Świąd odbytu
Objawy

Świąd odbytu (pruritus ani) to objaw dotykający 1-5% populacji, częściej mężczyzn w wieku 40-60 lat, charakteryzujący się intensywnym swędzeniem okolicy okołoodbytowej. Objaw ten może mieć różnorodne etiologie, w tym idiopatyczne, i manifestuje się nasileniem w nocy, po wypróżnieniu, w warunkach wilgotnych, podczas biegunek oraz w sytuacjach stresowych. Klasyfikacja Gordona wyróżnia cztery stopnie nasilenia zmian skórnych od braku zmian (stopień 0) do pogrubienia skóry z owrzodzeniami (stopień 3). Towarzyszące objawy to zaczerwienienie, pieczenie, bolesność, ekskoriacje, lichenifikacja oraz w zaawansowanych przypadkach pęknięcia i wtórne zakażenia. Przewlekły świąd może prowadzić do poważnych zmian skórnych i infekcji, a także zaburzeń snu i jakości życia pacjenta.

Świąd odbytu – charakterystyka objawu

Świąd odbytu (łac. pruritus ani) to powszechny objaw, który charakteryzuje się nieprzyjemnym, często intensywnym uczuciem swędzenia w okolicy odbytu i skóry wokół niego (okolica okołoodbytowa). Dotyczy około 1-5% populacji ogólnej, przy czym częściej występuje u mężczyzn niż u kobiet, zwłaszcza w wieku między 40 a 60 rokiem życia.12 Świąd odbytu nie jest chorobą, ale objawem, który może mieć różnorodne przyczyny lub występować bez uchwytnej przyczyny (idiopatyczny świąd odbytu).34

Charakterystyka świądzenia okołoodbytowego

Głównym objawem jest intensywne swędzenie okolicy odbytu, które wywołuje trudny do opanowania przymus drapania. Co istotne, drapanie przynosi jedynie chwilową ulgę, a w dłuższej perspektywie nasila problem, powodując dalsze podrażnienie i nasilenie świądu.56 Pacjenci często wpadają w tzw. „błędne koło świądu i drapania” (itch-scratch cycle), w którym drapanie prowadzi do większego podrażnienia, co z kolei wywołuje silniejszy świąd i potrzebę dalszego drapania.78

Nasilenie objawów w specyficznych sytuacjach

Świąd odbytu często wykazuje charakterystyczny wzorzec nasilenia objawów. Dolegliwości mogą się nasilać w następujących okolicznościach:910

  • W nocy, szczególnie przed zaśnięciem lub podczas snu
  • Po wypróżnieniu
  • W ciepłych, wilgotnych warunkach atmosferycznych
  • Podczas lub po epizodach biegunki
  • W sytuacjach stresowych i lękowych

1112

Stopnie nasilenia świądu odbytu

W zależności od czasu trwania i nasilenia objawów, świąd odbytu można sklasyfikować według klasyfikacji Gordona na cztery różne stadia:1314

  • Stopień 0: Skóra wygląda prawidłowo, bez widocznych zmian
  • Stopień 1: Skóra jest zaczerwieniona i zapalona
  • Stopień 2: Skóra jest pogrubiała z lichenifikacją (zgrubieniem i pobruzdowaniem)
  • Stopień 3: Skóra jest pogrubiała z grubymi bruzdami i owrzodzeniami wtórnymi do drapania

15

Objawy towarzyszące świądowi odbytu

Świądowi odbytu często towarzyszą dodatkowe objawy, które mogą się nasilać wraz z progresją choroby:1617

  • Zaczerwienienie i stan zapalny skóry wokół odbytu
  • Pieczenie i uczucie gorąca
  • Bolesność okolicy odbytu
  • Zadrapania (ekskoriacje) powstałe w wyniku drapania
  • Pogrubienie skóry wokół odbytu, która może stać się gruba lub skórzasta (lichenifikacja)
  • W zaawansowanych przypadkach – pęknięcia skóry i możliwe wtórne zakażenia

18

Świąd odbytu może być przejściowy lub przewlekły, w zależności od przyczyny. W przypadkach przewlekłych, długotrwałe drapanie może prowadzić do znaczących zmian skórnych – skóra może stać się surowa i tkliwa lub przeciwnie – zgrubiała i skórzasta. Powtarzające się drapanie powoduje również przerwanie ciągłości skóry, co może prowadzić do bolesnych miejscowych infekcji.1920

Objawy alarmowe wymagające pilnej konsultacji lekarskiej

Pewne objawy towarzyszące świądowi odbytu powinny skłonić do niezwłocznego skonsultowania się z lekarzem:2122

  • Krwawienie z odbytu
  • Ropna wydzielina z odbytu
  • Nietrzymanie stolca lub wydzielina kałowa
  • Widoczne lub wyczuwalne nietypowe guzy w okolicy odbytu
  • Objawy zakażenia (np. gorączka)
  • Świąd bardzo intensywny lub stały, uniemożliwiający normalne funkcjonowanie
  • Świąd nieustępujący po 2-4 tygodniach stosowania domowych metod leczenia

2324

Czynniki wpływające na nasilenie świądu odbytu

Istnieje szereg czynników, które mogą nasilać dolegliwości związane ze świądem odbytu:2526

  • Niedostateczna higiena okolicy odbytu
  • Nadmierna higiena i zbyt intensywne czyszczenie okolicy odbytu
  • Stosowanie drażniących mydeł, chusteczek nawilżanych lub barwionych papierów toaletowych
  • Zaleganie resztek kału w fałdach odbytu
  • Nadmierna wilgotność okolicy odbytu (np. z powodu pocenia się)
  • Noszenie obcisłej, syntetycznej bielizny, która nie przepuszcza powietrza
  • Spożywanie określonych pokarmów lub napojów (np. kawy, alkoholu, pikantnych potraw)
  • Stres i niepokój

