This is usually counterproductive due to damage to the perianal skin and washing away protective natural oils. Perianal dermatitis, anal warts and hypertrophic skin are other causes for this condition. Parasites that cause anal itching are very rare in the United States. A careful examination by a specialist can identify a definite cause for the itching. At least half of these patients never identify the reason for their problem, but they are still treated for their symptoms. A biopsy is rarely needed in the work up of this condition.
The goal should be to achieve clean, dry and intact skin. All News. Only go to a clinic if you've been told to. There's not always a clear cause of an itchy bottom. If it gets better quickly, it might have been caused by something that does not need treatment, like sweating a lot in hot weather. If it lasts longer, you might be able to get an idea of the cause from any other symptoms you have.
But do not self-diagnose — see a GP if you're worried. It's unusual for an itchy bottom on its own to be related to something more serious. But rarely, it may be a sign of something like anal or bowel cancer, so it's important to get it checked by a GP. Page last reviewed: 28 September Next review due: 28 September Philadelphia, Pa. Pruritus ani. Rochester, Minn. Nasseri Y, et al. Pruritus ani: Diagnosis and treatment. Gastroenterology Clinics of North America.
Related Associated Procedures Colonoscopy. 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.
Foods that may contribute to anal itching include :. Sometimes, a problem with the gastrointestinal system can cause itching. Potential issues include:. Psychological causes can sometimes trigger anal itching. In turn, this symptom can lead to anxiety , stress , and depression. In some cases, a person may have trouble sleeping. Anyone with persistent itching should see a doctor.
To identify the cause, the doctor may ask about:. They may also carry out an internal examination called a digital rectal examination. The doctor will insert a gloved and lubricated finger through the anus into the rectum. There are four stages of primary pruritis ani:. Aqueous cream is available to purchase online.
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