeks or more to be effective. Itching that does not improve should be evaluated by your physician; further evaluation and testing may be necessary. […] It is very important to keep the area clean and dry. When showering or bathing, cleanse the area gently using a mild soap. Avoid using scented soaps, deodorants and bubble baths. Rinse the area well to avoid leaving residual soap. Dry the area gently, do not scratch or rub the area with a towel. A hairdryer on a cool setting can also be used.

• #57 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.

• #58 Pruritis Ani (anal itching) Treatment – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/pruritis-ani-anal-itching-treatment/

  DONT scratch or rub the anal area, wipe gently or pat dry. DONT use scented, colored or floral pattern toilet tissue DONT use harsh or scented soaps DONT use cleansing pads containing alcohol, avoid wet wipes in general DONT drink coffee, tea, alcoholic beverages or cola DONT eat spices, peppers, tomatoes or nuts. When your symptoms improve you may be able to resume eating some of these foods. […] Itching will not stop immediately, have patience. […] The following is a good barrier cream to be used at night in those suffering from pruritis.

• #59 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.

• #60 Symptom Management

  https://crohnsandcolitis.ca/About-Crohn-s-Colitis/IBD-Journey/Symptom-Management/Anal-Itching-and-Irritation

  On this page […] Managing anal itching and reducing irritation […] Keeping the skin clean and dry is the best way to minimize sore skin: […] Use moist towelette wipes as they can be more comfortable than dry toilet paper. Choose alcohol-free versions or ones for sensitive skin. […] Whenever you can, wash around your anus after passing stool. A bidet works well. If you dont have access to a bidet, try your shower attachment. A jug of warm water can work, too, or simply a soft disposable cloth with warm water. Avoid using disinfectants or antiseptics when washing because they can irritate your skin. […] Soap tends to dry the skin so avoid using soap in this area. […] When drying, be gentle and pat rather than rub. Alternatively, try using a hair dryer on a low heat setting. […] Avoid scratching because this will make your pain worse.

• #61 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.

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

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

  You can also purchase several over-the-counter topical creams to treat anal itching. These include zinc oxide, hydrocortisone cream, or topical capsaicin cream. […] Living a healthy lifestyle can help prevent an itchy anus. Prevention techniques include: Maintaining a healthy diet and exercise routine. Eating well and getting regular exercise can help promote digestive regularity to prevent diarrhea and hemorrhoids. Practicing good hygiene habits. Practicing good hygiene can help prevent itching. Good practices include refraining from scratching and keeping the anal area clean and dry. Wearing loose clothing. Wearing loose-fitting clothing with natural, breathable fibers can minimize irritation and moisture. Using clear soaps and detergents. Refraining from using soaps and detergents with dyes and perfumes can also prevent skin irritation that leads to an itchy anus.

• #63 Symptom Management

  https://crohnsandcolitis.ca/About-Crohn-s-Colitis/IBD-Journey/Symptom-Management/Anal-Itching-and-Irritation

  Adjust your clothing to try to allow air to the area: […] Wear cotton underwear and avoid synthetic material. […] Cotton allows the skin to breathe. […] Avoid tight clothing. […] If you use incontinence pads, make sure they are soft and that no plastic touches your skin. […] If you are still experiencing discomfort, talk to your IBD team to see what other products can help heal your sore skin. Treatment options may include: […] A barrier product to protect your skin. They come in different forms such as creams and wipes. Check to make sure you are not allergic. Use a little of the cream because too much can make the area sweaty. […] Topical medications for anal irritation and itching include topical steroid creams or ointments, applied two or three times a day to the affected area for short periods of time. An alternative is topical capsaicin cream. […] Oral medications can be prescribed if there is an infection. These include antibiotic and antifungal medications.

