Diagnosis

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.

If the cause of your itching isn't obvious, your doctor may refer you to a skin specialist (dermatologist) or a doctor who specializes in treating rectal and anal problems (proctologist). He or she may do other tests, such as proctoscopy or colonoscopy to view more of the digestive tract. But it's possible the cause of the itching may never be identified.

Treatment

Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as nonprescription anti-itch cream or treating an infection or hemorrhoids.

If your symptoms are worse at night, your doctor may prescribe an oral antihistamine until an anti-itch cream takes effect.

With proper care most people experience relief from anal itching. See your doctor if the itching persists.

Lifestyle and home remedies

Prevention of anal itching mainly involves washing properly, keeping the area clean, cool and dry, and avoiding irritants. If you already have anal itching, try these self-care measures:

  • Cleanse gently. After bowel movements, clean the area with plain water or mild soap. It may help to use moist cotton balls or a small squeeze bottle of water. Don't scrub. The goal is to keep the area clean without further irritating the skin.

    When traveling by air, take an empty squeeze bottle that you can readily fill with water in bathrooms.

  • Dry thoroughly. After cleansing, pat the area dry with toilet paper or a towel. Or use a hair dryer set on low. Unmedicated talcum can help keep the area dry. Avoid cornstarch powder, which can foster bacterial growth. You could place a moistened or dry cotton ball against the anus to help absorb moisture. Replace it as needed.
  • Don't scratch. Scratching further irritates your skin and leads to persistent inflammation. You may find some relief by applying a cold compress to the area or taking a lukewarm bath. Trim your nails short and wear cotton gloves while you're sleeping to help prevent scratching.
  • Wear cotton underwear and loose clothing. This helps keep the area dry. Avoid wearing pantyhose and other tightfitting garments because these can trap moisture.
  • Avoid irritants. Avoid bubble baths, genital deodorants, perfumed soaps, moist wipes, witch hazel products and other items that might irritate the anal area. Cut back on or avoid coffee, cola, alcohol, citrus fruits, chocolate, spicy foods, tomatoes and foods that may cause diarrhea. Avoid overuse of laxatives.
  • Apply ointments or gels. Protect your skin from moisture by applying a thin layer of a zinc oxide ointment (Desitin, Balmex) or petroleum jelly. You could also use a 1 percent corticosteroid cream (Cortaid, Preparation H Anti-Itch Cream) two or three times a day to relieve itching. But don't use this type of cream for more than two weeks because of possible side effects, such as thinning of the skin.
  • Maintain regular, firm bowel movements. If soft stools or frequent bowel movements are a problem, gradually adding fiber to your diet may help. Fiber supplements, such a Metamucil or Citrucel, also may help.

Preparing for your appointment

Often you won't need to see a doctor about anal itching. If the itching persists even after taking self-care measures, bring it up with your primary care doctor. He or she may refer you to a skin specialist (dermatologist) or a doctor who specializes in treating rectal and anal problems (proctologist).

Here's some information to help you get ready for your appointment.

What you can do

Before your appointment make a list of:

  • Symptoms you've been having, including any that may seem unrelated to anal itching
  • How long you've been experiencing your symptoms
  • All medications, vitamins and supplements you take, including the doses
  • Questions to ask your doctor

For anal itching, some basic questions to ask your doctor include:

  • What's the most likely cause of my symptoms?
  • What tests do I need?
  • Is this problem temporary?
  • What treatments are available? Which do you recommend?
  • Do you think I need to see a specialist?
  • Do you have any brochures or other printed material that I can take with me? What websites do you recommend?

What to expect from your doctor

Your doctor is likely to ask you a number of questions, such as:

  • Have your symptoms been continuous, or do they come and go?
  • How severe are your symptoms?
  • Have you had recent changes in your bowel movements, such as diarrhea?
  • What type of soap or other products do you use on your body?
  • Does anything seem to improve your symptoms?
  • What, if anything, worsens your symptoms?
  • Have you noticed any other changes in your general health?
  • Are others in the home experiencing a similar itch?

What you can do in the meantime

Cleanse the anal area gently immediately after bowel movements and dry thoroughly. Wear cotton underwear and loose clothing. Try not to scratch.

Oct. 09, 2015
References
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