2728

Przebieg i czas trwania świądu odbytu

Czas trwania i przebieg świądu odbytu są ściśle związane z jego przyczyną. W przypadku prostych podrażnień skóry, problem zazwyczaj szybko ustępuje po zidentyfikowaniu i wyeliminowaniu źródła podrażnienia.29 W większości przypadków, przy odpowiednim leczeniu i stosowaniu zasad higieny, pacjenci odczuwają poprawę w ciągu jednego tygodnia, a całkowite ustąpienie objawów następuje w ciągu miesiąca.3031

Jeśli świąd odbytu jest objawem innej choroby, czas trwania będzie zależał od skuteczności leczenia choroby podstawowej. U niektórych pacjentów świąd może stać się problemem przewlekłym, szczególnie jeśli jego przyczyna nie zostanie zidentyfikowana lub leczona.32 W przypadku przewlekłego świądu odbytu, nawet przy skutecznym leczeniu, mogą występować nawroty, zwłaszcza w miesiącach letnich.3334

Rokowanie

Przy właściwej opiece i leczeniu, rokowanie dla pacjentów ze świądem odbytu jest zwykle dobre. Większość osób uzyskuje ulgę w objawach przy zastosowaniu odpowiednich metod samopomocy i zaleceń lekarskich.35 Jednak u niewielkiej grupy pacjentów, świąd odbytu może być trudny do opanowania, a objawy mogą się utrzymywać mimo leczenia.36 Ważne jest, aby pacjenci z uporczywym świądem odbytu, który nie reaguje na leczenie, byli kierowani do specjalistów, jak dermatolog czy proktolog, w celu dalszej diagnostyki i leczenia.3738

Możliwe powikłania nieleczonego świądu odbytu

Nieleczony przewlekły świąd odbytu może prowadzić do różnych powikłań:3940

  • Uszkodzenie skóry i przerwanie jej ciągłości w wyniku ciągłego drapania
  • Wtórne zakażenia bakteryjne uszkodzonej skóry
  • Trwałe zmiany skórne, w tym zgrubienie i lichenifikacja
  • Zaburzenia snu i pogorszenie jakości życia z powodu nocnego swędzenia
  • Problemy psychologiczne związane z dyskomfortem i skrępowaniem

41

W rzadkich przypadkach, długotrwały, uporczywy świąd odbytu, który nie reaguje na standardowe leczenie, może być objawem poważniejszych chorób, takich jak nowotwory odbytu lub jelita grubego. Dlatego tak ważne jest, aby pacjenci z przewlekłym świądem odbytu byli odpowiednio diagnozowani i monitorowani.4243

Wpływ na jakość życia

Świąd odbytu, szczególnie przewlekły, może znacząco wpływać na jakość życia pacjenta. Ciągły dyskomfort i przymus drapania mogą prowadzić do zaburzeń snu, trudności w koncentracji w ciągu dnia, a także do problemów psychologicznych, takich jak zakłopotanie, zażenowanie i niepokój. W niektórych przypadkach, zwłaszcza gdy świąd jest intensywny i trudny do opanowania, może to prowadzić do depresji i wycofania społecznego.444546

Podsumowanie progresji objawów świądu odbytu

Świąd odbytu to objaw, który może przybierać różne nasilenie i charakter w zależności od przyczyny i czasu trwania. W początkowej fazie może objawiać się jako łagodne swędzenie, które stopniowo narasta i staje się bardziej intensywne, zwłaszcza w nocy i po wypróżnieniu.47 Przy braku odpowiedniego leczenia, świąd może prowadzić do powstania błędnego koła drapania i podrażnienia, co powoduje dalsze uszkodzenia skóry i nasilenie objawów.48

Skóra wokół odbytu początkowo może być zaczerwieniona i podrażniona, ale z czasem, przy przewlekłym świądzie, może stać się pogrubiała i lichenifikowna. W zaawansowanych przypadkach mogą pojawić się pęknięcia, owrzodzenia i wtórne zakażenia.49 Ważne jest, aby pacjenci ze świądem odbytu byli świadomi potencjalnych powikłań nieleczonego schorzenia i poszukiwali pomocy medycznej, szczególnie gdy objawy są intensywne, długotrwałe lub towarzyszą im niepokojące symptomy, takie jak krwawienie czy wydzielina z odbytu.5051

