Itchy Rectum and Anus – Causes and Treatment

Itchy Rectum and Anus – Introduction

Anal canal is the last, 2-4 cm long part of the large intestine that ends with the anal opening (anus). Rectum is about 12 cm long part of large intestine between sygmoid colon and anal canal.

Picture of Rectum and Anal Canal

Rectum lesions actually doesn’t itch (but may be painful), since there are no itch receptors (special nerve endings) in rectal mucosa. However, changes may extend from rectum to anal mucosa or groin skin, and these may itch.

Poor Hygiene

Dried feces, dust, scaled skin cells, and sweat, one by one, or all together may cause itchy skin around the anus. Washing with warm or lukewarm water without soap is recommended. Moistened tissues may be used when anus is sensitive.

Dry Skin

Dry skin may cause anal itch, especially in old people and in those who frequently use hot showers or baths. Solution is in avoiding hot showers, and using moisturizing creams like glycerine (but not petroleum jelly like Vaseline).

Spicy Food

Certain foods such as hot spices, caffeine, beer, wine, carbonated beverages, prunes, figs, milk products, nuts, pop-corn, chocolate, tomatoes and citrus fruits cause anal itch, they should be avoided. In some cases irritation is caused by food allergy.

Seborrheic Dermatitis

Seborrheic dermatitis is skin inflammation due to excessive excretion of oil by sebaceus (oil) glands and subsequent infection with Malassezia yeasts. Itchy, scaly yellowish patches of skin appear in groin, armpits, around the nose or ears, and on the scalp. Treatment includes ointments and shampoos containing selenium sulfide, pyrithione zinc, ketoconazole, terbinafine, sodium sulfacetamide, and corticosteroids.

Scratching

Scratching is one of main reasons for an itchy anus even when there is no underlying medical cause. Scratching aggravates existing itching and should therefore be avoided as far as possible. Where itching of the anus occurs duet to a medical condition, treatment needs to be directed at the underlying cause in order for the itching to subside.

Hemorrhoids

Hemorrhoids are varicose veins in anal region. They are located either inside the anus (internal hemorrhoids) or under the skin around the anus (internal hemorrhoids).

Internal hemorrhoids usually can’t be felt, but they may bleed. If they become big, they may protrude out from the anus. If hemorrhoidal veins get thrombosed (clotted), itching and sometimes severe pain may appear.

External hemorrhoids appear as bluish, tender, soft lump, bulging out from anal circumference. They may itch or burn, especially after prolonged sitting, or straining.

Hemorrhoids may develop in obesity, repeated prolonged sitting, constipation, repeated straining at bowel movements, and in pregnancy. Lack of dietary fibers and fluid, lack of activity (physical and/or psychical), and several medications also contribute to constipation. Further reading about chronic constipation.

Mild to moderate hemorrhoids resolve by their own in few days. Over-the-counter hemorrhoidal cream can be obtained in pharmacies. Chronic, non-resolving hemorrhoids can be treated with different non-surgical (rubber banding, arterial ligation, freezing) or surgical methods.

Diarrhea and Bowel Incontinence

Diarrhea or bowel incontinence with frequent flow of bowel contents over anal mucosa, and frequent wiping may cause anal itch. The cause has to be removed (food poisoning, intestinal parasites, etc).

Fungal Infection

Fungal infection with Candida albicans (picture) tends to appear in moist skin areas, like in the groin. Long term antibiotics, steroids, chemotherapy, and disorders with low immunity promote candida growth. Tinea cruris causes jock itch, mostly in people who constantly have moist groin, typically in athletes.

Fungal infection appears as red or brown, scaly, itchy rash that may affect extensive areas of inner thighs, groin, and buttocks.

Treatment is with over-the-counter antifungal ointments, or in severe cases with prescribed medications by mouth. Low sugar diet is recommended.

Bacterial Infection

In perianal streptococal dermatitis, bright red, itchy rash appears in the groin area, in children between 6 months and 10 years of age. Blood streaks may appear on the stool. The cause is infection with group A beta-hemolytic streptococci. Treatment with antibiotics is effective, but re-occurrence is common.

Erythrasma is a rash, appearing in skin folds (armpits, groin), caused by Corynebacteria minutissimum. It mostly affects people in hot climates, and those with diabetes. Rash may itch, but usually there’s no symptoms. Treatment is with antibacterial ointments.

Intestinal Parasites

Pinworm (Threadworm)

Pinworms are intestinal parasites, often living in colon or rectum in children worldwide. They are 1-2 cm long and they may leave the rectum at night and deposit eggs on surrounding skin, and cause anal itch. Diagnosis is with the stool test for ova and parasites (O&P).Treatment is with prescribed, or over-the-counter anti-parasite medications.

Blastocysis Hominis

Blastocystis hominis is microscopic parasite, that may cause diarrhea, nausea, fatigue and anal itching, but is often present without any symptoms.

STDs

Common symptoms of sexual transmitted diseases (STDs) are burning at urination, uretheral discharge or bleeding, and sometimes fever. The following STDs may also cause anal itch:

Chlamidia trachomatis may cause rectal pain, discharge, or bleeding 1-3 weeks after anal intercourse. Burning at urination and discharge from urethra may appear. Low back pain and bleeding between periods may appear in women. Treatment is with antibiotics. Chlamidia may affect reproductive organs and cause infertility in women.

Gonorrhea is infection caused by bacterium Neisseria gonorrhoeae. Anal, vaginal, or urethral discharge, bleeding, pain and itchiness may appear 2-5 days (or even 30 days) after infection. Treatment is with antibiotics.

Genital herpes caused by Herpes simplex virus (HSV-1 or HSV-2) may be extremely painful and itchy. Small translucent blisters appear on reddened skin around anus (or on mucosa of vulva or penis) within 2 weeks after infection, they may persist for 2-4 weeks, and leave tender ulcers. A person infected with HSV for the first time may expect reactivation of virus for 4-5 times within the year. Treatment of severe cases is with antiviral pills.

Anal warts (condyloma) are small flat growths of skin around the anus, appearing weeks or months after sexual contact. These are actually genital warts, appearing on or around genitals and anus. They are caused by Human papilloma virus (HPV), and transmitted by direct skin to skin contact. They may itch or bleed, and may go off, or increase in size with time. They don’t develop into cancer. They can be frozen or surgically removed. Picture of anal warts (Condyloma acuminatum).

Moluscum contagiosum is another type of warts, caused by a virus that may be transmitted by sexual contact. They appear as small, red or brown, waxy, dome-shaped, umbilicated bumps. They can be removed by various “small-surgery” methods like freezing, electrocautering, etc.

In children, molluscum contagiosum may appear anywhere on the skin. It is spread by skin-to-skin contact. Warts disappear within a year.

Pubic lice (crabs) cause itch in the groin area. Eggs or adult lice may be found. Transmission is via sexual contact. Treatment is with over-the-counter lice-killing lotions.

Pubic lice - Pediculosis pubis

Picture 2. Pediculosis pubis
(source: Samuel Freire da Silva, M.D., atlasdermatologico)

Syphilis is caused by bacterium Treponema pallidum, and transmitted by contact with a sore (chankre) that may appear on genital mucosa, anus, lips or in the mouth. A small, red, firm, painless sore(s) appears at the site of bacterial entry 10-90 days after infection, persists for 3-6 weeks, and then heals on its own. If there is no treatment, in following weeks, non-itchy red rash may appear on the skin.

Syphilis in the early stage can be easily cured with antibiotic penicillin.

Eczema

Eczema in the groin appear as itchy, reddened flaky area, and may be due to irritation by diapers, new unwashed underwear, constant irritation by clothes, soap, allergies, etc. Prevention is by avoiding irritant substances, and keeping groin area dry (wearing comfortable and airy cotton underwear and pants) and clean.

Treatment is with ointments prescribed by the doctor.

Inverse Psoriasis

Inverse psoriasis occurs in skin folds, including the groin, armpits, and skin under breasts. It appears as smooth, red, itchy, non-scaly patches. Psoriasis is genetic disease, it is not contagious, and treating of the cause is not known to the date. Treatment of symptoms is with topical moisturizing creams and immunosuppressants like Protopic and Elidel.

Anal Skin Tags

Anal tags are small soft fleshy bumps of the mucosa, hanging from anus like drops. They are common, and beside itch they rarely cause any problems. They result from chronic irritation or inflammation of anal mucosa. They can be surgically removed.

Hidradenitis Suppurativa

Hidradenitis suppurativa is inflammation and infection of hair follicles, oil and sweat glands. Itchy, painful lumps that may break and drain fluid bulge out from the skin between buttocks. They also often appear in inner thighs, armpits, or on the nape of the neck, and they may leave scars. Treatment is with corticosteroids, antibiotics, and surgery.

Crohn’s Disease and Ulcerative Colitis

Crohn’s disease and ulcerative colitis are inflammatory bowel diseases of uncertain cause, mostly affecting young adults between 20-30 years of age. Ulcers and fissures affecting anal mucosa may be itchy or painful and may bleed. Diarrhea, nausea, abdominal pains, fatigue, and low grade fever can appear. Treating is with anti-inflammatory drugs like sulfasalazine, or with surgery, if necessary.

Anal Fissure, Abscess and Fistula

Anal fissure is painful, linear crack of anal mucosa and skin near the anus that may result from straining at defecation, injury, or inflammation like Crohn’s disease. Treatment is with avoiding straining, appropriate diet that gives soft stools, corticosteroid creams or suppositories, nitroglycerin ointments, analgesics, or, if fissure doesn’t close on its own in several weeks, with surgery.

Peri-anal abscess is accumulation of pus in the anal wall or in the tissues that surround anus. It is usually a result of chronic bowel inflammation or infection with parasites, inflammation of prostate, or rarely a complication of surgery. Sometimes peri-anal abscess may be seen as a bulge (few cm in size) from the skin near the anus, or may be felt during rectal examination. Treatment is with antibiotics by mouth or surgical drainage.

Anal fistula is a tinny tunnel that starts in anal or rectal mucosa, flows through tissues that surround anal canal, and opens in the skin beside anus. It may itch, and bowel contents may exit through it. Surgical excision is usually needed.

Details about anal fissure, abscess and fistula

Anal Carcinoma

Anal carcinoma may be painful, itchy, and may bleed. It rarely occurs before 50 years of age. Treatment is surgical removal. Non-cancerous polyps may be removed during rectoscopy (or colonoscopy).

Common Anorectal Conditions – Pictures and Treatment

Prevention of Anal Itch

General measures to prevent anal itch:

  • Gentle but thorough wiping after bowel movements is essential. Moistened tissues may be used.
  • Wash anal region with lukewarm water, and without soap.
  • Never scratch the anus.
  • Avoid all perfumes, deodorants and medical powders.

Treatment of Anal Itch

The following can be done:

  • Find and treat the underlying cause if possible.
  • Topical moisturizing creams can help to soothe affected area. Only weak topical steroids (1% hydrocortisone cream) should be used to avoid thinning of sensible skin around the anus, but only for few days, never for long periods.
  • Suppositories and home remedies should be avoided.
  • Avoid constipation and straining.

Further Reading:

Types of Skin Rashes
Itchy Skin – Prevention and Treatment
Itchy Skin – Causes
Itchy Armpits
Itchy Legs

About Jan Modric (249 Articles)
Health writer

Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. By using this website and the comment service you agree to abide by the comment terms and conditions as outlined on this page

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  • My Itchy Anus

    Thanks for all the information. I’ve found that natural remedies work best.

