Introduction

Pruritus ani is a condition involving itchiness of the anal area. There are many possible causes, so there are likewise many different treatments. In many cases, scratching may exacerbate the symptoms and lead to thickening of the skin in the affected area Go to external Internet siteWikipedia

Please see conventional, complementary, and alternative medical treatments for important background information regarding the different types of medical treatments discussed on this page. Naturopathic, Complementary, and Alternative treatments that may be considered include:

Pathophysiology

  •  >   
    Dysbiosis .
  •  >   
    Diarrhea .
  •  >   
    Hemorrhoid .
  •  >   
    Anal fistula .
  •  >   
    Anal fissure .
  • Fecal incontinence (leakage).
  • Fungal skin infection (rare).
  • Parasites such as pinworms.
  • Lice.
  • Psoriasis.
  • Skin tags.
  • Abrasion of frequent or vigorous cleaning.
  • Excess moisture.
  • Occlusive clothing.
  • Irritating laundry products.
  • Foods: spices, hot sauce, tomato, dairy, chocolate, beverages.
  • Systematic disorders: diabetes type I or type II, jaundice, lymphoma, uremia, HIV-1, etc.

Clinical Presentation

Itching, and occasional burning, of the skin around the rectum. Examination may reveal excoriations, hyperemia, and lichenification.

Diagnosis

Anal exam and anoscopy.

Management

Find and treat the cause.

Symptomatic relief:

  • Corticosteroids (topical or systemic).
  • Local anesthetics (lidocaine, etc.).
  • Local analgesics (camphor, menthol, etc).
  • Emollients (glycerin, petroleum jelly, etc).
  • Astringents (witch hazel, etc).

Prevention

Practice good anal hygiene:
  • Gentle cleaning with damp wipe (baby wipe or Tucks).
  • Keep area dry by wearing cotton undergarments and consider placing a small roll of cotton or tissue between butt-cheeks.
  • Do not scratch or wipe vigorously.

ICD-10

References