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 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. The main symptom is an urge to scratch your anus, which is difficult to resist. The urge to scratch may occur at any time. However, it tends to be more common after you have been to the toilet to pass a bowel motion and at night (particularly just before falling asleep). Persistent scratching of the anal skin can damage the skin and make it more likely to develop a skin infection in that area. Also, chronic itching of the anal area may lead to feelings of embarrassment. Both your mood and sleep can be affected. […] An itchy bottom (pruritus ani) is a common problem but the exact number of people who develop an itchy bottom is unknown. Some sources suggest around 1 to 5 out of every 100 people have an itchy bum. This is probably an underestimate, as many people don’t see a doctor about it. It seems to be about four times more common in men than in women. It most commonly affects people between the ages of 40-60. However, it can affect people of any age, including children.
  • #2 Pruritus ani (itchy anus)
    https://dermnetnz.org/topics/itchy-anus
    Itchy anus is a common complaint described as an intense itch in the perianal area between the buttocks. […] Itchy anus is common, affecting up to 5% of individuals at some time in their life. […] Itchy anus can be classified as being primary (idiopathic, no obvious cause) or secondary. […] Primary perianal itch is more common than secondary. […] Any common skin disease may involve the anogenital area resulting in secondary anal itching, and this may be the only site of involvement. […] Itchy anus is a symptom not a diagnosis, so a careful history and skin examination is required to reach a diagnosis. […] Pruritus ani is diagnosed on a normal examination of perianal skin apart from possible secondary excoriations and lichenification. […] The cause of secondary itchy anus is usually established on history and examination. […] Perianal itch usually improves with attention to the above.
  • #3 Anal itching: Causes, treatments, and home remedies
    https://www.medicalnewstoday.com/articles/168728
    An itchy anus can happen for many reasons, including washing too much or too little, psoriasis and other skin conditions, infections, certain foods, and medication use. […] Anal itching is a symptom and not a disease in itself. Many people feel embarrassed to seek help, but itching in this part of the body is a common problem, and treatment can usually resolve it. […] Sometimes, however, there is an underlying problem that needs medical attention. […] Causes of pruritus ani can be either primary, meaning that there is no sign of another condition, or secondary, which means that there is an identifiable underlying cause. […] Some conditions that affect the whole body can involve anal itching. […] If treatment does not resolve the itching within a few weeks, a doctor may refer the person to a specialist.
  • #4 Anal Itching: Causes, Prevention and Treatment Tips – Scripps Health
    https://www.scripps.org/news_items/7231-what-are-the-causes-of-anal-itching
    Anal itching may not be something youre comfortable talking about, although many people experience it occasionally. […] 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. […] Anal itching may be temporary or long-lasting depending on the cause. […] In addition to itching, symptoms may include burning, soreness, visible redness, swelling, ulcers and a rash around the anus. […] Anal itching, also known as pruritus ani, is not a disease, but a symptom related to skin or internal medical issues. […] Moisture, pressure and sitting can increase the intensity of the itching. […] Specific health conditions that can aggravate your anus area include: Type 2 diabetes, Leukemia and lymphoma, Kidney failure or liver disease, Hyperthyroidism, Anemia, Anxiety and stress. […] 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.
  • #5 Anal Itching (Pruritus Ani): Causes, Treatment, Home Remedies
    https://my.clevelandclinic.org/health/diseases/15574-anal-itching-pruritus-ani
    Anal itching (pruritus ani) is a skin condition that affects your perianal area, which may become worse at night or after a bowel movement. […] Itching may worsen at night or after pooping. […] Anal itching usually causes an uncontrollable urge to scratch your anus. However, scratching doesn’t provide long-lasting relief. […] Scratching your anal area causes further irritation and may worsen the itching instead of providing relief. […] Symptoms of anal itching may include: Itchiness, Irritation, Burning, Soreness, Scratches (excoriations), Thick or leathery skin on or around your anus (perianal area). […] Anal itching has many causes. […] The skin in your perianal area is sensitive. […] Your perianal area may itch when poop remains in the folds of your anus. […] You’re more likely to have anal itching if you poop three or fewer times a week (constipation) or if you have diarrhea.
  • #6 Anal Itching – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/anal-itching
    Itching of the anus (the opening at the end of the digestive tract where stool leaves the body) and the skin around the anus (perianal skin) is called anal itching or pruritus ani. […] Most often, doctors do not identify a specific disorder as the cause of anal itching, and the itching goes away without treatment after a period of time. […] Once anal itching starts, an itch-scratch-itch cycle can begin, in which scratching causes more itching. Often, people scratch and rub the itchy area so much that they scrape the skin open. The scrapes sometimes become irritated, which causes yet more itching. […] In people with anal itching, certain symptoms and characteristics are cause for concern. They include pus draining from the anus or around it (draining fistula), bloody diarrhea, bulging or protruding hemorrhoids, perianal skin soiled with fecal material, and dull or thickened perianal skin.
  • #7 Itchy Bottom (Pruritus Ani): Causes and Treatment
    https://patient.info/skin-conditions/itchy-bottom-pruritus-ani
    Various conditions may cause an itchy bottom. When the cause is another condition which has been identified, this is known as secondary pruritus ani. However, in many cases the cause is not clear. This is called 'idiopathic pruritus ani’ which means 'itchy anus of unknown cause’. Up to 90% of cases of pruritus ani may be idiopathic. […] Skin conditions cause about half of all cases of secondary pruritus ani. […] A 'vicious circle’ (itch-scratch cycle) sometimes develops. The more you scratch, the more irritated the skin becomes and the more it itches. […] If a cause for the itchy bottom (pruritus ani) can be identified, it is easier to treat and relieve your symptoms. Most people respond well to treatment for an itchy bottom. However, in some people it can become a persistent (chronic) problem. Also, if you have had an itchy bottom in the past, you are more likely to develop it again at some point in the future.
  • #8
    https://fascrs.org/patients/diseases-and-conditions/a-z/pruritis-ani-expanded-version
