External anal itch
Itching of the anus the opening at the end of the digestive tract where stool leaves the body and the skin around the anus perianal skin is called anal itching or pruritus ani. See also Overview of the Anus and Rectum. Most often, doctors do not identify a specific disorder as the cause of anal itching, and the itching goes away without treatment after a period of time. Many of the other cases of anal itching are due to hygiene issues. Only a very few cases are caused by a specific disorder see Table: Causes and Features of Anal Itching , such as pinworms or a fungal infection.
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The itching may become worse at night or after a bowel movement. Scratching the area results in further irritation and makes the itching worse instead of relieving it. Scratching with the fingernails may result in skin damage or an infection. If the itch-scratch cycle persists, it can lead to extreme discomfort, soreness, and burning. Pruritus ani is about 4 times more likely to occur in men than in women. The anal area may become dry and irritated due to the use of harsh soaps, sanitary wipes, or rough toilet paper to clean the area after a bowel movement. A hypersensitivity reaction may occur if perfumed powders, lotions, creams, ointments, or other products are applied in the anal region.
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We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Anal itching, or pruritus ani, is a common symptom of a variety of conditions.
Back to Health A to Z. You can often do simple things yourself to ease an itchy bottom anus. See a GP if the itching does not stop.