Anal Itching - Symptoms, Diagnosis, Treatment, Preventions

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Anal itching, also known as pruritus ani is an uncomfortable sensation located at the anus. The urge to scratch the anal area may manifest itself at any time of the day. Often benign, the itching can be quickly resolved.


Symptoms of Anal Itching

Anal itching includes an itching sensation that is more or less strong; an urge to scratch.


The itching may lead to damage, if you repeatedly succumb to the urge to scratch. This scratching can aggravate the injury and cause bleeding in the area.

Diagnosis of Anal Itching

The diagnosis is made after a clinical examination. The doctor will examine the anus to determine the causes of itching, which can include fissures, hemorrhoids, etc.

In some cases, especially when the cause is infectious, samples can be taken to determine the organism causing the itching. Anal itching can also be caused by poor hygiene or excessive sweating in the area. A professional should also look for the presence of worms in the anal margin, which may be due to a parasitic infection of the intestine, called pinworm. (Diagnosis in this case will be made by a tape test, which consists of a piece of tape being placed on the area at night to trap any escaping worms.)

Treatment of Anal Itching

In general, simple hygiene measures can eliminate anal itching. However, the treatment will differ depending on the cause.


In some cases, the application of creams, ointments or other antifungal treatments will be recommended. Curing hemorrhoids, fissures, and other causes also helps the itching to disappear. For pinworms, an antifungal treatment is necessary.

Prevention of Anal Itching

To prevent anal itching, you should follow proper daily hygiene recommendations by cleaning the anus with soap and water. Thoroughly drying the area can also help avoid this kind of inconvenience.

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