  • Save me

    Recently my anus started itching. At first I thought it was just a minor itch and nothing serious, or maybe I didn’t clean it enough. So I started cleaning it religiously. When it itched, I scratched. It made the itching worse and the skin super-tender. After reading some online articles, I kept it dry and treated it gently.

    This morning I went to see my doctor. After the examination, he prescribed Zaricort, an anti-fungal cream with Miconazole Nitrate, Hydrocotisol and Benzoi Acid (as preservative). Is this okay? I read about the steroid creams which can worsen the situation with prolonged use… I’m afraid even using it a few times could cause my problem to worsen.

  • Jan Modric

    Prolonged use of corticosteroids can thin the skin, but months of continuous use would be needed for this to occur.

    I guess you got instruction to use the cream for two weeks. Be sure to use it for full prescribed time to eradicate fungi completely, even, if itch will go away after few days. It’s not likely that corticosteroids will harm you in any way in this time.

    Benzoic acid may cause some initial burning lasting few minutes after applying.

  • tenai k

    Thanks for the coments,i think cleanliness is the best remedy ,esspecially the inner pants should be exchanged most of the time.

  • Mehr_javdan

    Suffering from chronic asthma, being prescribed corticostroids and many antibiotics for more than a three decade period have brought me depression,errecting dysfunctiong, itchy anus, groin irritations. What shall I do?

  • Jan Modric

    Mehr_javdan
    You should ask your doctor why exactly are you getting antibiotics. Antibiotics destroy normal bacteria in the intestines, and when this happens, fungi may start to overgrow. So, one possibility is that you have fungal infection in or around the anus. If fungi are only around the anus, you can treat them with anti-fungal creams that you can get in any pharmacy.

    Other symptoms are likely due to corticosteroids. You should check with the doctor, if you need them, and if you can lower the dose.

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  • jackson2

    I have suffered from anal itching for the past 6 months with little relief. Steroid creams were intially helpful but after a month the problem became worse. I have tried everything including methylene Blue injections, and treatment with a Grenz x-ray. I am currently taking Difflucan in hopes it is a stubborn yeast infection. I have been on it for 2 weeks with no significant improvement. Any suggestions would be greatly appreciated. It is driving me crazy. Thanks

  • Jan Modric

    To jackson2

    Hi, do you have any other skin problems, like dandruff? This may be then due to seborrheic dermatitis. Yeast – you would probably have them in the groin and maybe on inner thighs – Jock itch. Moist groin is what yeasts like. Anal itch may be simply from dry skin – moisturizering cream helps, but the one without any preservatives or dyes.

    Intestinal parasites (either worms or small one-cell parasites like giardia can be detected with a stool ova and parasites (O&P) test.

    Hemorrhoids may itch, not necessary that they are big.

    It would help, if you can find out if you have any kind of rash in the groin.

    Also think of spices you eat…

    Food allergy may appear as anal itch, but you’d probably notice runny nose, tingling mouth or itch on other skin parts…

    Some fish, wines, and cheeses contain histamine that may cause allergy-like itch.

    Dropping all suspicious foods from the diet at once for few days would tell you, if it’s food-related. Beside above mentioned ones you can drop all canned (packaged) foods.

    If you’re considering visit to the doctor, think about
    – stool test for parasites, and for celiac or Crohn’s disease
    – examination by dermatologist
    – rectal examination or even colonoscopy

    It would help to find the cause, if you can think about any other symptom you have, when exactly itch started, and what would be the likely cause.

  • Big R

    I have a six year old daughter that complains of itching shortly after having a bm. If I apply any sort of cream she experiences intense burning.
    No rashes,bumps, worms…Nothing ?
    Any ideas as to what could cause this ?

  • Jan Modric

    To Big R.

    Maybe there’s a small crack (fissure) from an injury or from straining (or from some sort of inflammation)?

    Food allergy, intestinal parasites (worms or one-cell organisms), spicy food, herpes, or fungal infection (candida?) crossed my mind, but I can’t imagine how this could cause burning pain after applying a cream.

  • jackiejoy

    My daughter (8) has been suffering from anal itching for almost a year. We tried “Dove” type soap as recommended by family who suffered the same. Recently a dermatologist perscribed antibiotic cream. It worked a little but the last two nights she scratched so badly that it bled considerably. What can I do to help her? Feeling desperate-

  • Jan Modric

    To jackiejoy.

    Antibiotics? The groin region should be examined carefully by a dermatologist to find any type of rash. Infection in the groin is usually from fungi (candida or other) that require anti-fungal medicines – these are not the same as antibiotics.

    It can also be a viral infection – from Papilloma virus.

    Intestinal parasites (giardia, or intestinal worms) also may cause anal itching. She would probably have some bowel irregularity or bloating in this case.
    So:
    Careful groin check for any rash
    Stool test for intestinal parasites

  • corford

    First it started with anus itching for about 4 days which I have never got before, but there was no visible signs of anything, then my vagina was really itchy too, and then my ears were itching really bad and now Im itchy from head to toe but theres no visible rash anywhere. Do you have any ideas? I havnt switched soap or anything so I have no clue.

  • Jan Modric

    To corford.

    Do you have any chronic disease like kidney or liver disease?

    What happened last week – have you eaten some new food – it could be food allergy.

  • corford

    I don’t have any kidney or liver disease that I know of. The only thing I ate different would be corn. The doctor gave me pills for itchy skin that he said is probably from weather change.

  • Jan Modric

    Weather can cause itching, if it makes your skin (or mucosa, as it started in your case) dry. There are several other causes of dry skin…including hypothyroidism, dehydration, stress, etc.

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  • matt

    Hi, I’ve had an anal itch/rash for years now. It comes and goes. I went to my doctor, he gave me lotriderm to use. It helped the itch but the rash always came back. But now it came back the worst it’s ever been. Lots of redness and red bumps. It seemed to spread between my legs and now my groin is starting to get a bit of a minor rash. It might be heat rash, I don’t know. But I went back to the doctors and he gave me 2 meds. Clotrimaderm/clotrimazole and valisone g cream. He told me to use each on different areas and after a week use the one that worked only. I’m concerned because I’ve had this problem for so long that all this cream is doing more harm than good. Should I be concerned? If it does’t go away what should my next step be? Thanks..

  • Jan Modric

    To matt.

    Clotrimaderm/clotrimazole is an antifungal medication – it treats fungi like in jock itch.

    Lotriderm also contains clotrimazole.

    http://www.healthhype.com/jock-itch-pictures-causes-and-treatment.html

    Valison G is a corticosteroid medication. It helps in dermatitis and allergies.

    Doctor obviously gave you two medications since he’s not sure is it allergy or fungal infection. Continue with one that will treat the rash. Use it for as long as prescribed (important). Change your underwear and trousers daily during the treatment.

    If you have jock itch it’s extremely important that you keep your groin dry (wearing airy pants and wiping with a towel after the shower) otherwise infection will come back.

    If clotrimazole will help, you can assume you have fungi. If it won’t help, I suggest you to visit dermatologist.

  • livvy

    Hoping you can help….I have had anal itch for 4 years, and vaginal and groin itch for 3 1/2 years. At the same time I developed what I now know was a staph infection which I was given antibiotics for 2 years ago-but from time to time I get raised pussy pimples on the top of my legs when my immune system is low. FOr my itch I have been given every ointment under the sun- including cortisone creams and fungal creams. My bathroom cabinet looks like a pharmacy! Mostly the creams burn incredibly and irritate me more. Some of the creams helped for a week but then the itch grew worse. One dermo said I had psoriasis but then I when I had follow up appointment and saw her fill in he said I didn’t have psoriasis! The main itch is 2 small pin head red raised bumps near the start of anus. The back of my scalp is also itchy. I am currently trialling a restricted diet for 3 weeks no acids, no processed foods, but the itching seems to have gotten worse. Any ideas? Much appreciated
    Liv

  • Jan Modric

    To livvy.

    Pus-filled, red, pin-sized bumps may be folliculitis – staph infection of the hair follicles. Read about it:
    http://www.healthhype.com/folliculitis-pictures.html

    Infected acne look just like folliculitis but acne are usually not so itchy.

    Additionally you can have fungal infection – that looks like reddish/brownish/yellowish scally patches on the skin. Read about jock itch:
    http://www.healthhype.com/jock-itch-pictures-causes-and-treatment.html

    Treatment for folliculitis are antibiotic ointments or oral antibiotics.

    Antifungals are for jock itch.

    You’ll need to treat lower immunity you’re mentioning otherwise it’s not likely you’ll treat this rash.

    Keeping groin dry is essential – comfortable airy clothes that don’t irritate the groin and thighs may help – in addition to treatment.

  • matt

    I have a rash that started on the back sides of my neck. It only itched at first but after a few days I noticed some very small red bumps appear. Just a few a first but they moved to my neck, top of shoulder and top of my chest. They are very bad. They itch alot but not all the time. they are in small clusters on a few other parts of my body, stomach,arms,forehead,etc. Is this heat rash? I have not changed anything in my daily routine so I don’t believe it’s an alergic reaction to anything. They get really bad when I scratch them. I know I’m shouldn’t do that and I try not to. I have cream for a rash on my rectum but I have not used that on this rash yet. Anybody know what it is and what I should do?? Thank you…Matt

  • Jan Modric

    Matt,
    do bumps have any white centers? At least few of them?

  • matt

    Not really any white spots, nothing to clear. It’s staring to get bad on my left side. It’s getting hot and humid where I live and I go to the gym 6 days a week so I sweat a lot. Could that have anything to do with it? I’ve never had this before. It almost looks scaley on my neck but nowhere else.
    Thanks Matt

  • Jan Modric

    Matt,
    heat rash or physical urticaria appear and disappear within hours…so, if it’s longer than that and you think it’s not folliculitis then a dermatologist can only say.

  • bill

    I’m confused about how to keep area dry and at the same time apply glycerine. And why not use of petroleum jelly?

  • Jan Modric

    To bill.

    Glycerine is a moisturizing ointment. It is used in dry skin. If you sweat a lot you probably don’t need glycerine. Honestly, for detailed information about this you should ask a dermatologist.

    Petroleum jelly commonly irritate the skin so we don’t recommend it in general.

  • Rob

    I did have a more severe case of anal itch and narrowed down my food consumption and found that beer was largely the reason. Less beer consumption led to less anal itch and irritation.

  • Jan Modric

    Rob,
    good info – this about beer. Would you say that you had yeast infection in the groin before?

  • Henry

    Hi, I am experiencing an almost irresistable anal itch. It probably started 2 weeks ago; but i had this same problem last summer. The butt itch last summer went away on its own when i went back to school, but it was also very itchy. Now its back. I think its hemorhoids but I’m not sure since I don’t see blood and I don’t see a bump, but it does itch and i do strain on the stool and sit a lot. I tried a sitz bath but it didn’t give me any relief. It usually itches in the morning and after pooping. Any help? Thanks (Last summer I went to the doctor and they just gave me Pinworm tablet even though I was positive i didn’t have pinworms)

  • Jan Modric

    To Henry.

    Hemorrhoids are external or internal, the later can not be seen from the outside. They bleed only if they are broken by hard stool passage or by wiping. Internal hemorrhoids may get thrombosed and this could cause itch but also pain during bowel movement.

    Another possibility is anal fissure – a crack on the site where anal mucosa continues to the surrounding skin. Straining itself could be the cause but fissures also often appear in Crohn’s colitis.

    So?
    Anal fissure – you could check this yourself, somehow. Fissure can be small.
    Pinworms – there’s a test with adhesive tape put on anal exit – small eggs, if there, attach to the tape. O&P test of the stool sample is next possibility.