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

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

  You can also purchase several over-the-counter topical creams to treat anal itching. These include zinc oxide, hydrocortisone cream, or topical capsaicin cream. […] Living a healthy lifestyle can help prevent an itchy anus. Prevention techniques include: Maintaining a healthy diet and exercise routine. Eating well and getting regular exercise can help promote digestive regularity to prevent diarrhea and hemorrhoids. Practicing good hygiene habits. Practicing good hygiene can help prevent itching. Good practices include refraining from scratching and keeping the anal area clean and dry. Wearing loose clothing. Wearing loose-fitting clothing with natural, breathable fibers can minimize irritation and moisture. Using clear soaps and detergents. Refraining from using soaps and detergents with dyes and perfumes can also prevent skin irritation that leads to an itchy anus.

• #65 Rectal Problems Information & Treatment

  https://www.columbiadoctors.org/health-library/symptom/rectal-problems/

  Rectal itching is most often caused by dry or irritated skin in the rectal area. It can also be a sign of pinworms, especially in children. […] Home treatment for rectal itching includes things like: Keeping the area clean and dry. Washing the area with water several times a day and after bowel movements. Sitting in a few inches of warm water in a bathtub. Wearing loose-fitting cotton underwear. Using a nonprescription hydrocortisone (1%) cream on the area. […] Try antihistamines to control itching. Scratching leads to more itching. Taking an antihistamine at night may help reduce your nighttime itching. […] Be careful with ointments if you have itching. Apply an ointment that has 1% hydrocortisone. Don’t use other steroid creams on this sensitive area of your body. They can cause skin damage. Hydrocortisone cream should not be used for longer than 7 to 10 days without talking with your doctor. […] Call a doctor if any of the following occur during self-care at home: New or worse pain. Stools that become red or black, or increased blood in the stool. New swelling or a lump in or around the anus. Symptoms occur more often or are more severe.

• #66 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.

• #67 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.

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

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

  People can take steps to manage itching at home. These can include: avoiding known irritants, keeping the anal area clean and washing after emptying the bowel, washing with plain warm water, drying the area well, and using an aqueous cream or emollient as a barrier, applying unscented powder to help keep the area dry, and soothing irritated skin by soaking cotton balls in cold water and applying them to the affected area. […] 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. […] 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.

• #69 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. […] Clean the anus gently after bowel movements, without scrubbing. Use a squeeze bottle of water, unscented baby wipes, a wet washcloth, or wet unscented toilet paper. […] 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.

• #70 Anal itching

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20369333

  If the symptoms don’t clear up with self-care, talk with your health care provider. With treatment, most people get complete relief. […] 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. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] 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. This type of doctor is called a proctologist.

• #71 Anal itching – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anal-itching/symptoms-causes/syc-20369345

  Anal itching is a common condition. If the symptoms don’t clear up with self-care, talk with your health care provider. With treatment, most people get complete relief. […] Medical care isn’t needed for most anal itching. But see your health care provider if: Anal itching is severe or constant. […] Often the cause of anal itching isn’t known.

• #72 Anal Itching: Causes, Prevention and Treatment Tips – Scripps Health

  https://www.scripps.org/news_items/7231-what-are-the-causes-of-anal-itching

  Most of the time you can stay quiet and treat the problem at home. But if the itching persists and is causing you significant discomfort, dont hesitate to ask your doctor for help, especially if you have pain and bleeding. […] Your doctor can help, especially when itching becomes severe or persistent, or if you have anal bleeding, stool leakage or another symptom that requires treatment, says Michael Hadley, MD, a family medicine physician at Scripps Coastal Medical Center Encinitas. […] Treatment involves reducing inflammation and allowing the skin to heal. Avoid rubbing, scratching and obsessive cleansing because that can affect healing, says Dr. Hadley. […] Make an appointment with your doctor if you experience bleeding from the rectum or if your itching is getting worse even after self-care treatments.

• #73 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. […] Clean the anus gently after bowel movements, without scrubbing. Use a squeeze bottle of water, unscented baby wipes, a wet washcloth, or wet unscented toilet paper. […] 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.

• #74 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. […] Clean the anus gently after bowel movements, without scrubbing. Use a squeeze bottle of water, unscented baby wipes, a wet washcloth, or wet unscented toilet paper. […] 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.