    Pruritis ani is a common medical problem affecting both men and women. […] Pruritis ani most commonly affects adults, affecting from 1% to 5% of people in the general population. […] Pruritis ani is defined as an unpleasant sensation of the skin around the anus that produces the desire to scratch. […] Minimal stimulation of the skin may cause itching. […] Continued scratching causes the need to scratch more, making the problem worse. […] This symptom of pruritis or itching is common to many anorectal conditions. […] It is believed that an irritating secretion from the anal canal may cause the itching. […] The local nerve fibers in the skin may become chronically active with repetitive trauma or scratching for prolonged periods of time. […] Other potential causes of irritation include moisture from sweat, stool and mucus.
  • #9 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. The itch in or around the anus is often intense and can be embarrassing and uncomfortable. […] Symptoms of anal itching may include intense itching, inflammation, burning and soreness. The itching and irritation may be short lived or more persistent, depending on the cause. Anal itching often is worse at bedtime or in hot, humid weather. […] Medical care isn’t needed for most anal itching. But see your health care provider if: Anal itching is severe or constant. You have anal bleeding or stool leakage. The anal area seems to be infected. You can’t figure out what’s causing a constant itch.
  • #10 Anal itching | Altru Health System
    https://www.altru.org/health-library/conditions/anal-itching
    Anal itching is a common condition. The itch in or around the anus is often intense and can be embarrassing and uncomfortable. […] Symptoms of anal itching may include intense itching, inflammation, burning and soreness. The itching and irritation may be short lived or more persistent, depending on the cause. Anal itching often is worse at bedtime or in hot, humid weather. […] With proper care most people get relief from anal itching. See your health care provider if the itching lasts.
  • #11 Pruritus Ani: Understanding the Vicious Itch-Cycle – Dr Ben Medical – Men’s Health Clinic | Women’s Health Singapore
    https://dbclinic.com.sg/pruritus-ani-understanding-the-vicious-itch-cycle/
    Pruritus ani, also known as anal itching, is a medical condition where a person experiences itchiness around the anal region. You may notice that the itchiness worsens at night or when you are having a bowel movement. […] The symptoms of an itchy bottom can be exacerbated by: Hot/humid weather, Increased moist over the perianal region, Excessive sweating, Concurrent presence of residual urine/faeces around the anus, Stress, Anxiety. […] If the itch persists or becomes more severe and frequent, it is advisable to consult your doctor, especially if you have had a concerning exposure in the past. […] If you find that the itching in your anal area persists or worsens in terms of frequency and intensity, it is recommended that you seek medical advice. […] Symptoms or red flags that warrant you to seek medical attention immediately include: Persistent, worsening or increase in intensity and frequency of itch, Surrounding skin rashes or blisters, Blood in the stool, Abnormal anal discharge, Visible or palpable unusual lumps over the anal region, Loss of control of bowel movement (soiling). […] If the root medical problem is treated successfully, the itching symptoms can resolve independently. However, in cases where the cause of pruritus ani remains unknown, the itching can persist and become a chronic issue, which can be quite frustrating for you.
  • #12 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. […] Itching may worsen at night or after pooping. […] Anal itching usually causes an uncontrollable urge to scratch your anus. However, scratching doesn’t provide long-lasting relief. […] Scratching your anal area causes further irritation and may worsen the itching instead of providing relief. […] Symptoms of anal itching may include: Itchiness, Irritation, Burning, Soreness, Scratches (excoriations), Thick or leathery skin on or around your anus (perianal area). […] Anal itching has many causes. […] The skin in your perianal area is sensitive. […] Your perianal area may itch when poop remains in the folds of your anus. […] You’re more likely to have anal itching if you poop three or fewer times a week (constipation) or if you have diarrhea.
  • #13 Anal itching: Causes, treatments, and home remedies
    https://www.medicalnewstoday.com/articles/168728
    If the itching is persistent or severe, or it happens alongside other symptoms, a person should consult a doctor. In rare cases, there may be an underlying condition that needs medical attention. […] Treating an underlying condition can help stop the itching, and it may prevent further complications. […] There are four stages of primary pruritis ani: Stage 0: The skin is normal. Stage 1: The skin is red and inflamed. Stage 2: The skin is thickened. Stage 3: The skin is thickened with coarse ridges and ulcers.
  • #14 Pruritus Ani
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3092075/
    Pruritus ani is an unpleasant cutaneous sensation that induces the desire to scratch the skin around the anal orifice. It may start insidiously and appears in 1% to 5% of the population. The main symptom of pruritus ani is the untolerable impulse to scratch the perianal area. Although that symptom can occur at any time, it is most common following a bowel movement, especially after liquid stools, and at bedtime, just before falling asleep. Some patients also experience intense itching during the night. As the area of involvement spreads and the intensity of itching increases, the patients reflexively begin scratching and clawing at the skin. This leads to further skin damage, excoriation, and potentially a secondary skin infection. […] Gordon classified pruritus ani into three clinical stages according to the skin condition. In stage 0, the skin appears normal. In stage 1, the skin is red and inflamed. In stage 2, the patient presents with white lichenified skin. In stage 3, the patient presents with lichenified skin, as well as coarse ridges of skin and often ulcerations secondary to scratching.
  • #15 Anal itching: Causes, treatments, and home remedies
    https://www.medicalnewstoday.com/articles/168728
    If the itching is persistent or severe, or it happens alongside other symptoms, a person should consult a doctor. In rare cases, there may be an underlying condition that needs medical attention. […] Treating an underlying condition can help stop the itching, and it may prevent further complications. […] There are four stages of primary pruritis ani: Stage 0: The skin is normal. Stage 1: The skin is red and inflamed. Stage 2: The skin is thickened. Stage 3: The skin is thickened with coarse ridges and ulcers.
  • #16 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. […] Itching may worsen at night or after pooping. […] Anal itching usually causes an uncontrollable urge to scratch your anus. However, scratching doesn’t provide long-lasting relief. […] Scratching your anal area causes further irritation and may worsen the itching instead of providing relief. […] Symptoms of anal itching may include: Itchiness, Irritation, Burning, Soreness, Scratches (excoriations), Thick or leathery skin on or around your anus (perianal area). […] Anal itching has many causes. […] The skin in your perianal area is sensitive. […] Your perianal area may itch when poop remains in the folds of your anus. […] You’re more likely to have anal itching if you poop three or fewer times a week (constipation) or if you have diarrhea.