    Hemorrhoids – this would probably require rectoscopy – gastrologist checks anal canal and rectum with an optical instrument.

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  • MHR

    Hi
    I have had anal itch for the past 7 months or so when i first started gyming. A dermatologist prescribed Terbinafine Tablets and cream initially. This did help clearing the fungal infection in the groin area but the itch persisted. The Dermatologist then prescribed Nuforce kit which has (1 cap of fluconazole 150 mg, 2 tabs tinidazole 1 each), Bandyplus tab (ivermectin + albendazole) and clotrimoxazole cream. It was blessed relief for 1 week and then i feel that the itch seems to hav started in the rectum. Should I repeat the tratment? It has been 2 weeks since i first took the treatmnt.

  • Jan Modric

    To MHR.

    Fungal infection of the groin may cause small tears (fissures) in anal mucosa that itch even after fungi themselves have healed. So check this first.

    If intestinal parasites were suspected, stool test for parasites should be done. You should ask your doctor about repeatinmg the treatment or having the stool test first.

  • Bnaderas

    I’ve had 3 surgeries in the past 6 months, and it’s always the same Urinary tract condiloma, please tell me if there is any way to treat it with out surgery

  • Jan Modric

    Bnaderas,

    I’m not aware of any other treatment for urinary tract condyloma except surgery.

    I believe your surgeon can give you additional information about treatment options.

  • Empire

    Hi. So I have had an anus itch before a couple weeks ago and it lasted for about 3 days then went away. A week later it came back and I have it now. I read up on it and I have no bumps or anything that looks out of the ordinary.I have not changed my diet at all also.I dont like spicy foods so thats out of the question.I only take a shower once a week on weekends but I dont have a dirty job. I am sitting most of the time but there are times where I always running around. Is there just a cream I can pick up at the local store to make this going away to avoid going to the doctors?

  • Jan Modric

    Empire,

    beside fungal infection that usually appear with some rash, there are dry skin and hemorrhoids that commonly cause anal itch. A moisturizing cream could help you in dry skin and there are creams for hemorrhoids also.

    Breaking prolonged sitting hours with short walks and avoiding straining during bowel movement helps in hemorrhoids.

  • maguy

    I’ve had anal itch for 4 years now and found recently that it was from my athlete’s foot. Antifungal cream for athlete foot used around the anus solved my problem . Just to point out if it can help someone else.

  • Jan Modric

    Maguy,

    yes, both athlete’s foot and fungal infection in the groin (jock itch) commonly affect athletes and other who have moist feet/groin all the time.

    http://www.healthhype.com/jock-itch-pictures-causes-and-treatment.html

  • maguy

    Thanks Jan for the link. My athlete foot’s kind was inner toe, with skin cracking, not the rash type, so around the anus was mis diagnose as anal fissures, also i tried a precribed fungal cream for this area but with so little effect and side effect that i had rectal leaks when i used it. I self medicated with Strong Zinc ointment, ( the kind used for babies) and that was the most successfull thing i did befor i found out. Zinc i think has antifungal propreties and also keeps this area dry. But symptoms eventually returned 3-4 days later if i stoped application. Maybe the strenght or the formula of the antifungal cream was the key for this precise fungi.
    I had considered parasites way back , i’m glad this wasn’t , but for the sake of curiosity, what would have been the other symptoms to suspect parasites beside itching?, Diarrhea mandatory? would it have lasted that long ( 4 years) and would the symptoms have worsen? I had no other symptoms beside the itch .

  • Jan Modric

    Maguy,

    fungi may cause skin peeling or patchy rashes of different colors (yellow, brown, red).

    Intestinal parasites may cause itch but not typically anal fissures or any rash in the groin. Parasites may be present without any symptoms, yes, they may last for years, and when they do cause symptoms these are (one or more of the following): bloating, diarrhea, mucus in the stool, weight loss, foul smelling gas. Some parasites may leave eggs around the anus.
    http://www.healthhype.com/human-intestinal-parasites-symptoms-and-treatment.html

    Fungi on the feet or hands may apear with skin peeling but in other body areas mostly as discolored patchy rash.

    Zinc is to dry up the skin and it can help with itch a bit but zinc alone is not sufficient therapy for skin fungi. If ointments don’t work, I strongly recommend you to visit a doctor and after diagnosis and telling him that you’ve tried ointments, he will probably prescribe you oral antifungals.

  • maguy

    Thanks Jan for you detailed explanation. I had searched a lot on parasites, but have not found as much information about it (comparative to anal itch) than what you explained.

    I found that this page was a very good source of information on this subject. Thanks for your time.

    Maguy

  • Joe

    Hello. I am hoping you can help. I have been suffering from severe anal itch adn burning for over 10 years. Each time I’ve visited a doctor I’ve been diagnosed with a different problem. At first I was diagnosed with internal hemmorhoids, and told to treat with over the counter creams. A few years later, a new doctor told me it was not hems, and referred me to a dermatologist, who said it was pruritus ani. He prescribed a steriod which cleared it up, but returned several weeks later. He then prescribed Pramosone for breakouts and to be used sparingly (said there was no cure for this condition). Recently I visited a new dermatologist and he said it was not a skin condition, but the result of lower back pain that is affecting the nerves in my anus which cause an itchy and burning sensation, even though I have no back pain. Like the last dermatologist, he said there was nothing he could do. I still use the Pramosone cream, but it only provides temporary relief of 12-24 hrs. My anus and inside upper thighs have skin fissures that never seem to heal and are constantly itching and burning. I’ve tried several over the counter creams over the years, but nothing seems to work. I am not overweight, I’m in reasonably good shape, and do not have any other medical conditions. I am prone to getting jock itch 3-4 times per year, despite keeping my body clean and in good hygiene. Any thoughts you have would be greatly appreciated. Thank you

  • Jan Modric

    Joe,

    jock itch is a fungal infection that may affect anus and the skin in the groin and inner thighs. In persistent cases antifungal creams don’t help and oral (prescribed) medications are needed. Fissures also commonly appear in fungal infections.
    http://www.healthhype.com/jock-itch-pictures-causes-and-treatment.html

    Burning from pinched spinal nerve or from hemorrhoids is not associated with a rash. So it is a rash that may speak for fungal infection.

  • Froglegs

    In Sept ’08 I had my gallbladder removed. Around the same time I had a Mirena IUD put it. Since then I have had extreme anal itching. Nothing I’ve tried works completely. Went to the Dr and did an exam and he said I have a couple internal hemorrhoids and gave me a Rx for some numbing cream. That worked, but didn’t take away the problem. I’ve since removed the IUD to see if the hormone in that is what was causing the itching. No luck. I’ve tried a colon cleanse and that didn’t work. I did a liver cleanse and that got rid of stones and tightened up the anal skin. But I still have the itch. Can it be from having no gall bladder and having the bile constantly dripping down my ducts and out my anus? Can internal hemorrhoids secrete a mucus that itches it? I’ve been trying to cure the hemorrhoids, but the itch just wont go away. Please help me!

  • Jan Modric

    Froglegs,

    it is true that bile is constantly flowing down the bile ducts into small intestine after gallbladder removal. In some people, most of the excessive bile is re-absorbed on the end of the small intestine while in others not all the bile can be re-absorbed so it reaches the colon and irritate it thus causing (green) diarrhea. I’m not sure if amount of the bile that doesn’t cause diarrhea is enough to cause anal itch, though.

    If you have lose stools, try some fibres like rice or wheat bran that can bind some bile in the colon.
    http://www.aaccnet.org/funcfood/pdfs/00-0612-02R.pdf

    Hemorrhoids may cause anal itch when mucus is present or not. It is prolonged sitting without interruptions that may quickly lead to anal itch. Further development of hemorrhoids may be prevented by avoiding constipation and if this doesn’t work, hemorrhoids can be removed by a simple outpatient surgical or laser procedure.

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  • Megan

    My boyfriend (21-years-old) suffers from an itchy anus quite severely. He believes that it stems from a particularly bad case of constipation he had several years ago that caused hemorrhoids from straining. He’d gone 10+ days without a bowel movement. He still doesn’t have bowel movements every day, but usually every other day.

    He gets rashes on the insides of his thighs. The rash on his thighs just looks kind of like red irritated skin.

    There are no visible external hemorrhoids or internal ones that have extended out of the anal opening.

    He doesn’t find it necessary to change his underwear very often because he showers 4+ times a day. He says the showers help the itching…but he makes the showers really hot.

    What I’d really like is for him to see a doctor, but he’s very reluctant to let anyone else in on this problem he’s suffering with.

    I’ve tried having him use cortisone cream and homeopathic creams but he says they make it worse. He doesn’t like the way they feel.

    It’s definitely not dry skin as he sweats quite a bit. There’s also a smell in the area.

    Do you have any suggestions of what the possible causes of this are so that I can give him a list, have him look them up, and then maybe he’ll agree to go to a doctor?

    Thanks.

  • Jan Modric

    Megan,

    anal itch, rash on inner thighs and sweating a lot…this may be fungal infection, informally called jock itch. Check here to find links to images and treatment:
    http://www.healthhype.com/jock-itch-pictures-causes-and-treatment.html

    So, if it is fungal infection, an antifungal ointment (without prescription) may help; if not, prescribed, oral antifungal medication would be needed.

    If they are fungi, he should change underwear every day. He should try to keep the area dry (wearing airy underwear and trousers…)since fungi grow well on moist surfaces.

  • ter37

    seriously…a healthy person should be having a bowl movement everyday, sometimes two times a day and they shoud appear rather large and be easy to eliminate. Drinking enough water, including bran and fiber in your diet, raw foods: fruits and vegetables that are uncooked will help prevent cancer of the colon. This can be life saving advice.

  • Jan Modric

    Ter37,

    a lot of fibres, fruits and fresh vegetables may result in a lot of gas, so everyone should find a right balance regarding this. However, some investigators believe that prolonged contact of food with colonic mucosa due to constipation may contribute to development of colorectal cancer.

  • TThomp08

    I’ve had mild to somewhat severe anus itching for the past few months and have been to embarrassed to go have it checked out. It’s the worst at night when I’m in bed. I haven’t noticed any rashes or anything of that sort, just really itchy. I have a really hairy buttocks and thought that this was the cause but know I’m thinking otherwise. I also profusely sweat in the anus region too. I used to wear really tight underwear but now I’m switching to more loosely fit. I’m hoping that this isn’t too serious so that I can avoid the doc. Any advice?

  • Jan Modric

    TThomp08,

    does your itching/sweating problem correlates with an eventually hot weather at your place or indoor heating? Can you identify any crack on anal mucosa?

    Any abdominal bloating, change in bowel habits?

  • TThomp08

    Jan,

    I’m honestly not completely sure on the sweating. But no anal mucosa, bloating, or changes in my bowel habits. Just itching.

  • Bob

    It could and should be obvious, but my anal itch was caused by some hair growth that I hadn’t previously experienced and didn’t know to look for. A day or two after I shaved the long hairs away from the area, the itch was gone.

  • Jan Modric

    Bob,

    just in case you find a lump beneath that hair growth, you should consider reading about “pilonidal cyst”.

  • Jan Modric

    TThomp08,

    Herpes virus, hemorrhoids and folliculitis (inflamed hair follicles, so on the skin, not mucosa; look like acne)…

    but in moist environment, yeast infection is common. OTC antifungal ointmemt should help in this case.

  • JDee31

    I recently had a hemorrhoid and was able to get it to go away by using preparation h and being careful about the things I do. But for the past few weeks since the hemorrhoid has dissapeared, my anus has still been itchy. Definitely not as bad as when I had the hemorrhoid, but still troublesome. Can this be something else that is causing the itching?

