Pruritus ani is an intense itching in and around the anus. This can cause you to feel the need to scratch. Anal itching is a common problem that many people experience at some time.
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Pruritus ani can be caused by many things, including: Infections, such as pinworms, fungus, streptococcal skin infections, or sexually transmitted diseasesSkin disorders, such as contact dermatitis, or psoriasisHemorrhoids, anal fissures, anal fistula, proctitis, or skin tagsCertain foods, such as caffeinated drinks, alcohol, peanuts, tomatoesToo much moisture around rectumCertain medications, such as laxativesCertain diseases, such as diabetes or liver disease
Other factors that may increase your chance of pruritis ani include: Poor hygeineLeaking stool
The irritation in and around your anus can be a temporary condition or it may continue to bother you. Pruritus ani produces itching, soreness, and burning.
Your doctor will ask about your symptoms and medical history. A physical exam will be done. Your doctor will try to determine the cause of your condition.
Talk with your doctor about the best treatment plan for you. Ideally, the cause of the problem will be identified and treated. For example, antibiotics may be prescribed to treat a bacterial infection. Treatment for the itching and irritation may include:
Gently cleanse the area with water when bathingTake a sitz bathDry thoroughlyUse cotton, gauze, or cornstarch to absorb moistureDon’t scratchUse unbleached, unscented toilet paperWear loose cotton clothing and underwearAvoid irritants (such as bubble baths, certain foods)
Over-the-counter or prescription cream or ointment containing hydrocortisone or other corticosteroids to reduce itching and provide protectionZinc oxide ointment—to provide protectionTopical capsaicin—to reduce itchingCertain medications to treat infection if this is thought to be the cause of your itching
To help reduce your chance of pruritis ani: Avoid tight-fitting, synthetic clothingTry to keep the area clean and dryUse barrier ointmentsAvoid scratching at the areaAvoid using perfumes, dyes, and any other irritants on the areaEat a healthy dietExercise regularlyAvoid certain medications (such as opioids or laxatives)
Pruritus ani. American Society of Colon & Rectal Surgeons website. Available at:
http://www.fascrs.org/patients/conditions/pruritus_ani. Updated October 2012. Accessed December 4, 2012.
Pruritus ani. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated June 13, 2012. Accessed December 4, 2012.
Siddiqi S, Vijay V, et al. Pruritus ani.
Ann R Coll Surg Engl. 2008;90(6): 457–463.
Last reviewed November 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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