  • #17 Itchy Anus: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/itchy-anus
    Anal itching, or pruritus ani, is a common symptom of a variety of conditions. A person may experience burning, itching, redness, or soreness in the anal area. […] In addition to anal itching, you may also experience: burning, soreness, visible redness, swelling, ulcers, a rash. […] Symptoms of an itchy anus are rarely a medical emergency. An exception is when you experience bleeding from your rectum. […] Make an appointment to see your doctor if your itching disrupts your daily life and is getting worse even after self-care treatments. […] If the itching is due to an infection, a doctor can prescribe an antifungal, antibacterial, or antiparasitic treatment to get rid of the infectious organisms. […] Hemorrhoids that cause anal itching may require more invasive treatments, such as banding to shrink the hemorrhoid or surgical removal of the hemorrhoid. […] Avoiding foods and medications known to cause itchiness in the anus can also reduce symptoms.
  • #18 Anal Itching – Causes, Symptoms and Treatment
    https://www.emuaid.com/pages/anal-itching-cndc01?srsltid=AfmBOoo1Z9mXCD52Zva5fP-CcTe3595tvpowkTcnBp7p0Qx1z4XVnmF8
    Besides an itching butt, the following signs are evident: Inflammation, Ulcers, Red skin, Skin rash, Swollen perianal region, Sore butt, Dull perianal skin, Blood spots in fecal matter, Pus discharge in the anus, Bulging hemorrhoids. […] Pruritus ani is easily manageable and is seldom an emergency. However, if you notice the discharge of pus in your underwear, bleeding, or loose stool, seek medical assistance urgently. It would be best if you also were on the lookout for drastic skin changes. […] Prolonged scratching will only escalate the issue. Extensive scratching tears up your perianal skin, paving the way for prospect infections.
  • #19 Anal Itch (Pruritus Ani) – Harvard Health
    https://www.health.harvard.edu/a_to_z/anal-itch-pruritus-ani-a-to-z
    Anal itch is an irritating sensation around the anus that is relieved temporarily by scratching or rubbing. The problem is often worse at night and may interfere with sleep. In most cases, the skin in the area is red. […] If anal itch becomes a chronic (long-term) problem, the skin around the anus may become raw and tender from repeated scratching, or it may thicken and become leathery. Repeated scratching also can cause breaks in the anal skin that can lead to painful local infections. […] How long an anal itch lasts depends on its cause. If the itch is due to a simple skin irritation, the problem usually goes away quickly once you identify the source of irritation and avoid it. In most cases, simple treatment measures provide some relief within one week and cure the problem totally within one month.
  • #20 Anal itch (pruritus ani) Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/anal-itch-pruritus-ani.html
    Anal itch is an irritating sensation around the anus that is relieved temporarily by scratching or rubbing. The problem is often worse at night and may interfere with sleep. In most cases, the skin in the area is red. […] If anal itch becomes a chronic (long-term) problem, the skin around the anus may become raw and tender from repeated scratching, or it may thicken and become leathery. Repeated scratching also can cause breaks in the anal skin that can lead to painful local infections. […] 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.
  • #21 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. The itch in or around the anus is often intense and can be embarrassing and uncomfortable. […] Symptoms of anal itching may include intense itching, inflammation, burning and soreness. The itching and irritation may be short lived or more persistent, depending on the cause. Anal itching often is worse at bedtime or in hot, humid weather. […] Medical care isn’t needed for most anal itching. But see your health care provider if: Anal itching is severe or constant. You have anal bleeding or stool leakage. The anal area seems to be infected. You can’t figure out what’s causing a constant itch.
  • #22 Itchy Anus: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/itchy-anus
    Anal itching, or pruritus ani, is a common symptom of a variety of conditions. A person may experience burning, itching, redness, or soreness in the anal area. […] In addition to anal itching, you may also experience: burning, soreness, visible redness, swelling, ulcers, a rash. […] Symptoms of an itchy anus are rarely a medical emergency. An exception is when you experience bleeding from your rectum. […] Make an appointment to see your doctor if your itching disrupts your daily life and is getting worse even after self-care treatments. […] If the itching is due to an infection, a doctor can prescribe an antifungal, antibacterial, or antiparasitic treatment to get rid of the infectious organisms. […] Hemorrhoids that cause anal itching may require more invasive treatments, such as banding to shrink the hemorrhoid or surgical removal of the hemorrhoid. […] Avoiding foods and medications known to cause itchiness in the anus can also reduce symptoms.
  • #23 Pruritus Ani: Understanding the Vicious Itch-Cycle – Dr Ben Medical – Men’s Health Clinic | Women’s Health Singapore
    https://dbclinic.com.sg/pruritus-ani-understanding-the-vicious-itch-cycle/
    Pruritus ani, also known as anal itching, is a medical condition where a person experiences itchiness around the anal region. You may notice that the itchiness worsens at night or when you are having a bowel movement. […] The symptoms of an itchy bottom can be exacerbated by: Hot/humid weather, Increased moist over the perianal region, Excessive sweating, Concurrent presence of residual urine/faeces around the anus, Stress, Anxiety. […] If the itch persists or becomes more severe and frequent, it is advisable to consult your doctor, especially if you have had a concerning exposure in the past. […] If you find that the itching in your anal area persists or worsens in terms of frequency and intensity, it is recommended that you seek medical advice. […] Symptoms or red flags that warrant you to seek medical attention immediately include: Persistent, worsening or increase in intensity and frequency of itch, Surrounding skin rashes or blisters, Blood in the stool, Abnormal anal discharge, Visible or palpable unusual lumps over the anal region, Loss of control of bowel movement (soiling). […] If the root medical problem is treated successfully, the itching symptoms can resolve independently. However, in cases where the cause of pruritus ani remains unknown, the itching can persist and become a chronic issue, which can be quite frustrating for you.
