Embarrassing, but mostly innocent
Anal itching (pruritus ani) is not a serious condition, but it can be embarrassing and difficult to control. The itching is sometimes limited to the area around the anus, but it can also be part of itching all over the body. In older people, the itching is often worse because their skin is drier, less elastic and more irritated.
The anal itching can have various causes. These are often related to hygiene, skin irritation or an underlying anal complaint. The most common are:
- Skin irritation (eczema) due to small amounts of faeces being left behind.
- Hemorrhoids or wounds (cracks, tears, anal fissures) at the anus.
- Excessive use of soap or disinfectants can dry out the skin around the anus.
- pinworms, a fungal or bacterial infection of the anus.
- A skin irritation or other skin problem caused by wet toilet paper, excessive sweating, or an allergy to certain creams or ointments.
- Anal sex can damage the intestinal wall. Some STDs can also lead to anal symptoms.
- Scratch.
- Certain medicines, for example the antibiotic tetracycline.
Complaints
The diagnosis of anal itching is usually made on the basis of the symptoms: itching, sometimes in combination with irritated skin or eczema. A possible underlying cause such as hemorrhoids, fungi or worms can often be determined by the doctor by looking. Sometimes a rectal examination is necessary or even a visual examination of the anus and rectum (sigmoidscopy). A blood or stool test can also provide information about possible allergies, parasites or bacteria.
Anal itching has many different causes and therefore an equal number of treatments. For example, worm infections can be counteracted with a parasiticide. With hemorrhoids or eczema the doctor often prescribes an ointment.
Hygiene
To prevent or combat anal itching, good hygiene is of great importance. It is mainly about a good balance: too much soap and the use of disinfectants can have the opposite effect. If you mainly suffer from complaints at night, a warm bath or shower can relieve the itching somewhat. Also try to follow the following advice:
- Avoid perfumed and damp toilet paper.
- Wash the skin of the anus after a bowel movement, preferably with lukewarm water and then gently pat it dry.
- Wear cotton underwear and clothes that are not too tight.
- Have regular bowel movements.
- Never hold back stools and take your time on the toilet.
- Make sure that the stools are soft and supple (drink plenty, high fiber eating, exercising a lot).
- Be careful with coffee, alcohol and spicy foods (can cause itching).
- Only use over-the-counter products such as ointment, cream and suppositories in consultation with a doctor.
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