  • Jan Modric

    To JDee31,

    so, the problem is that itch has not yet gone away completely and not that has reoccured?

    Maybe it’s just more time needed for itch to settle down. Prolonged sitting can cause itch in persons with hemorhoids. If hemorrhoids were caused by straining, maybe you have a small tear on anal mucosa. Fungal infection are quite common in moist groin: discolored scaly skin and itch are main symptoms. Spicy food or lose stool can cause itch.

  • jaysun029

    Hi. I have had an anal/scrotum itch for years and I really need some advice on possible problems. My anus itches almost all the time. Additionally, I have this 1/4 inch wide, pale line that extends from my anus to about half way up my scrotum. This line is kind of thicker than the rest of my skin, frequesntly dries and cracks and itches bad, pretty frequently. Also, my anal/scrotum is always moist. I though it might be jock itch or something, but nothing has helped. I went to my doctor about a year ago, he said it’s probably caused by caffiene intake. I drink 1-2 cups of coffee a day. Any thoughts?

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  • Jan Modric

    To jaysun029.

    The first thought when you have moist skin in groin that itches and cracks is jock itch. It’s a fungal infection, and if ointments don’t help, doctor should prescribe you oral anti-fungal medication. Wearing airy pants and changing them daily to prevent autoinfection is a must.

    If above doesn’t help, dermatologist should give you diagnosis and appropriate treatment.

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  • rifth

    I’ve had anal itching for about 3 or 4 months now. The reason I haven’t gone to a doctor about it, is because it usually goes away for a few days, then returns for a few days… over and over.

    Sometimes it’s a minor irritating itch, sometimes it’s very intense itching, sometimes it just burns and sometimes it’s both.

    I eat alot of spicy food but I cut it out of my diet for a few days and the itching persisted.

    I have been as tolerant as I possibly can about it, hoping it would permanently go away on it’s own. But that doesn’t seem to be happening anytime in the future.

    Please help.

  • rifth

    Also, it might be important to note, I’ve been having genital itching but it does not seem to be related to me.

  • Jan Modric

    To rifth.

    Any change of bowel habit along with this itch? Any other symptoms, like bloating, poor appetite?

    Fungi usually cause skin discoloring, cracking or scaling.

  • rifth

    Yes I’ve been using the bathroom quite often.

  • Jan Modric

    Rifth,

    they are intestinal parasites that often cause anal itch and loose stools, also mucus in the stool (not always). Stool test for ova and parasites can show that.
    http://www.healthhype.com/human-intestinal-parasites-symptoms-and-treatment.html

  • Matt129

    I’ve been searching for some answers for a while now but it seems that verbally expressing my problem is the only way to get this under control.

    In between my buttocks, I have what seems to be some sort of inflammation or something. It’s red, it itches, it’s only near the upper buttocks area around my lower back where your crack begins to start, it bleeds if I try to wipe it wih a baby wipe, and cleaning it with warm water and a little soap doesn’t seem to help. I also just discovered some brown sticky substance near the redness that makes the area smell pretty bad even with showering. Again this is mostly around the upper buttocks area. I’m sorry if this sounds graphic, but I’ve been searching for a long time and have had no answers.

    Is there anyone who can help me? You have no idea how happy it would make me. Thank you.

  • JimmyJ

    Hi, hope you can offer some advice.
    I have had a itchy anus for a few years now, my wife also has it. I have been to the doctors and they said it was not haemoroids, but didnt offer much more advice and I was in a ruch to get out, as a bit embarrased by it all. When my wife was pregant she got haemoroiods and the cream we used – some kind of steroid cream – relieved my pain/itching, until I stopped using it, then the itching came back. I have tried this a few times but am only supposed to use for a week, and same thing everytime – stops after a couple of days of use but then returns a couple of days after finishing use. The itching is normally worse at night but not always. I thought it may be worm but neither of my sons suffer from itching and I thought they would if it was worms, and we have tried taking some worming tablets but these have not helped. It was bad enough going to the docs the first time and it didnt help at all so im a bit put off visiting again, any ideas? Thanks

  • Jan Modric

    Matt,

    two possibilities are:
    – pilonidal cyst
    – hidradenitis suppurativa

    In both cases you would need to visit a doctor, because some small procedure could be required.

  • Jan Modric

    JimmyJ,

    have you noticed any visible changes in the anal mucosa or anywhere in the groin area? It could be a small crack (fissure), skin scaling, discoloring or rash. I also belive you can check by yourself if you have hemorrhoids or not: after having a bowel movement, if you strain, you can feel a soft bulge if you check with fingers.

    Pinworms put small legs on the anal mucosa – this can be checked by using adhesive tape. It’s not necessary your sons have worms.

    Which exact cream have you used? Have you tried any other cream without steroids?

  • JimmyJ

    Hi Jan,
    Thanks for getting back. The thing that makes me believe its not a fissure is that my wife also suffers from the itch.
    I tried Anusol and this soothed it only slightly, not much of a difference, and it was Proctosedyl that the doc prescribed that relieved the itching. I have not noticed any changes but I have had this for so long now, that there might have been but i have just forgotten.
    Thanks

  • JimmyJ

    Hi again,
    With the adhesive tape, would I be able to notice them myself or would it then need to go to the docs for them to look at?
    Thanks

  • Jan Modric

    Jimmy,

    fissure, to say directly, is something what you see or not. Fissure occurs during straining or in fungal infection (jock itch). Any rash, scale, discolored area, lump can be an important sign.

    Your wife having itch – it may be a coincidence, especialy if itch did not appear at the same time at both.

    Proctosedyl, beside being a steroid, it’s also an analgetic, so it basically helps in any pain.

    Regarding you have itch for 2 years, I would try to exclude/confirm hemorrhoids and fungal infection first.

    Like said, you would kinda know if you have hemorrhoids: during defecation, a part of anal mucosa bulges out, and this can be felt. After defecation, if you strain, the bulge again comes out a bit – maybe not always – but this is about it.

    Fungal infection appears as a patch(es) of discolored or scaling or cracked and itchy skin – occurs mostly in moist groin. OTC antifungal creams can help.

    Adhesive tape would catch only pinworm eggs – but then there are several other intestinal worms and one cell parasites. Not sure if you would see them directly; they are usualy checked under the microscope. Often (not always) parasites cause abdominal bloating, loose stools or constipation.

    So, it is a careful inspection of the groin, then considering above causes – and if nothing helps – back to the doctor, who can perform stool tests for parasites and bacteria…

  • Gio

    Hello,

    I’m a gay man and for over 12 years I’ve been having anal sexy with my partner. Last time after we had sex I started to feel some irritation feeling inside my rectum. I’ve never felt this before. The next morning the feeling was more intense, but tolerable. After two days it still feels the same, it hasn’t gotten any worse. As I say, the pain is tolerable, but when I go to the bathroom I feel this sharp pain inside my rectum, the pain fades away after a few minutes. There is no bleeding at all, and it looks normal in the outside and around my anus. The only painful sensation happens inside my rectum and specially when I go to the bathroom.
    My guess is that I probably tear the tissue a little bit during sex and it gets irritated with the pass of stools. I’ve been rinsing the area with fresh water using an enema to try to prevent an infection.
    Do you think this will go away in a few days on its own? Is it something I should see the doctor for? Is there something you would recommend taking or doing?

    Thank you for your help

  • Jan Modric

    Gio,

    tear inside the anal canal or in the rectum is possible, but it could be also thrombosed internal hemorrhoid or something other.

    Tear could heal on its own (in “some weeks”) by providing rectum as much rest as possible, and eating high-fiber foods (whole-grain bread, vegetables) to maintain soft stools.

    Thrombosed hemorrhoid would not likely heal on its own, though.

    The reliable way to solve this would be to visit a gastroenterologist, who can make a rectoscopy and provide appropriate therapy.

  • Gio

    Hi, thank you for your answer.
    I just talked to my doctor and he prescribed me Levsin (anti-spasmodic drug) to get rid of the pain…would this help? I’m not sure my pain is caused by spasms or cramps on my abdominal area, i feel is because I might have a small cut inside or something. I had a sigmoidoscopy done a couple months ago and I don’t show any signs of hemorrhoids.

  • Jan Modric

    Gio,

    Anti-spasmodic drug helps against cramps, not sure if against pain. Rectoscopy (only few last centimeters of the colon checked) would reveal eventual crack.

  • Guy2

    I have a pilonidal cyst. I believe I’ve had it for about a year, year and a half now. I didn’t know what it was at first. I thought it was just poor hygiene. I began to improve my personal hygiene, however the itchiness and bad smell never went away regardless of how much I showered.

    The point of the explanation is to ask a few questions.

    I know I need surgery, but I’ve never had surgery before. Naturally, it scares me to think of getting surgery. The only problem I’d have is after surgery, how much would I have to do? Such as: changing gauze pads, putting cream on, etc. The after-surgery is the part that scares me the most, however, it’s also quite humiliating for me as it has a really bad smell. It’s near the lower part of my tail bone, and me, not being in the best physical condition, feel as if it’s inaccessible.

    The next question is: will it hurt after the surgery and will I be able to defecate?

    Thank you for any advice. It’s much appreciated.

  • Jan Modric

    Guy2,

    operation of a pilonidal cyst is a minor surgery. The cyst is removed and there should be no oozing or such after the surgery. You might need to go back after some days for stitches to be removed. Depending on an exact location of the cyst, you might have some slight discomfort during defecation. It’s a gastroenterologist that can explain you in detail what to expect.

  • Leo

    Well i am facing anal itch from 2 years …i have tested my stool several times from pathology lab but results are fine.
    Then i go to surgeon, he prescribed me Posterisan forte Cream but when ever i used it i get relief but after some days that itch starts again!
    What may i do?

  • Jan Modric

    Leo,

    it all depends on the cause. If you have hemorrhoids, these may be removed by a small procedure…Fungal infection can result in itchy cracks…

  • Rocketboy_SF

    Hello Jan Modric,

    First of thnx 4 ur help. I’m glad that I found this website. Here is my issue,

    About 2 months ago,
    ——————
    Out of no where, My scrotum and butt cheeks started to itch intensely few times a day. I visited a urologist and he said nothing looks like std and said it cud be more of skin thing..So I used hydro cortozone 1% OTC for 2 weeks twice a day and it gave relief. During that time I used to feel that have little itch all over the body..but no major rash or redness..(not sure if I was overwhelming myslef…)

    Now after 2-3 weeks of relief, I had a bit of constipation for couple of days and used to have trouble while bowel movement and had bleeding 2-3 times…this itch came started again in the butt …this time majorly around butt hole…I used hemmarhoids relief ointment and some suppositories for 1 week…AT this point , i started to get little itch on scrotum too..

    Current condition
    —————–
    So I went to a dermatologist and stripped to explain the problem, he told everything looks “ok!” and he prescribed “Alclometasone di propionate” to calm down the skin…I’m using it since 2 weeks…It gives relief for 2-4 hrs after applying but starts again later…

    Also now I seem to have other symptoms started …like little itching around the
    penis shaft and on the penis skin and little tenderness on the penis head…(not sure if it has anything to do with the new ointment..) Now again i started ti get the feeling of little itching all over body (mainly under arms, above eye brows, scalp and shoulders..but no visible rash..again I’m not sure if I’m over thinking on regular rash). I started to take pics of my own ass and I found that there is redness on and around one side of butthole…I have no clue how my doctor has missed it…It may sound gross but I can send the pic if u have any email id.