• #75 Itchy Anus STD: Causes, Symptoms, Treatment

  https://www.verywellhealth.com/itchy-anus-std-5443108

  Several STIs can cause anal itching, including: […] Anal herpes infection causes outbreaks of skin inflammation and small blisters in the genital and anal areas. The symptoms of anal herpes are: […] Gonorrhea is the second most common STI in the United States. […] However, when someone does have symptoms, their symptoms can include: […] Anal warts is an STI caused by the human papillomavirus (HPV). […] The symptoms of crabs are: […] Each type of STI is treated differently and needs to be directed by a healthcare provider. Here are a few possibilities of how a healthcare provider may treat the following STIs or conditions: […] Anal herpes: No cure but treatment with antiviral medication can lessen outbreaks […] Gonorrhea: Antibiotics […] Anal warts: Topical ointments, surgical removal, cryotherapy, laser removal, and antiviral injection

• #76 Itchy bottom

  https://www.nhs.uk/conditions/itchy-anus/

  You can often do simple things yourself to ease an itchy bottom (anus). Get medical help if the itching does not stop. […] A pharmacist can help with an itchy bottom. They can suggest creams and ointments you can buy to help ease itching, such as steroid creams. […] Do not use steroid creams or ointments for longer than 1 week because they can irritate your skin and make things worse. […] Get medical advice if the itching is not going away after using a steroid cream or ointment for 1 week. […] A GP will try to work out the cause of your itching. They may need to check your bottom (rectal examination). Depending on the cause, the GP might prescribe medicine, such as stronger steroid creams, or ointments. […] Tell the GP immediately if a cream, ointment or other medicine makes the itching worse. […] You can also go to a sexual health clinic if you think your itchy bottom might be caused by a sexually transmitted infection (STI) for example, if you’ve had unprotected sex. They can provide the same treatments you would get from a GP.

• #77 Pruritus Ani Treatment in San Jose | San Jose Colorectal

  https://sanjosecolorectal.com/services/pruritus-ani/

  Pruritus Ani Treatments […] Treatment of pruritus ani typically begins with measures to reduce irritation and trauma to the anal area. Fiber supplements can help prevent constipation and decrease moisture around the anus. Topical steroids or injected methylene blue may be tried as a last resort. […] In some cases, especially where the snowball effect is a factor, pruritus ani can be effectively treated by simply keeping the area clean with water and patting it dry whenever the urge to itch is felt. If the urge to scratch the area is still present, your doctor may recommend applying Calmoseptine or a steroid cream. Continue to clean and dry the infected anal area after each bowel movement and at night until itchiness symptoms subside. […] Another treatment option that has been met with success in small-scale trials is the application of a very mild topical capsaicin cream. This strength cream is not typically commercially available and therefore must be diluted by a pharmacist or end-user. If the itchiness is secondary to another condition such as infection or psoriasis, these are typically treated. […] In the instance of long-lasting symptoms, especially in patients 50 years of age or over, a colonoscopy may be prescribed since pruritus ani is one of the first symptoms of colonic polyps and tumors.

• #78 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. […] Clean the anus gently after bowel movements, without scrubbing. Use a squeeze bottle of water, unscented baby wipes, a wet washcloth, or wet unscented toilet paper. […] 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.

• #79 Anal itching

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20369333

  If the symptoms don’t clear up with self-care, talk with your health care provider. With treatment, most people get complete relief. […] 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. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts. […] 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. This type of doctor is called a proctologist.

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

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

  If your body doesn’t respond to other treatments, your healthcare provider may treat your itchy anus with a methylene blue injection. […] Several home remedies may help relieve anal itching, including: Dye-free, unscented toilet paper, Avoid harsh soaps, scents and deodorants, Wear cotton underwear, Avoid certain foods and drinks. […] 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. […] 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).

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

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

  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. […] 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.

• #82 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.

• #83 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.

• #84 Anal itch (pruritus ani) Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/anal-itch-pruritus-ani.html

  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.