  • #24 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. […] Get medical advice if the itching is not going away after using a steroid cream or ointment for 1 week. […] You have an itchy bottom that is not going away. […] The itch keeps coming back. […] A GP will try to work out the cause of your itching. […] It’s unusual for an itchy bottom to be caused by something serious. But rarely, it may be a sign of conditions like diabetes or anal cancer, so it’s important to get it checked by a GP.
  • #25 Anal itching: Causes, treatments, and home remedies
    https://www.medicalnewstoday.com/articles/168728
    An itchy anus can happen for many reasons, including washing too much or too little, psoriasis and other skin conditions, infections, certain foods, and medication use. […] Anal itching is a symptom and not a disease in itself. Many people feel embarrassed to seek help, but itching in this part of the body is a common problem, and treatment can usually resolve it. […] Sometimes, however, there is an underlying problem that needs medical attention. […] Causes of pruritus ani can be either primary, meaning that there is no sign of another condition, or secondary, which means that there is an identifiable underlying cause. […] Some conditions that affect the whole body can involve anal itching. […] If treatment does not resolve the itching within a few weeks, a doctor may refer the person to a specialist.
  • #26
    https://fascrs.org/patients/diseases-and-conditions/a-z/pruritis-ani-expanded-version
    Studies have shown that the relief of symptoms can occur promptly after the stool has been cleansed from the perianal area, indicating that stool is likely an irritant causing of itching. […] Overzealous cleaning, in addition to the use of topical steroids, can destroy natural skin barriers and cause trauma to the anal skin, making the problem worse. […] Dietary factors may also play a role with pruritis ani. […] Infectious processes may also result in pruritis ani. […] Numerous skin conditions also cause secondary pruritis ani. […] Medical diseases that affect the entire body may also cause pruritis ani. […] While this is a wide variety of potential causes, it is important to understand that in many cases the itching has no identifiable source. […] The goal of therapy is to restore clean, dry, and intact skin.
  • #27 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. […] At first, the skin around your anus will be red and scratched. If your itch is ongoing and you cant stop scratching, the skin around your anus becomes thickened from all the rubbing and irritation. […] If your itchy anus is caused by threadworms, your itch may be worse at night. You might be able to see small white worms in the area. […] Despite taking these measures, its important to see your doctor if: you have any anal bleeding, the area seems to be infected, you dont know whats causing the itch, the itch is intense, the itch lasts longer than 2 months. […] Your doctor can check that rare and specific causes of itchy anus (such as worms and anal cancer) arent 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.
  • #28 Anal Itching: Causes, Prevention and Treatment Tips – Scripps Health
    https://www.scripps.org/news_items/7231-what-are-the-causes-of-anal-itching
    Anal itching may not be something youre comfortable talking about, although many people experience it occasionally. […] 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. […] Anal itching may be temporary or long-lasting depending on the cause. […] In addition to itching, symptoms may include burning, soreness, visible redness, swelling, ulcers and a rash around the anus. […] Anal itching, also known as pruritus ani, is not a disease, but a symptom related to skin or internal medical issues. […] Moisture, pressure and sitting can increase the intensity of the itching. […] Specific health conditions that can aggravate your anus area include: Type 2 diabetes, Leukemia and lymphoma, Kidney failure or liver disease, Hyperthyroidism, Anemia, Anxiety and stress. […] 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.
  • #29 Anal Itch (Pruritus Ani) – Harvard Health
    https://www.health.harvard.edu/a_to_z/anal-itch-pruritus-ani-a-to-z
    Anal itch is an irritating sensation around the anus that is relieved temporarily by scratching or rubbing. The problem is often worse at night and may interfere with sleep. In most cases, the skin in the area is red. […] If anal itch becomes a chronic (long-term) problem, the skin around the anus may become raw and tender from repeated scratching, or it may thicken and become leathery. Repeated scratching also can cause breaks in the anal skin that can lead to painful local infections. […] How long an anal itch lasts depends on its cause. If the itch is due to a simple skin irritation, the problem usually goes away quickly once you identify the source of irritation and avoid it. In most cases, simple treatment measures provide some relief within one week and cure the problem totally within one month.
  • #30
    https://fascrs.org/patients/diseases-and-conditions/a-z/pruritus-ani
    Pruritis ani means itchy anus in Latin. This condition causes irritation of the skin near the anus, resulting in a strong urge to scratch the area. In many cases, no specific problem is found to explain the itching. These cases are called idiopathic (from unknown cause). […] 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. […] 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.
  • #31
    https://www.sgh.com.sg/patient-care/conditions-treatments/anal-itch
    Itching around the anal area, called pruritus ani, is a common condition. There is an irresistible urge to scratch. It may be most noticeable and bothersome at night or after bowel movements. […] A careful examination by a doctor may identify a definite cause for the itching. Your doctor can then recommend a specific treatment to eliminate problem. Treatment of pruritus ani may include these four points. […] Most people experience some relief from itching within a week. Complete cure usually comes within four to six weeks.
  • #32 Anal itching: Causes, treatments, and home remedies
    https://www.medicalnewstoday.com/articles/168728
    If the itching is persistent or severe, or it happens alongside other symptoms, a person should consult a doctor. In rare cases, there may be an underlying condition that needs medical attention. […] Treating an underlying condition can help stop the itching, and it may prevent further complications. […] There are four stages of primary pruritis ani: Stage 0: The skin is normal. Stage 1: The skin is red and inflamed. Stage 2: The skin is thickened. Stage 3: The skin is thickened with coarse ridges and ulcers.
  • #33 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. […] Itching that does not improve should be evaluated by your physician; further evaluation and testing may be necessary. […] This management program should be adjusted depending on your symptoms. Recurrences are common, especially during summer months.
  • #34 Itchy Bottom (Pruritus Ani): Causes and Treatment
    https://patient.info/skin-conditions/itchy-bottom-pruritus-ani