    My medical history:
    ——————-
    I have hemmarhoids since past 2 years. I used to have bleeding once in a while but never had any sort of itching…before

    sexual history:
    I was virgin till summer this year(no sex till 25!)…I started to have sex this year ..initially i got scrared after having sex with some random gal and got tested for stds….doctor said everything looks perfectly normal and I’m just freaking out as I’m new to this sex thing..Additionally he said there were some minor anti bodies found for HSV-1 but he said it is very common…but I dont have cold sores or anything…this tests were done 4-5 months ago…I had sex 2-3 times after wards but I did use condom always…last time I had sex was 2 weeks ago…

    I hope I am not giving too much information and confusing..and I just want to be precise and accurate …Please help me fix this itching in ass and genitals…It is taking days out of my life and I’m thinking about it all time…Also please advice me if visiting a proctologist or urologist might help again …or any kind of tests …once again thanks for your help and may god bless you!

    Rocketboy_SF

  • Jan Modric

    To Rocketboy_SF.

    It could help, if a dermatologist would see that redness.

    If I understand it right, itch appears only in hairy areas of your body. Head or pubic lice and certain mites (Demodex mites) can cause itch without obvious rash.

  • Tormented

    Hello, I am tormented daily. I have had what, I thought was a hemorrhoid, for over a year. First it was intense, unbearable itching, sometimes pain with a bm and had been using Prep H several times a day for the itching. The past few weeks, there is not as much itching but a horrible burning and stinging in anal area. I can hardly sit down for the burning and can barely tolerate water even touching it (such as when I bath or shower.)I can no longer use the Prep H because it feels like I have applied a hot iron to it.Upon inspection, I have noticed the lump is extremely red with darker red, raw areas on it and a few white patches, almost like a hemorrhoid with a blister. It feels like my anus is cut. It is not blue or swollen. It is truly a little scary. Please advise me as to what this could possibly be. Thanks!

    • Jan Modric

      To tormented.

      It is possible thrombosis has developed in your hemorrhoids. I suggest you to find a proctologist (a surgeon for ano-rectal region) or gastrosurgeon promptly. A small procedure can solve the problem.

  • Tormented

    TY Jan, I have viisted my family physician since last post and I am being to referred to a Surgeon as an emergency. My appt. is Wed. Jan. 13, My Dr. said it may have started as a possible hemorrhoid but with no treatment, something has gone terribly wrong, he is suggesting removal with biopsy. I just pray it is nothing malignant. I wll keep you informed. This is really scary for me and my family.

  • Jan Modric

    To Tormented.

    Malignant tumors in the rectum do not appear all of the sudden and rarely before age of 50.

  • Brazilian

    Hi Jan, i’m a men from Brazil and i’ve a pruritus ani. It’s appears after i had an passive sexual relation with other men. It can be a HPV infection? I don’t have warts, but can be sub-clinic. Can some one help me?

  • Brazilian

    More informations… my english is bad, but i need help. I’m used a corticosteroid cream and this help, but don’t solve the problem. I used some medication for warms, but isn’t help. What can be?

    • Jan Modric

      To Brazilian.

      If anal itch appeared only after contact with a man, and you did not have any itch before, then you may have a sexually transmitted disease, anal tear (visible from outside or not), or irritated hemorrhoids. For how long you have the itch now?

  • Brazilian

    Hi Jan, thanks for your response.
    I’ve this itch since november past (10 weeks). We used condom all the time.
    My doctor don’t know about this.

    • Jan Modric

      Brazilian,

      like said, it’s possible your anal mucosa has cracked at a certain site. This is called anal fissure. You should provide your anus as much rest as possible, and maintain soft stools. You should not use steroid cream for prolonged time, since your skin or mucosa can get irreversibly thin. Itch caused by an infection would be probably accompanied with some kind of rash (small blisters in herpes, slight discoloration and scaling in fungal infection, and so on). If no relief in some days, you should see a doctor, maybe a gastroenterologist.

  • navygrl

    Hi, I got 4 tiny red bumps around my vagina on december 18th, 3 clustered together on the right and one on the left, they itched and looked like pimples but when I tried to pop one it just bled. After 4 days they went away and around jan 6th they came back in the same spots, I went to the doctors and she said I had a UTI so I got treated for it and they went away.

    Recently one of the bumps came back and I went to another doctor and she said they were cysts and not herpes but the past couple days my anus has been very itchy and blood red and my vagina has become very sore and red as well. There appears to be 2 tiny white lines that look like cuts between my anus and vagine and at the bottom of my anus. They burn extremely bad when I urinate and I have begun to get more tinier red bumps around my anus and around my labia, it looks like a rash now. I have tried desitin, clamine lotion, and just soap and water to clean myself with but nothing is helping or working. It seems to be getting worse.

    Please help me, I am very scared and do not know what to do. Any advice would be very helpful.

    P.S. I have been with the same man for over a year and he gets tested every 6 months and he’s clean so I don’t think I could have gotten anything from him.

    • Jan Modric

      To navygrl.

      This is probably an infection. Your gyneclogist should give you diagnosis and appropriate treatment. Cysts do not just appear and spread so quickly.

  • navygrl

    I was reading a lot of articles on google and from other people who left comments on here to. It does sound like some sort of infection but I cant make an app. with my gyno right now. Could a clinic or the hospital be able to tell me what it could be?

  • Jan Modric

    Navygirl,

    a dermatologist, urologist, infectologist or even your primary doctor could examine you and take urine sample, since you obviously also have a urinary infection. On the basis of results, you can expect treatment with antibiotics. I recommend you to get tested *promptly* to avoid complications, like pelvic inflammatory disease.

  • navygrl

    thank you so much. your advice really helped.

  • alphagemini

    once I had an itchy anus, just in one spot. It was effectively treated by coating the area with tincture of iodine.
    It worked like magic! Anyone with the problem should try this treatment before risking creams with steroids.

    • Jan Modric

      To alphagemini.

      Iodine tincture would be extremely painful if applied on a cracked skin. A cause has to be find first and treated accordingly.

  • irrated

    about the start of june i noticed my vulva beginning to get itchy. sometimes so bad i could not leave it alone. if i looked closely it looked almost swollen, slightly red and maybe there were tiny glossy blisters almost, that you could bearly see.i never got it checked out as i was embarrassed and waited to see if it went away. sometimes the itch faded for a while/few weeks/months depending. at the base of the libia i saw little cracks that bled slightly sometimes.they would heal and come back again.I happened to have athletic’s foot at the same time therefore i thought i had a fungal infection. i got some canesten cream but it hasn’t really helped. infact i think it has gotten worse and i am worried about STD’s. i have noticed now between my anus and vulva roughness,little cracks, a finger like piece of skin and i don’t know if these are warts. Also I have one itchy spot beside my anus. lastly after reading other comments i saw one which said…have less sugar in your diet to get rid of yeast infection. I have been intaking alot more sugar in my died lately, also acid from oranges if that means anything.

    i am very worried and am going to get it checked out, but was hoping that you could give me some feedback in the meantime.
    Thanks.

    • Jan Modric

      To irrated.

      From your description, it could be:
      1. Herpes genitalis causing tinny blisters
      2. Tinea cruris (jock itch) – a fungal infection resulting in a discolored, scally, cracked skin that may itch. Sugar can trigger/aggravate a fungal infection.

      Blisters are not typical in fungal infection, so you can have both infections, or something third. Both infections typically appear in stress or low immunity, so consider to have a general blood test to exclude some underlying disease. OTC antifungal ointments are available; if this doesn’t help, you can visit your gynecologist to get an oral anti-fungal medication.

  • JJ

    I had chronic rectal itch for at least 4 years. It was uncontrollable and when I would itch it was almost orgasmic. It wasn’t until I was prescribed I Nystatin with Triamcinolone creme that the itch got under control. The longest I went without using the creme was 3 days but the itch would always come back. It never seemed to clear up completely but was at least controlled by the Nystatin. I was recently hospitalized for pneumonia and was given prednisone, azithromycin, and cefuroxime. Since I was taking antibiotics my friends told me to make sure I ate yogurt daily. I don’t know which of the above things took care of the cause of the itching but I ITCH NO MORE!! I have not itched or used the creme for 3 weeks. I am still eating yogurt every day and will not stop in fear of the rectal itch returning. Maybe, just maybe people should try eating a serving of yogurt a day???

    • Jan Modric

      JJ,

      if you take yougurt together with mentioned drugs, you can’t really say what has helped you. Yogurt, containing probiotics, is meant to prevent antibiotic-associated diarrhea, though.

  • Chez

    My four year old is always complaining of an itchy anus, i have given him deworming medication (vermox)twice about 2 and a half weeks apart but he still complains and often complains about an itchy nose as well. I’m starting to get concerned. Should i take him to the doctor. He is clean and i have checked him often, there is nothing i can see that should be causing the itchyness. Any advice?

    • Jan Modric

      Chez,

      in intestinal parasites/worms, vermox might not be enough, so I suggest you to order stool tests for parasites for the child, and get appropriate anti-parasite medications if needed.

      Another possible cause is an allergy to a certain food.

  • knatti

    I’ve been experiencing mild anal itching for the past several days, and wonder if you can shed any light onto my situation.

    I’ve recently noticed an intolerance to pork. Over the holidays, I ate a few meals of containing pork, then a dinner of roast pork. I’d completely forgotten about the reactions I would have, and it’s not all forms of pork that trigger it. The night of I ate the roast pork, I woke with vomiting and diarrhea. Since then, my bowel movements have vacillated between being really loose or skipping a day or two, and being kinda dry. In the past week, the anal itching has set in. It’s happened before, usually after the diarrhea associated with my pork episodes, but gone away in a day or two. I’ve also been feeling more frequent intestinal bloating and warm, stinky gas.

    I don’t have any bulging, or pain passing stools (beyond the discomfort from the itchiness), nor do I have vaginal itching or a history of yeast infections. there’s no discoloration or signs of rash.

    Thanks in advance for your input.

    • Jan Modric

      Knatti,

      Like you’ve noticed, it’s probably not pork itself, but some spices or sauce you’ve eaten together with it. It can be a food allergy or fructose malabsorption. You can try low-fructose diet for 2.3 days and see if it helps. Maybe you simply can’t tolerate sertain foods prepared in a certain way.

  • Heeelllpp!

    I’m so scared. I have had, for a long time, a redness from the perianal area to the top of my crack. It itches. The worst is that I’ve noticed my anus is surrounded by white bumps, as well. They can actually be depressed, and a white-to-yellowish substance comes out. It is fairly solid and reminds me of what would come out of a pimple, elsewhere. These same areas will eventually fill back up, become slightly protruded, until squeezed. There is also itch involved. I am praying that they aren’t anal abcesses, if so I am screwed, because there are MANY. Please help me, ANY suggestions are appreciated! As background, I have had abcesses come and go on my buttocks, due to what I believe is a hereditary disorder. They become red, large, swollen, and sometimes will eventually open and drain. I also have one at the top of my crack that I believe is a pilonidal cyst. The gluteal abcesses come and go, but these “pimples” around my anus always remain there.

    • Jan Modric

      To Heeelllpp!

      How big are these pimples? It can be staphylococcal folliculitis. Pilonidal cyst can be a constant source of infection of the surrounding tissues, so I strongly recommend you to get diagnosed and treated for that. You could use some OTC antibiotic cream, containing mupirocin for pimples. However, have you ever had a colonoscopy or X-ray with barrium enema to check for Crohn’s disease?

  • rubio

    Hi there, I’m in need of some desperate help!!!