• #85

  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. […] You may notice that your problems will improve for some time with treatment but then recur. […] A very small number of patients find only minimal relief from all attempted treatment options.

• #86 Anal Itching – Digestive Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/anal-itching

  The best way to treat anal itching is to treat the underlying disorder. For example, medications can be taken for parasitic infections (such as pinworms), and creams can be applied for fungal infections (such as candidiasis). […] Proper hygiene is important. After bowel movements, the anal area should be cleaned with absorbent cotton or plain soft tissue moistened with warm water or a commercial cleanser made specifically for hemorrhoids. People should avoid using soaps and premoistened wipes. […] Corticosteroid ointments (such as 1% hydrocortisone) often help relieve symptoms but should taken only for short periods of time or under a doctor’s supervision.

• #87 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. […] Clean the anus gently after bowel movements, without scrubbing. Use a squeeze bottle of water, unscented baby wipes, a wet washcloth, or wet unscented toilet paper. […] 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.

• #88 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. […] 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. […] If there is no obvious cause (’idiopathic pruritus ani’), this is a common situation. The following tips often help to stop the itch: Avoid any potential irritants: Stop using scented soaps, talcum powder, bubble bath, bath oil, perfume, etc, near your anus. Use plain, non-coloured toilet tissue. Wipe your anus gently after passing stools (faeces).

• #89 Pruritis Ani (anal itching) Treatment – Paul E. Savoca

  https://www.paulsavocamd.com/instructions/pruritis-ani-anal-itching-treatment/

  Anal pruritis (itching) is often due to increased moisture of the skin around the anus. This results in itching and scratching. This causes further skin damage. Hemorrhoids, infections, and other anal diseases may lead to itching. There may be no clear cause. Poor local hygiene will usually cause itching. Perfumed soaps and sprays can also lead to anal irritation. Dietary factors such as caffeine (coffee, black teas, colas), beer, milk products, chocolate, nuts, citrus fruits, tomatoes, spicy seasonings, jalapeno peppers and salsa may cause problems. In many cases no specific underlying cause can be identified. […] The following is a list of DOs and Donts to help relieve anal itching […] DO use plain white Kleenex or a moist cotton washcloth to wipe after bowel movements DO take warm tub baths 2-3 times daily especially after bowel movements DO place several cotton balls gently between the buttocks to absorb excess moisture especially if you perspire. DO use bulk: 100% bran (up to 1/3 cup daily), whole grains or metamucil (1 teaspoon in a glass of water or juice twice daily). Decrease your fiber intake if you become bloated or have excess gas. Do watch your diet and eliminate foods that seem to make the condition worse. DO take medications as prescribed DO wear all-cotton underwear DO return to the office as scheduled

• #90 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. […] 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. […] Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus.

• #91 Topical capsaicin—a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1773800/

  Pruritus ani is a common and embarrassing proctological condition which can be very difficult to treat. […] We report the results of a double blind placebo controlled study of treatment with capsaicin. […] Capsaicin is a new, safe, and highly effective treatment for severe intractable idiopathic pruritus ani. […] Capsaicin is a natural alkaloid derived from plants of the Solanaceae family. Topical capsaicin is known to be effective and safe in the treatment of pain and itching. […] Our study demonstrated, for the first time, that capsaicin can be used successfully to treat chronic intractable pruritus ani. […] In summary, perianal application of 0.006% capsaicin cream is a new and promising approach to the treatment of chronic idiopathic intractable pruritus ani. This drug concentration was significantly effective and safe in this pathology.

• #92 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. […] 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. […] When showering or bathing, do not use soap or antiseptics of any kind in the anal area. […] A bulking agent such as Fybogel (1 sachet twice daily). […] 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. If problems such as haemorrhoids are felt to be causing the problem, they will be able to recommend an appropriate management plan. […] Proper assessment and treatment usually gives good relief of symptoms.

• #93

  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. […] You may notice that your problems will improve for some time with treatment but then recur. […] A very small number of patients find only minimal relief from all attempted treatment options.

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