    Various conditions may cause an itchy bottom. When the cause is another condition which has been identified, this is known as secondary pruritus ani. However, in many cases the cause is not clear. This is called 'idiopathic pruritus ani’ which means 'itchy anus of unknown cause’. Up to 90% of cases of pruritus ani may be idiopathic. […] Skin conditions cause about half of all cases of secondary pruritus ani. […] A 'vicious circle’ (itch-scratch cycle) sometimes develops. The more you scratch, the more irritated the skin becomes and the more it itches. […] If a cause for the itchy bottom (pruritus ani) can be identified, it is easier to treat and relieve your symptoms. Most people respond well to treatment for an itchy bottom. However, in some people it can become a persistent (chronic) problem. Also, if you have had an itchy bottom in the past, you are more likely to develop it again at some point in the future.
  • #35 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. […] If the cause of your itching isn’t obvious or your itching doesn’t respond to treatment, your health care provider may refer you to a specialist in skin conditions. […] Treatment of anal itching depends on the cause of the problem. […] If symptoms are worse at night, an oral antihistamine might be prescribed. […] With proper care most people get relief from anal itching. […] If the itching doesn’t stop even after taking self-care measures, seek help. […] Cleanse the anal area gently right away after bowel movements and dry thoroughly.
  • #36
    https://fascrs.org/patients/diseases-and-conditions/a-z/pruritis-ani-expanded-version
    A skin barrier cream such as zinc oxide may also be helpful in protecting the skin around the anus from irritants. […] You may notice that your problems will improve for some time with treatment but then recur. […] For a small number of patients, pruritis ani can be quite difficult to manage, and it may be difficult to completely relieve their symptoms. […] A very small number of patients find only minimal relief from all attempted treatment options.
  • #37 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. […] If the cause of your itching isn’t obvious or your itching doesn’t respond to treatment, your health care provider may refer you to a specialist in skin conditions. […] Treatment of anal itching depends on the cause of the problem. […] If symptoms are worse at night, an oral antihistamine might be prescribed. […] With proper care most people get relief from anal itching. […] If the itching doesn’t stop even after taking self-care measures, seek help. […] Cleanse the anal area gently right away after bowel movements and dry thoroughly.
  • #38 Anal itching: Causes, treatments, and home remedies
    https://www.medicalnewstoday.com/articles/168728
    An itchy anus can happen for many reasons, including washing too much or too little, psoriasis and other skin conditions, infections, certain foods, and medication use. […] Anal itching is a symptom and not a disease in itself. Many people feel embarrassed to seek help, but itching in this part of the body is a common problem, and treatment can usually resolve it. […] Sometimes, however, there is an underlying problem that needs medical attention. […] Causes of pruritus ani can be either primary, meaning that there is no sign of another condition, or secondary, which means that there is an identifiable underlying cause. […] Some conditions that affect the whole body can involve anal itching. […] If treatment does not resolve the itching within a few weeks, a doctor may refer the person to a specialist.
  • #39 Itchy bottom | nidirect
    https://www.nidirect.gov.uk/conditions/itchy-bottom
    An itchy bottom is a symptom, not a condition. If you’ve had an itchy bottom for more than a few days, you should see your GP to try to find the cause. […] An itchy bottom can be made worse by heat, woollen clothing or blankets, moisture, soiling yourself, stress or anxiety. […] See your GP if you’ve had an itchy bottom for more than a few days. They may ask about the length of time and pattern of your itching such as whether your symptoms are worse at night or after eating certain foods. […] Your GP will usually examine the skin around your anus to try and identify the cause. […] If your itchy bottom is caused by an underlying condition, such as a bacterial infection or piles, the underlying condition will also need to be treated. […] Scratching your bottom often may damage or tear the delicate skin around your anus. This may lead to problems such as thick and leathery skin sore and broken down skin, the top layer of skin being worn away, and infection. […] You should visit your GP if the skin around your anus changes or feels painful.
  • #40 Anal Itching – Causes, Symptoms and Treatment
    https://www.emuaid.com/pages/anal-itching-cndc01?srsltid=AfmBOoo1Z9mXCD52Zva5fP-CcTe3595tvpowkTcnBp7p0Qx1z4XVnmF8
    Besides an itching butt, the following signs are evident: Inflammation, Ulcers, Red skin, Skin rash, Swollen perianal region, Sore butt, Dull perianal skin, Blood spots in fecal matter, Pus discharge in the anus, Bulging hemorrhoids. […] Pruritus ani is easily manageable and is seldom an emergency. However, if you notice the discharge of pus in your underwear, bleeding, or loose stool, seek medical assistance urgently. It would be best if you also were on the lookout for drastic skin changes. […] Prolonged scratching will only escalate the issue. Extensive scratching tears up your perianal skin, paving the way for prospect infections.
  • #41 Anal Itching – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/anal-itching
    Itching of the anus (the opening at the end of the digestive tract where stool leaves the body) and the skin around the anus (perianal skin) is called anal itching or pruritus ani. […] Most often, doctors do not identify a specific disorder as the cause of anal itching, and the itching goes away without treatment after a period of time. […] Once anal itching starts, an itch-scratch-itch cycle can begin, in which scratching causes more itching. Often, people scratch and rub the itchy area so much that they scrape the skin open. The scrapes sometimes become irritated, which causes yet more itching. […] In people with anal itching, certain symptoms and characteristics are cause for concern. They include pus draining from the anus or around it (draining fistula), bloody diarrhea, bulging or protruding hemorrhoids, perianal skin soiled with fecal material, and dull or thickened perianal skin.
  • #42 Pruritus Ani
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3092075/
    Gayle et al. reported that the risk of harboring a neoplastic lesion was significantly related to the duration of symptoms and to an age greater than 50 years. They concluded that pruritus ani was frequently a symptom attributable to other colonic and anorectal pathologies. Thus, the presence of prutitus ani of long duration, which is refractory to medical treatment, should alert the physician to the possibility of underlying colonic or anorectal neoplastic pathologies. […] If pruritus ani that does not respond to two to three weeks of conservative treatment, efforts should be made to find underlying diseases that may have been easily overlooked.
  • #43 Symptoms of anal cancer | Cancer Research UK
    https://www.cancerresearchuk.org/about-cancer/anal-cancer/symptoms