    I developed ulcerative proctitis last May, which is still present, but only mild inflammation, much better than it was. Anyway, due to all the inflammation inside, I delevoped an anal fissure, which I noticed back in August last year, which got progressively worse and painful. I am being treated with GTN ointment for this, been on it for 3 weeks now and it’s working and healing the fissure. However, for the past few months also, I had a very itchy, sore, red anus, which severely burns when I have a bowl movement and the anus itself is swollen -t he area where it is swollen and itchy is not coming from the fissure as I am not experiencing any pain there anymore as it’s nearly healed. Any ideas what this could be? I have tried using hydrocortisone cream but after 5 days of using it, my anus has become even more sore and I developed a red ring around my anus.

    Many thanks

    • Jan Modric

      Rubio,

      is proctitis from an infection or from inflammation, like ulcerative colitis? If the skin around your anus is discolored or scaling, it is probably from a fungal infection, that can be treated by anti-fungal ointments. If there are small pimples, like acne, it’s probably staphylococcal folliculitis, which can be treated with an antibiotic ointment.

  • Heeelllpp!

    Hi Jan, thank you so much for the response, but now I am even more worried! To answer you first Q: they are smaller in size, maybe a cm, and they don’t go away; the same areas will fill back up in time, if they are depressed of contents. At this point some will visibly protrude. The redness is widespread (affecting the whole perianal area), not just localized to each lesion. The papules(?) themselves are located around the anus, circling it, and seem to be in little clusters, ….Now for the second Q: No, I have never had those tests performed. But I wonder what has led you to Crohn’s disease in the first place? Everything I see related to it is grim…surgeries, long-term medication, cancer…I don’t have the classic symptoms like diarrhea, weight loss, and my appetite is as healthy as ever! I run 3 miles almost daily and don’t normally feel fatigued…One thing, I am a transwoman who is on hormone therapy. I currently take 6mg estradiol, 200mg spironolactone, 5mg finasteride, and 10mg of medroxyprogesterone, all on a daily basis. I have been on this regimine for approximately 2 years now.

    • Jan Modric

      Heeelllppp!,

      white bumps are probably either big acne or staphylococcal folliculitis. If they appear only in last two years, they are possibly caused by a hormone therapy. Again, a pilonidal cyst can be a source of infection of the whole area – in this case you should tread this cyst first.

      Perianal abscesses typically appear in Crohn’s disease (or ulcerative colitis), so this is why I’ve mentioned it.

      I recommend you to get a diagnosis from a gastroenterologist.

  • Heeelllpp!

    Once again, thank you soo much for your help! I’ve scheduled an appointment with my PCP today and will definitely get a referral to a gastroenterologist. With your advice, I’m leaning towards the acne thing now. I did first notice them within the 2 year timeframe, as far as I can remember. The pilonidal cyst has been there forever, so you are right, it has GOT TO GO!….I just never knew that the hormones could cause anus pimples EEEWWW! Anyways, thanks again and again, Jan. Take care.

  • rubio

    Hi Jan, thanks for your response.

    In answer to your question; the ulcerative proctitis was from an infection (an STI – Chlamydia) in the rectum, which even after being treated turned into ulcerative proctitis.

    From the STI, I developed a skin tag from straining so much (mucus coming out all the time), which I have since had removed. Then from the proctitis, I delevoped an anal fissure which has nearly healed up and I have no pain from it now as it’s 95% healed. But now, I am left with an itchy, swollen anus with a red circle around it and have developed little cracks or cuts around the anus, which are sore. Also when I have a bowl movement, the inside of my anus & outside feels like it’s on fire.

    I actually had an appointment at the GI clinic today as I am in pain. My doctor didn’t even look at my anus (he never has done), as I hoped he would do and said that all should be fine now, but prescribed me anti-fungal cream – I suggesed that could it be a fungus??? Although I don’t have any scaling, just readness. As for the small pimples, I don’t have any of those either. He’s told me to go back in 3 months time – but obviously if I’m still in pain, I won’t want to wait that long!!! I also signed a consent form today for my case to be written about (case study) as it has been so unusual.

    Do you think that this anti-fungal cream should work? All I want is to be normal again.

    Many thanks

    • Jan Modric

      Rubio,

      the redness around your anus may be a fungal infection – you will kinda know this if the anti-fungal cream will help in few days. If it comes out, it was fungus, try to avoid having moist groin by having breaks during prolonged sitting, wearing airy shorts and so.

      If the cream won’t help, or the burning feeling in your rectum will remain, the problem is probably still arising from the inside of your rectum. Your gastroenterologist should check that (maybe by rectoscopy) and decide what to do.

  • rubio

    Jan, thank you so much.

    I will await to see if the cream works then, if not I will go to the doctors on Thursday as I am going on holiday on the Friday – have been dreading it, in a hot, sticky climate, which would make it worse and for my 30th too :0(

    Fingers crossed, thanks again.

  • krazykid

    It was about last week when my anus started itching so bad it would put me to tears, cause i knew i wasn’t supposed to scratch it (looked up online before i went to the doctor) The doctor said i have jock itch and prescribed me an over the counter cream, but the person working the pharmacy got me something off the shelf instead. And it’s Walgreen’s generic “Jock Itch Cream” with Terbinafine Hydrochloride at 1%… I have been using this for a few days now, but it seems to have only gotten worse, the two or three itchy red bumps around my anus has now spread to about 10-15 and is not nearing the outside of my cheeks, and it still itches like CRAZY… I take showers daily, and if you like, i can give you a picture maybe? i just want this gone and done with… thanks Krazykid

    • Jan Modric

      To krazykid.

      Bumps are actually nor characteristic for jock itch. Herpes simplex (tinny translucent bumps apperaing in small groups, surronded with redness) or staphylococcal folliculitis (red bumps with pus-filled white centers) sound more likely. A doctor should inspect the rash and give you proper diagnosis. For staphylococcal folliculitis, an OTC antibiotic mixture mupirucin should help.

  • jkl690

    Good info on hemroids. It is a common misconception that creams really work to treat hemroids when in reality they just provide a little bit of relief for a short period of time. Make sure that you talk to a doctor if you are suffering from hemroids, don’t just settle for an over the counter cream!

  • pony546

    hi i have been having a itchi bottom and i was wondering if you can tell me if my yeast infection has something to do with it. i have no worms because i never seen them no rash bumbs nothing it is only itchy in the anus i am 11 years old and i can’t sleep please give me a sulution to my problem.

    • Jan Modric

      To pony546.

      Where do you have a yeast infection?

      A yeast infection can cause itchy bottom/anus. There are over the counter (OTC) ointments available in pharmacies without prescription.

  • jc68

    My anus has been itching for about six months now. I tried hydrocortizone and when I do, it burns. Not only that, but it’s always oozing and has a lot of moisture no matter how much I dry it. Its very uncomfortable. Please help

    • Jan Modric

      To jc68.

      You can check your groin to see if there is any rash. Fungal infection (jock itch) is a common cause of anal itch. If you find any discolored, scaling area with eventual cracks, you can try with an OTC antifungal ointment. If no rash, I recommend you to visit a gastroenterologist.

  • judra36

    after using yasmin i had several bad side effects. i got an itchy bottom and i normally scratched it which caused lesions or bruises. they are a bit painful but arent much itchy after a day or so jus a bitc uncomfortable. its been 3 months now and it happened before my cycle began and usually last up a few days. i have scratched it so badly that the skin comes off. i havent seen any rashes mayb one bump and a cuton my anus. i think i mite have hemoriods but is there a possiblity that i may have herpes? my boyfriend has had no symptoms of herpes and niether have i. it hurts when i have bowel movement but isnt really painful

    • Jan Modric

      To judra36.

      In herpes, a group of small translucent blisters surrounded by red skin are typical. A shallow ulcer may occur, but cracks are not typical. They may itch, burn or cause pain.They are spread by sexual contact, but not necessary as a new infection. Herpes viruses may stay in the body for several years and outbreak during periods of stress or infections, like flu. Not sure if contraceptive pills have something with it. Herpes can be spread even if affected person has no visible rash. Autoinfection with hands (from mouth herpes) is also possible.

      In folliculitis, red bumps appear one by one, not in groups, and often have a white pus-filled center. OTC antibiotic ointment mupirocin helps.

      Cracks may be from scratching, or from fungal infection (jock itch).

  • frogman

    Hi, ive suffered from an itchy anus for a few years now. its not there all the time but when it is it really annoys me. its mainly just inside my anus and on the sides, after itching for a while it becomes tend. i dont know if this has anything to do with it but also every few months i get a small lump/bump on the top of my crack, very lower back which is very sore and bleeds at times. feel alittle uncomfatable about heading to the doctors without any idea to what it could be. any advice would be a great help.

    • Jan Modric

      To frogman.

      That lump could be a hidradenitis suppurativa – a cluster of inflammed oil and sweat glands that can be infected by bacteria (staphylococci). I recommend you to visit a doctor when that lump appears, so doctor can see what is it.

  • clark

    My bf started out with some redness on the skin on the outside of his sphincter. Now a couple of days later it is bright red, and looks like a major chemical burn.
    When it had hurt originally, he applied Preparation H to cool it down, even though he doesn’t have a hemmoroid. No itching, just very painful.
    What caused this? And how do we fix it? Has anyone been through this before? I cannot seem to find any advice pertinent to his situation. And no he is not gay, as I AM female. Thanks for your help.

    • Jan Modric

      Clark,

      does he experience urgency to have a bowel movement or other digestive problems or any other symptom (fever, pain…)

      Redness with an obvious rash or scaling, or any other changes on the skin surface in the groin area can be from:
      – a fungal infection (jock itch). An antifungal ointment can help.
      – ecczema from allergic reaction, for example, to pants

      Reddened, slightly raised patch, without other surface changes could be:
      – hives
      – insect bite
      – cellulitis – a strep or staph infection of the underskin tissue, possibly from a smal accidental injury (cut, scratch) in the groin
      – spread of an infection or inflamation (Crohn’s disease?) from the rectum

  • Suffering

    Hi Jan,

    I went to China in last year in May and got severe diarrhea while I was there. A couple weeks after that and everyday since then, I’ve had anal itching. I’ve thrown everything but the kitchen sink at it and I’ve been to three different doctors. Here is the treatment I’ve tried so far:

    Date: May 2009
    Provider: Primary Care
    Ova and Parasites exam (negative)

    Date: June 2009
    Provider: Gastroenterology
    Prescribed: Analpram (Hydrocortisone Acetate 2.5%, Pramoxine HCl 1%), switched to baby wipes,
    epsom salt baths

    Date: Early July 2009
    Provider: Gastroenterology
    Prescribed: Lotrimin, Triamcinolone 0.1%, Clobetasol .05%

    Date: Late July 2009
    Provider: Gastroenterology
    Procedure: Sidmioscopy – no problems identified, recommended Desitin OTC

    Date: August 2009
    Provider: Dermatology
    Prescribed: Steriod Desoximetasone 0.25%, Fluconazole 200 MG antifungal, and pinworm treatment
    (OTC)

    Date: September 2009
    Provider: Dermatology
    Procedure: Skin biopsy (negative for anal cancer and psoriasis)

    Date: October 2009
    Provider: Dermatology
    Prescribed: Steriod Desoximetasone 0.25%, Preparation H Suppositories

    Date: November 2009
    Provider: Dermatology
    Prescribed: Protopic 0.1%, Zonalon 5%

    Date: December 2009 – January 2010
    Treatment: switching between Desoximetasone 0.25% and Desitin OTC

    Date: January 2010
    Provider: Primary Care
    Recommended: cocoa butter or mink oil

    Date: February 2010
    Provider: Primary Care
    Recommended: continue cocoa butter, add Solarcaine (OTC)

    Unfortunately none of this has solved the problem and I still have irritation in the area. I even went so far as to install a bidet in my house so I no longer need to use wipes..I just use TP to gently dry off afterwards. I do have a lot of hair down there, and there is some redness. I never scratch the area, but I can’t even walk without it causing irritation.

