Anal itching

Anal itching or pruritus ani is a common symptom that can be caused by a variety of conditions. It is characterized by an intense itching sensation in the anus or the skin around the anus.

Causes

Anal itching can be caused by a number of factors. These include:

• Hemorrhoids: Swollen blood vessels in the rectum or anus that can cause discomfort and bleeding.
• Anal fissures: Small tears in the lining of the anus, often caused by constipation.
• Skin conditions: Conditions such as psoriasis, dermatitis, and eczema can cause itching in the anal area.
• Parasites: Parasites such as pinworms can cause severe anal itching.
• Infections: Bacterial, viral, or fungal infections can cause itching in the anal area.
• Allergies: Allergic reactions to certain foods, medications, or substances can cause anal itching.

Diagnosis

Diagnosis of anal itching involves a thorough medical history and physical examination. The doctor may also order tests such as a stool sample, blood tests, or an anoscopy to examine the anal canal.

Treatment

Treatment for anal itching depends on the underlying cause. This may include:

• Topical treatments: Creams, ointments, or lotions that can be applied to the skin to relieve itching.
• Medications: Oral medications to treat infections or conditions causing the itching.
• Surgery: In some cases, surgery may be necessary to treat the underlying condition causing the itching.

Prevention

Prevention of anal itching involves maintaining good hygiene, avoiding irritants, and managing underlying conditions.