ANAL ITCH - Dr Narasimhaiah Srinivasaiah
Anal itching, medically known as pruritus ani, is a common dermatological problem affecting both men and women, although it is more common in men. It can occur at any age but seems to be most prevalent among people in the age bracket of 30 to 50 years. Pruritus ani is characterized by an excessively discomforting and often embarrassing itching or burning sensation of the skin around the anus rectal opening. This itch is sometimes so intense that it becomes almost impossible not to scratch. The incessant scratching, in turn, results in further skin irritation and damage and can even escalate the problem to a chronic stage, resulting in chronically inflamed and thickened skin called lichen simplex chronicus.
Examples include:. Often, no cause is identified for the itching - in these instances, the pruritus is labeled idiopathic.
Anxietystressand depression are all known to make anal itching worse. The first time someone presents the problem of anal itching to their doctor, the consultation will start with a number of questions. This will help to see if the itching is due to local skin problems, or a more general problem with the whole body. A physical examination may follow so that the doctor can see how the problem looks, checking for signs of skin cracking or inflammation and any bleeding around the anal area.
Chronic scratching can cause thickened pale skin. A visual check may also reveal hemorrhoids, anal fissures, or eczema, for example. It may simply reveal soiling as the issue.
The anus and rectum should also be examined for evidence of cancers. An internal examination will be performed by the doctor - by inserting a gloved and lubricated finger through the anus into the rectum.
This is known as a digital rectal examination; it helps to diagnose hemorrhoids or constipation as well as rule out suspected cases of bowel cancerwhich are rare. The doctor may ask you to clench your bottom, as a test of the anal sphincter, or ask you to push, as a way of looking for internal hemorrhoids that get pushed through to the outside prolapse. The whole body should be checked for other conditions that may have pruritus ani as a cause.
Investigations for pruritus ani include:. Understanding and educating about the scratch-itch cycle is very important.
The skin must be allowed to heal to reduce the irritation that causes the scratching. Avoiding irritating soaps and creams, and keeping the skin cool, dry, and clean is essential.
Fingernails should be kept short, and intense itching soothed with cool water on cotton wool balls.
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If there is no underlying cause, the outlook is good. Hemorrhoids or piles are common irritations around the rectum and can be extremely painful.
They are internal or external and can get bigger if not.
If you have fecal incontinence or diarrhea, clean the area around the anus with moist cotton balls or a squirt bottle of plain water. It may also help to apply a moistened or dry cotton ball to the outside of the anus.
Treatment Options for Anal Pain
Often you won't need to see a doctor about anal itching. If the itching persists even after taking self-care measures, mention it to your primary care doctor. He or she may refer you to a skin specialist dermatologist or a doctor who specializes in treating rectal and anal problems proctologist. Cleanse the anal area gently immediately after bowel movements and dry thoroughly.
Wear cotton underwear and loose clothing. Try not to scratch.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis Your doctor may be able to diagnose the cause of your itching simply by asking you questions about your symptoms, medical history and personal care habits.
More Information Colonoscopy.
Anal itch remedy
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Anal itching is first evaluated with a careful examination of the anus for such abnormalities as hemorrhoids, anal fissures, skin tags, moisture, and excoriations (breaks in the skin from scratching). A rectal examination with a finger inserted into the anal canal can identify rectal tumors. Aug 27, This is one of the most effective home remedies for anal itching by soothing the skin. It is because of the antibacterial, antifungal and antimicrobial properties of coconut oil, helping treat any infection responsible for anal itching. Furthermore, it can expel intestinal worms . May 20, Apple Cider Vinegar Dilute about 02 teaspoons of raw vinegar into a cup of water and drink it twice a day. For reducing the anal itching, pour 1 cup of vinegar into the hot bath, take the bath for 15 to 20 minutes and repeat on a daily basis/5(29).
Anal Itching Medically reviewed by Drugs. More About Anal Itching. Medication Guide 1 related article. Care Notes 3 related articles. Symptom Checker 2 related articles.
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Feb 03, An anal or bowel infection may cause your bowel to swell and itch. Skin conditions: Anal itching may occur if you do not clean your anal area properly. Skin allergies can cause anal itching. An autoimmune skin disorder can make your body's immune system attack its own cells. An itchy bottom may be from too much or too little washing, or it may be a sign of a more serious issue that needs a clear medical diagnosis. Read here about the causes of anal itches, plus the Author: Markus Macgill. Oct 08, Some of the most common irritants include the following: Perfumes, chemicals, or dye on toilet paper can cause an allergic reaction. Moisture from sweat or diarrhea may cause itching. If the anal skin stays wet, the skin begins to break down. Some foods irritate the anus when they are expelled.