    I’m at a loss as to what to do next. Thanks for any help.

  • Pingback: List of Human Body Parasites - Symptoms, Pictures | Current Health Articles()

  • Sore and fed-up

    Hi there; my husband has had many health issues over the years. Seven years ago he fell off the roof, fracturing his c7-T1, sternum and acouple lumbars. He was prescribed Oxycodone, and got addicted. He was (and is) on methadone to get him off the oxycodone/contin. He also takes CPZ, gabapentin, effexor. He has had to give himself an enema to have a BM for the last 7 years. He has been refered to many doctors who have tried different things. He has had a colonoscopy, CT scan, another one tried botox to relieve the tightness. He saw a surgeon in Dec., who gave him a sphincterotomy, then banded his internal hemorrhoids, then surgery to remove them. He is still in a lot of pain, not able to work the last 2 years. Now the surgeon says its a fissure and wants to do another surgery. He has tried various creams to no avail. His family GP says to have no more surgeries, but doesn’t know where to go from here. What can we do? Life is so unpleasent for him and is really affecting family relations. Any Advice? Thanks in advance for your help.

    • Jan Modric

      To Sore and fed-up.

      Methadone can cause severe constipation. It is possible this is a major cause of his problems. Fissure has to be treated and has to be treated well whatever it takes.

  • where to turn?

    I have had itching for years – first it was definitely hemmerhoids, and itching round the clock. That seems to have gone away, but I have gradually (at least 3 years!) intensifying itching when I need to make a bowel movement or gas. Relief comes with itching and going, though I have started straining for tiny bowel movements several times a day, and one healthy movement.

    Doctors have recommended steroids, which seem to work while I am using them.
    Could it be lazy colon? Any suggestions?

    • Jan Modric

      where to turn,

      beware of long-term use of steroids – they may irreversibly thin your skin. It sounds to me, that hemorrhoids may be an issue again, and they probably result from repeating strain. Lazy colon usually result in severe constipation, so I’m not sure if it is this?

      Are you male or female, how old are you?
      What’s your diet in general?

      Being physically active (walking can help), drinking sufficient amount of water, eating foods rich in fiber, and changing constipating medications (if any) can prevent constipation.

  • where to turn?

    I am female, mid forties.
    My diet is mostly vegetarian, and I am trying to eat more fruit. I also eat whole grains for the most part. I don’t take vitamins or medications.

    I go on walks once a week, and will try to up the ante. With water as well. If I drink coffee (1-2/day), I end up drinking less water, so some days I have less than 8 glasses.

    I am on a kick to get rid of this problem since it seems to be worsening.
    Even went for accupuncture. Is there any kind of specialist you would recommend?

    Really appreciate your advice.

    • Jan Modric

      where to turn,

      an itchy rectum or anus is your problem? Any lose stools or mucus in the stool? For how long so you have this problem, and can you relate it with a change of diet? Are you consipated and strain? Have you checked your vitamin B12 blood level? Pinworms or other intestinal parasites can also be a cause. Jock itch (fungal infection) would be recognized by a rash.

  • johnolsovsky

    Suffering,

    Perhaps the illness you got on your trip to China or antibiotics taken afterwards eradicated the good bacteria in your lower intestine and caused the sypmtoms you describe. See http://en.wikipedia.org/wiki/Gut_flora

    The recent adding of a supplement to my diet that increases Lactobacillus Bifidobacteria activity in the colon has helped me considerably with a similar problem. This, a high fiber diet, and exercise, has greatly improved an itchy and painful rectum I had been suffering from for a long time.

  • dianakin

    i have a 5 mouths old baby and i anm in Ghana,Africa.when my baby was born my mum about 2months my mum flushed local herbs into his rectum,since then he has been constipating and strianing.what shld i do?

    • Jan Modric

      dianakin,

      I recommend you to tell baby’s doctor what exact herbs your mum has used. Maybe an inflammation has occured within the baby’s rectum, or dehydration has developed or the level of certain minerals has changed in the blood. The doctor should know what to do.

  • BARB

    CAN BED MITES CAUSE ANAL AND VAGINAL ITCHING?

    • Jan Modric

      BARB,

      bed bugs causing anal itch would likely cause itch on other parts of the body, so a vaginal/anal itch – if these are the only symptoms – is not likely caused by bed bugs.

  • marzipan_mad

    I seem to get very itchy in and around the sphincter, only ever in the late evening or after a hot bath. Sometimes it drives me a little mad and keeps me awake – such is how annoyingly itchy it gets.

    There are no bumps or swellings or any visible signs around the anus, but I do have a small patch of itchy skin on my upper left arm, and I avoid spray-can deodorants because they make the skin under my arms itchy. I’m very hygienic, careful at cleaning /drying after baths.

    I do exercise at the gym and regularly shave the hair away from around the anal area – without problems previously. I have had a little clear or pale yellow mucus after going to the toilet, and a little blood I noticed on the tissue but that may have been from me scratching the itch… I am not sure if I should go to the doctor or not, what can you recommend? The itch is really really annoying, I try not to scratch it but the temptation is far too great.

    • Jan Modric

      marzipan_mad,

      anal itch and yellow mucus can appear in intestinal parasites. I recommend you to visit a gastroenterologist and have a stool test for parasites.

  • clouds

    I’ve had an itchy anus for the past 5 years. About a half inch into my anus there are 2 or 3 small tiny tapered pointy bumps with white on the tip.
    Is this treatable and what is it?

    • Jan Modric

      clouds,

      are the bumps on the skin or on the mucosa? If they are on the skin, it can be staph folliculitis. This can heal on its own, or after using an OTC antibiotic ointment (mupirocin). This would not likely last for 5 years, though…

      If the bumps are on the mucosa, they could be blocked glands and a gastroenterologist should check it and tell what is it and what to.

  • clouds

    The bumps are on the mucosa

    • Jan Modric

      clouds,

      it could be clogged glands or so. I’m not sure if any ointment would help. A gastroenterologist could say what to do.

  • sun

    I have been suffering from anal itching for the past one month and due to scratching it has aggravated the problem.I am too embarassed to go to the doctor. Can applying a cream called Germoloid (Active Ingredients (w/w) Zinc Oxide Ph Eur 6.6% and Lidocaine Hydrochloride Ph Eur 0.7%) help solve the problem.

    • Jan Modric

      sun,

      creams can help, but they can mask the underlying problem. Common causes of anal itch are spicy foods, dry skin, fungal infection (some rash or crack is usually seen), hemorrhoids, loose stools and pinworms. OTC ointment for fungal infections are available. Gastroenterologists are used to check the anus, and even if you are embarrased, it’s not so bad as it may sound.

  • mac

    sometimes i feel some smelly water around my anal specially when i work in night shift for 10 hours then i feel my anal itchy and the smelly water aswell , i have this problem from 3 years and i dont have time to go to doctor
    i am healthy, i do exercise good , not over weight nice muscular body everything is fine

    • Jan Modric

      mac,

      smelly mucus can arise from hemorrhoids, intestinal parasites or inflammation/infection in the rectum or other part of the bowel. A gastroenterologist can determine the cause after physical examination and stool or other tests if necessary.

  • questionguy

    I’ve had a burning pain and itching in my anus for about 7 months now. Sometimes I’ll get sharp spasm-like pains. I already saw a gp who sent me to a gasterointerologist. The GI doctor had me undergo both a flexible sigmoidoscopy, and a colonoscopy. Both were EXTREMELY painful procedures, even though I’ve heard most people do not experience pain. The results from both were normal. I’ve also had stool cultures tested for parasites and those came back negative. So there doesn’t seem to be anything easily detectable wrong.

    I’m in excruciating pain most days. Doctor recommended me going off dairy products as a test. I’ve stayed completely away from dairy, I eat tons of fiber, and still no relief. I’m starting to worry that the doctor just isn’t very good. Is it worth getting a second opinion at this point? What could be causing my pain and itching if I’ve ruled out so many other things?

    • Jan Modric

      questionguy,

      you do not mention any changes in stool color or consistency, bowel habit or any other symptoms. Constipation often reults in hemorrhoids that may itch. Loose stools may cause itch. Pain during colonoscopy suggests your colon is quite tense – this may occur in irritable bowel syndrome (IBS), once called spastic colon. Certain foods and stress are main triggers. A low-FODMAP diet help to some. Some mucus can be released in IBS and this could cause itch. Food allergies usually cause some itch around the mouth or in the throat…Maybe you can recall some other symptom by checking this personal medical history questionnaire. Lymphoma would likely result in elevated white blood cells in the blood. Well, you do not tell how old are you.

  • mediacr

    I have had burning pain and slight itching in rectal area for 6 months. I have been treated with steriod supp and cream for hemmroids and Nitro ointment for fissure even thought the Gastro doc and corecatl doc both said didnt see a fissure and hemmroids that I did have were very small and shouldnt be causeing any problems. I have cut sicey foods out of my diet and went 6 weeks with no sugar or caffine and still no better. There is nothing notable like a rash or anything the skin is just slightly red and feels a little tacky from irritation. My BMovements are regular and I am taking fiber as well as stool softener. I am starting to feel like this is a lost cause and I’m just gonna be misersable forever. I do sometimes have a itchy groin but I chalked it up to soap irritation so I started using baby soap. I do work in a hot kitchen and sweat alot but have no signs of fungal infection. ANY IDEAS?

    • Jan Modric

      mediacr,

      fungal infection can go with almost no rash and could possibly cause groin and rectal itch. Small cracks can also be from fungal infection. Constipation can result in small hemorrhoids, which could itch.

  • ItchyButt

    my bum is itchy and my anus

    • Jan Modric

      ItchyButt,

      if there is any rash, it could be a fungal infection, which can be treated by antifungal ointments. Hard to say more from your description.

  • pandabear

    My rectum and butthole are itching. I made the mistake of itching them and it just got worse. I just put on anti-itch and hydrocortisone cream (in the rectum, bad idea?). i don’t believe i’ve started eating anything new – i’ve started severely increasing my fruit intake (i used to eat a lot of fruit, but now i’m eating gallons, but other than that there’s no significant diet change. I’m pretty positive I don’t have pinworms. is it possible to check that it’s an internal hemorrhoid? i really have no idea, i’m going to try not itching it for a day and see if it helps. please reply!!!!!!

    • Jan Modric

      pandabear,

      all the fructose from large amounts of fruits might not be absorbed in the small intestine, so it can cause loose stools resulting in anal itch.

      They are external hemorrhoids that usually itch.

      Long-term use of hydrocortisone cream in anus is a bad idea – it can result in a permanent thinning of the anal mucosa. These creams should be usually used only two weeks in the row at most.

      If there is any rash, it could be from a fungal infection (jock itch).

  • Anon

    Hi there,

    About 2 weeks ago I started having an itchy anus. In the past, I previously had Seborrheic Dermatitis however that had cleared up. Reading this page makes me wonder if it has returned, only this time ‘downstairs’.

    My dermatologist recommended cortizone last time and it worked really well, however, should I use this on my anus this time?

    Cheers.

