DiseasesDic A , Human Diseases 1 Comment. Anal itching known medically as pruritus ani is irritation of the skin at the opening of the anal canal through which stool exits the body that leads to itching. The skin surrounding the opening is known as the anus. The itching is accompanied by the desire to scratch. Although itching may be a reaction to chemicals in the stool, it often implies that there is inflammation of the anal area. The intensity of anal itching and the amount of inflammation increases with the direct trauma of scratching and the presence of moisture.
The skin around the anus easily becomes irritated and inflamed.
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This is because it is difficult to keep the area around the anus clean and dry; the skin is crinkly and traps tiny fecal particles. It is also sweaty and airless, and it may be moist from an anal or vaginal discharge.
Colorectal and anal disorders: Rectal prolapse, internal or external hemorrhoids, anal fissures (ulcers), or fistulas (abnormal tube-like passages) are associated with pruritus ani. Residual amounts of feces may be difficult to remove with large external hemorrhoids 04/03/ Anal fissure is the abnormal breakage or tear in the skin and lining tissue surrounding your anus. You can't even reach your hand down there for a scratch and now you are wondering how do you cure an itchy anus? An itching anus is one of the symptoms for a condition commonly referred to as 25/11/ Anal conditions (particularly piles) can have itching as one of their symptoms, partly because of the slimey discharge they produce. Look at our section on piles for more information. Pre-moistened toilet tissues (wet-wipes), bought from chemists and
Ointments and creams can cause further problems by keeping the area damp. Although it is very unpleasant, anal itching seldom means anything serious.
If you have pain as well as itching, look at the section on anal pain. Anal itching can occur at any time of life, but seems to be most common between 30 and 50 years of age. It is four times more common in men than in women.
Some foods may make the itching worse, so identifying and avoiding these may help. Examples include:.
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Often, no cause is identified for the itching - in these instances, the pruritus is labeled idiopathic. Washing too much or not enough.
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Poor hygiene can be responsible for anal itching, but so can excessive cleaning, especially if you use harsh soaps or a brush. Leakage of faeces can lead to itching around the anus, because prolonged contact with substances in the faeces causes irritation of the skin. About half of all people with anal itching tend to have loose faeces. Look at the section on faecal incontinence for more information.
Anal conditions particularly piles can have itching as one of their symptoms, partly because of the slimey discharge they produce. Look at our section on piles for more information. Pre-moistened toilet tissues wet-wipesbought from chemists and supermarkets, can sometimes cause anal itching.
The reason is probably perfume, alcohol or a preservative in the wipes. Sensitivities and allergies to other chemicalssuch as bubble baths and perfumed soaps, may be responsible. Ointments and creams are notorious causes of anal itching.
If you have itching, it is a natural reaction to buy an anaesthetic gel for the anal area. At first they help, but then the itching may return because you have become sensitive to one of the ingredients in the cream or ointment and they are keeping the area moist.
Do not use them for more than 1 week. Skin conditionssuch as psoriasis or eczema, or a condition called lichen sclerosis, can affect the skin around the anus and cause itching.
Fungi love warm, damp and damaged skin, so if you have an itchy anus for any reason and then damage the skin by scratching, fungi can take hold and make it worse.
Sexually transmitted and other infections are what many people worry about, but are not usually the reason. Both these viruses are easily transferred to the anal skin on the fingers, and can therefore occur around the anus in anyone.
The anus may be the only site of infection; the fact that you do not have genital warts or herpes elsewhere does not rule them out. Various bacteria such as some staphylococci or streptococci can cause anal itching; the skin will be red and inflamed, and needs antibiotic treatment. Threadworms pinworms are tiny worms, about 13 mm long, which live in the lower part of the bowel.
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They are very common - an estimated 40 million cases in the USA alone. The female worms creep out of the anus at night - how they know it is night, and why they come out only at night, is a mystery.
They lay thousands of eggs on the skin of the anus, causing intense itching at night. When you scratch, the eggs lodge under your fingernails, and it is easy to transfer them to your mouth and reinfect your gut by swallowing the eggs.
If several people in the family have anal itching, threadworms might be the cause. Certain foods can irritate the anus during defecation.
Beer and curry are obvious examples. Some people find that citrus fruits, grapes, tomatoes, coffee or tea can cause problems.
Tight trousers or underwear, especially synthetic and elasticated fabrics, retain heat and sweat, which worsens itching. Anxiety tends to make the brain hyper-alert to body feelings that we may otherwise be able to ignore.
If you are going through an anxious period, a symptom such as itching can become magnified. Your doctor may be able to diagnose the cause of your itching simply by asking you questions about your symptoms, medical history and personal habits.
If pinworms are suspected, your doctor may suggest doing a test for pinworms. He or she may also give you a physical exam, including a digital rectal exam. He or she may do other tests, such as proctoscopy or colonoscopy to view more of the digestive tract. The first time someone presents the problem of anal itching to their doctor, the consultation will start with a number of questions.
11/09/ Anal itching is itching around the anus.; Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (Enterobius vermicularis), spicy foods, and medications.; Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching.; The diagnosis of the cause of pruritis ani requires examination of the anus for Author: Jay W. Marks, MD 28/01/ 7 anal itching causes Skin conditions. Your anal itching may be the result of a certain skin condition, such as the following. Dermatitis: There are several skin conditions that can cause itchy skin anywhere on the body, including the anus. If you've already been diagnosed with dermatitis or psoriasis, this is the most probable cause of your naox-cap.comted Reading Time: 7 mins Prevention of Anal Itching. In many cases, you can prevent anal itch by taking the following steps: Practice good anal hygiene - when possible, gently cleanse the anal area after every bowel movement by using wet toilet paper (unscented and dye-free) or a wet washcloth. Wipe gently or blot the area. Never rub or naox-cap.comted Reading Time: 8 mins
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 cancer, which are rare.
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This content does not have an Arabic version. Overview Anal itching is a common condition.
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29/03/ Anal itching: Irritation of the skin at the exit of the rectum, accompanied by the desire to scratch. The intensity of anal itching is increased by moisture, pressure, and abrasion caused by clothing and sitting. It may be caused by irritating chemicals in food (as in spices, hot sauces, and peppers); irritation due to frequent liquid stools, as in diarrhea; diseases, such as diabetes mellitus side effect of steroid creams, some gels and ointments for anal fissure, and peppermint oil 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
Approach to the patient with anal pruritus. Accessed Sept.
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Bope ET, et al. General principles of treatment. In: Conn's Current Therapy Philadelphia, Pa. Pruritus ani. Rochester, Minn. Nasseri Y, et al. Pruritus ani: Diagnosis and treatment. Gastroenterology Clinics of North America.
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