    Bleeding is the most common symptom of anal cancer. […] Other common symptoms are anal pain and feeling like there is a lump in your anus. […] There are a number of less common symptoms such as itching and changes to bowel habits. […] Other symptoms of anal cancer can include: […] itching around your anus. […] Severe itching […] This can affect the skin around the anus. Itching of the skin is also called pruritis.
  • #44 Anal Itch (Pruritus Ani) – Harvard Health
    https://www.health.harvard.edu/a_to_z/anal-itch-pruritus-ani-a-to-z
    Anal itch is an irritating sensation around the anus that is relieved temporarily by scratching or rubbing. The problem is often worse at night and may interfere with sleep. In most cases, the skin in the area is red. […] If anal itch becomes a chronic (long-term) problem, the skin around the anus may become raw and tender from repeated scratching, or it may thicken and become leathery. Repeated scratching also can cause breaks in the anal skin that can lead to painful local infections. […] How long an anal itch lasts depends on its cause. If the itch is due to a simple skin irritation, the problem usually goes away quickly once you identify the source of irritation and avoid it. In most cases, simple treatment measures provide some relief within one week and cure the problem totally within one month.
  • #45 Itchy bottom (pruritus ani) – Overview | Guy’s and St Thomas’ NHS Foundation Trust
    https://www.guysandstthomas.nhs.uk/health-information/itchy-bottom-pruritus-ani
    Pruritus ani is a common condition of continual itching or irritation around the bottom (anus). […] The main symptom is an urge to scratch your bottom, which might be difficult to resist. This can lead to skin damage and possible infection in that area. […] The condition pruritus ani can be difficult to treat. It might take many months of gentle care to improve your symptoms. […] If none of these treatments work, you should speak to a pharmacist or your GP. They might be able to do some tests and refer you to a specialist.
  • #46 Itchy bottom | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/itchy-bottom/
    Itchy bottom is a strong urge to scratch the skin around your bottom (anus). […] If an itchy bottom lasts longer, you may be able to get an idea of the cause from other symptoms you have. […] An itchy bottom that’s worse at night can be caused by threadworms. […] Sometimes an itchy bottom can be a symptom of another problem or condition. […] You have an itchy bottom that: doesn’t get better after 3 to 4 days, keeps coming back, makes you anxious or depressed, affects your sleep, is painful, is accompanied by other symptoms, like itching elsewhere on your body. […] You should also speak to a GP if your itchy bottom is caused by an underlying condition like piles. […] Your GP might need to check your bottom (a rectal examination) to help find out what’s causing your itching. […] Your GP will decide on the best treatment for you depending on what’s causing your symptoms.
  • #47 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. […] Itching may worsen at night or after pooping. […] Anal itching usually causes an uncontrollable urge to scratch your anus. However, scratching doesn’t provide long-lasting relief. […] Scratching your anal area causes further irritation and may worsen the itching instead of providing relief. […] Symptoms of anal itching may include: Itchiness, Irritation, Burning, Soreness, Scratches (excoriations), Thick or leathery skin on or around your anus (perianal area). […] Anal itching has many causes. […] The skin in your perianal area is sensitive. […] Your perianal area may itch when poop remains in the folds of your anus. […] You’re more likely to have anal itching if you poop three or fewer times a week (constipation) or if you have diarrhea.
  • #48 Anal Itching – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/anal-itching
    Itching of the anus (the opening at the end of the digestive tract where stool leaves the body) and the skin around the anus (perianal skin) is called anal itching or pruritus ani. […] Most often, doctors do not identify a specific disorder as the cause of anal itching, and the itching goes away without treatment after a period of time. […] Once anal itching starts, an itch-scratch-itch cycle can begin, in which scratching causes more itching. Often, people scratch and rub the itchy area so much that they scrape the skin open. The scrapes sometimes become irritated, which causes yet more itching. […] In people with anal itching, certain symptoms and characteristics are cause for concern. They include pus draining from the anus or around it (draining fistula), bloody diarrhea, bulging or protruding hemorrhoids, perianal skin soiled with fecal material, and dull or thickened perianal skin.
  • #49 Pruritus Ani
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3092075/
    Pruritus ani is an unpleasant cutaneous sensation that induces the desire to scratch the skin around the anal orifice. It may start insidiously and appears in 1% to 5% of the population. The main symptom of pruritus ani is the untolerable impulse to scratch the perianal area. Although that symptom can occur at any time, it is most common following a bowel movement, especially after liquid stools, and at bedtime, just before falling asleep. Some patients also experience intense itching during the night. As the area of involvement spreads and the intensity of itching increases, the patients reflexively begin scratching and clawing at the skin. This leads to further skin damage, excoriation, and potentially a secondary skin infection. […] Gordon classified pruritus ani into three clinical stages according to the skin condition. In stage 0, the skin appears normal. In stage 1, the skin is red and inflamed. In stage 2, the patient presents with white lichenified skin. In stage 3, the patient presents with lichenified skin, as well as coarse ridges of skin and often ulcerations secondary to scratching.
  • #50 Anal itching: Causes, treatments, and home remedies
    https://www.medicalnewstoday.com/articles/168728
    If the itching is persistent or severe, or it happens alongside other symptoms, a person should consult a doctor. In rare cases, there may be an underlying condition that needs medical attention. […] Treating an underlying condition can help stop the itching, and it may prevent further complications. […] There are four stages of primary pruritis ani: Stage 0: The skin is normal. Stage 1: The skin is red and inflamed. Stage 2: The skin is thickened. Stage 3: The skin is thickened with coarse ridges and ulcers.
  • #51 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. […] At first, the skin around your anus will be red and scratched. If your itch is ongoing and you cant stop scratching, the skin around your anus becomes thickened from all the rubbing and irritation. […] If your itchy anus is caused by threadworms, your itch may be worse at night. You might be able to see small white worms in the area. […] Despite taking these measures, its important to see your doctor if: you have any anal bleeding, the area seems to be infected, you dont know whats causing the itch, the itch is intense, the itch lasts longer than 2 months. […] Your doctor can check that rare and specific causes of itchy anus (such as worms and anal cancer) arent 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.