    • Jan Modric

      Anon,

      seborrheic dermatitis around the anus would cause some visible rash or at least some scaling or greasy skin. Cortizone can help in seborrheic dermatitis, only that I don’t know, if you have this, so I can’t say yes or no. Cortizone should not be used more than 14 days in a row, though, since it may cause permanent thinning of the skin.

      Consider also other causes listed in the article.

  • rweinstein

    My 6 year old daughter is having some trouble. First I noticed that she started getting some pimple or bite looking marks on her buttocks. Then she mentioned that when she wipes after a bowel movement there was red on the toilet paper. Now she is crying trying to have a bowel movement and she can’t get anything out because it hurts too much. She also has said that is was itchy inside for the last few days. As a side note, she has had a persistant cough that won’t go away and had two pimple looking things above her lip/under her nose last week that went away by themselves. Not sure if that is related, but I thought I would through that in. Any ideas?

    • Jan Modric

      rweinstein,

      officially, blood in the stool is considered as emergency situation – in any case the cause has to be found. Pimples may be from an infection and could be related with the rectal issues.

  • rweinstein

    Thanks Jan. We went to the doctor yesterday afternoon because my daughter was in so much pain every time she tried to have a bowel movement. We sent out for a test for pin worms for the itchiness (hopefully it will be negative) and also tested for perianal strep. Guess what, the strep came back positive! I never even heard of this before. So I am hoping that the medicine she is on now will kick in soon to relieve her pain. I am also hoping that is what is causing the itchiness and the blood in her stool. Does it sound like all her symptoms may be caused by this positive strep? thanks.

    • Jan Modric

      rweinstein,

      itchiness, pimples, constipation, blood in the stool – all these symptoms may be from intestinal parasites. Medications usually kill them successfully, only it’s hard to tell in how much time symptoms will resolve. Medications can cause side effects, like nausea, but it is important to take the full course like prescribed.

  • js37

    I just noticed a bump on the inside edge of my anus. It doesn’t itch a whole lot but I definitely know its there. I am little worried about this. Is this hemorrhoids or could it be colon cancer? Is there a way to tell a difference? Thanks for your help.

    • Jan Modric

      js37,

      a bump from hemmoroids is usually small (like a pea or smaller) and is pretty losely attached to mucosa so it moves under the fingers easily. If may appear quickly (“overnight”), and if there is no continuous strain during bowel movements, it also usually goes away in some days. Colorectal cancer is extremely rare before 40 years of age, it grows slowly, for example at least few months from zero to a pea size. A reliable way to say it is not a cancer is, if it goes away. You may search for “anal cancer” on cancer.org site. If you are above 50 and not sure, I recommend you to visit a doctor.

  • Volcanicity

    Jan,

    I’ve noticed a white skin area between my scrotum and my anus. It is difficult for me to see, but it feels almost moist but is flaky and smells rather rotten – like gone off milk but worse. I am not sure if it is something i have had for ages or something recent. Maybe related or not, but have had dry skin on my hands/palms for last 6months (usually happens in winter only) and I now have dandruff even though i use the same shampoo as always and have a shower every morning…

    I’ve had people over my life kind of imply that I smell of poo (can’t think of a technical term here). I usually find that I get bloated quite easily, and my stomach hurts quite a bit, but i have never ever ‘smelled’ my own smell, so when people mention it, I don’t realise it.

    For example, I was in a meeting for about an hour (where i felt bloated) and was ‘holding in’ gas movements, and when meeting ended and everyone left, and then someone entered the room they joked that the room smells like a toilet.. These happen to me too often to be co-incidence or joke or whatever. But I can never tell at the time. There are countless other examples of things being implied where i am the common factor.. So perhaps it could be the moist skin between the anus/scrotum that gathers a smell – although to me it seems more than i somehow cannot control gas movements but am not aware of it in any way – which is a strange because when i do pass gass intentionally, i can smell/feel it.

    I am not sure where to turn, and what to think, I’m now at a point in my career where i think this may be harming my progress.. a lot of client work and so on.. my long term partner sometimes asks me if i have a stomach ache out of the blue when i feel perfectly fine, so now i take it for code when something is wrong and there is a smell..

    I went to my doctor a few years back, and i dont think he understood my problem, he gave me some pills to aid my digestion, but i dont think that was the problem.

    Any help appreciated – i feel like i cannot ignore this any more and it is putting pressure on my personal and work life. Thank you.

    • Jan Modric

      Volcanicity,

      smell detected by others is probably from smelly gas and the causes may include:
      – foods rich in sulphur – if this was the sole cause, a low-sulphur diet (see link below) would give immediate result
      – intestinal parasites, like giardia. Stool test exists. Itchy rectum, bloating and gas are common symptoms. Infection could be aquired by contaminated food or water.
      – intestinal disorder like Crohn’s disease or celiac disease.
      You can find links to mentioned disorders in this article about smelly burps and gas:
      http://www.healthhype.com/sulphur-or-rotten-eggs-burps-belching-foul-smelling-gas.html

      White skin area can be from a fungal infection or seborrheic dermatitis which both can affect the scalp and groin. OTC antifungal ointments and shampoos exist. If it is a seborrheic dermatitis, a dermatologist can say which medications to try.

      A gastroenterologist should be able to find the cause of the smelly gas.

  • star

    for 3 straight years I has an itchy ass that drove me crazy. Then it went away just as quick as it showed up. It was gone for 3 years. well just 4 weeks ago it should up again. the same symptoms and just as bad. My was back. I spend thousands of dollars trying to cure the first bout but this time i bought TINACTIN. something I had never tried the first time around and was never directed to use by 4 different doctors

    Well after 3 days its gone and i mean totally gone

    TINACTIN: IF IT WORKS FOR YOU PLEASE LET ME KNOW. I FEEL LIKE I HAVE BEEN SAVED AGAIN

    I WISH YOU ALL THE BEST OF LUCK. I’VE BEEN THROUGH YOUR MISERY

    • Jan Modric

      Tinactin is an antifungal product, so it may work in fungal infection and not likely in other causes of anal itch.

  • star

    You can use it liberally since it not a heavy cream and comes off in the shower which i only use a spray one

    twice a day

    I really hope you fine some peace and solace with it.

  • cyberman

    a couple of years ago i developed a horrible case of anal itching. i mean, it was really bad and it was driving me crazy at night. i tried changing my diet to no avail. i tried various creams and lotions and ointments to no avail. nothing worked…UNTIL I read that sometimes its soap that is causing the problem.

    i was desperate, so i decided to stop using soap when i cleaned my bottom. i just used a lot of warm water. IT WORKED!! within a couple of weeks, the itching was gone!! And it has been gone for over a year.

    so people, give it a try. it has saved me from a terrible affliction.

  • scared

    My teenage daughter has been complaining of an itch on the patch of skin between her vagina and rectum for almost two months now. She said it started a couple days after BM. SHe doesnt bm normally everyday like doctors say is healthy.She “goes” maybe once a week if that. She says she thinks she scratches it in her sleep and when she pees sitting up straight it burns, but if she pees leaning forward it is fine. She also told me she looked at it with a hand-morror and noticed a white patch, blister looking thing around the same area. She says it doesn’t itch all the time but when wearing certain underwear or tight shorts/jeans, it gets irritated. I want to take her to the doctor but she is afraid. Any help at all without having to take her to the doctor?

    • Jan Modric

      scared,

      obviously there is some inflammation or infection. For fungal infection, anti-fungal ointments are available in pharmacies, but without knowing what is a real cause, I can’t suggest anything other than visiting a doctor. It may be embarrasing for a teenage girl to have an infection in the groin, but doctors are familiar with much worse things, so this should not be a problem, I’d say.

  • ted

    a week ago i develop anal itching. it is tolerable during the day but its hard to ignore at night specially during sleep. cuts occur when i scratch it too much but it heals right away. now, its spreading around my genetal area. i am hygienic person, wash regularly, change underware morning and night and i make sure that the area is always dry. my diet is the same like before. is there anything that can relieve my problem?

    • Jan Modric

      ted,

      anal itch spreading around genital area may be jock itch (fungal infection) – in this case some rash would be seen; OTC antifungal ointments are available. I can’t say if you have fungal infection or something other, though.

  • anica

    Hi everyone, I am 23 years old and I was recently told by my gyno that I have an overgrowth of hemolytic streptococcus I treated it with some antibiotics, Zinnat.
    I am now however seeing little specks on the tissue when I wipe after pooping. It looks like when you erase something with an eraser but small pieces. Can anyone tell me what this might be and if my recent diagnosis had anything to do with this?

    • Jan Modric

      anica,

      is it possible that the specks would be from the tissue? It could be also skin sheding. Fungal infection would be also possible – this usually causes some itchiness.

  • anica

    To :Jan Modric
    Thanks for your input. I really am confused.I think Ill check back the gyno again. Thanks again. Ill try to research fungal infection to see if i can identify my symptoms

    • Jan Modric

      anica,

      fungal infection after antibiotics would be possible. Itchy and discolored rash or scaling is usual.

  • anica

    Jan Modric,
    Hey I looked at the link and I dont have rashes at all. Can you still have a fungal infection without the rash ?
    Thanks for the info though. Havent been to the doc yet sadly

    • Jan Modric

      anica,

      fungal infection can cause tiny scaling, and this could be reflected in specks you’ve mentioned.

  • Matt

    Hi,
    I have had a problem with anal itch for about 4 months now. I only start to itch after a bowel movement and if I am moving around. Wiping will stop the itch, but I notice a small amount of blood on the toilet paper. I sometimes go a week without any itch and then get it for about 30 minutes each day. THe only event I can think of that might have triggered this was antiobiotics that I took after I had my wisdom teeth out. The itching started about a week or two after I had the wisdom teeth out. Any ideas?

    • Jan Modric

      Matt,

      bleeding and itching can occur in intestinal parasites and hemorrhoids, for example. A gastroenterologist can perform appropriate tests.

  • Matt

    Hey,

    Does it matter that I have never had any pain associated with it? I thought there would be pain with hemorrhoids? It also does not bleed after I go to the bathroom (ie there is never blood on the toilet paper when wiping). Thanks

    • Jan Modric

      Matt,

      Hemorrhoids are external and internal. Internal hemorrhoids are usually not painful, but both can bleed (occasionally) when rubbed by a hard stool. Hemorrhoids can be diagnosed by rectoscopy. Theoretically, after antibiotics, fungal infection with some rash could develop. Itch could be also food related.

  • ramu

    i feel itching around my anus, which i feel due to hair around it. i made a partial shave and used “veet” to remove hair, is my feeling correct?
    what is the best way to resolve this?

    • Jan Modric

      ramu,

      hair themselves should not cause itchiness. Fungal infection (jock itch) or folliculitis – in both a rash would be likely seen – are two possible causes.

  • just wondering

    im concerned about something that ive had a couple months now..i keep getting this red rash in the crack of my butt,where the 2 cheeks meet,its starts out a little itchy,but turns into a burning hot feel.it feels more like the burning is under the skin,and it seems to feel like its even in my genetil area.even my feet feel like they are on fire..done alot of research,but cant seem to pinpoint anything..anyone have any ideas?thank you

    • Jan Modric

      just wondering,

      I believe a dermatologist can give you diagnosis. Red rash on described areas can be from a fungal infection, but I can’t say from here is it or not.

  • summer itch

    Sorry for all the repeat advice you have to give here. likely more of the same. I have an itchy anus and it seems to get worse with the nicer weather. i.e. it wasn’t a big problem for the winter. I don’t have weird bowel issues, I go about twice a day. I do have a cup of coffee everyday. I’ve gone to the butt doc and confirmed its not hemorrhoids. one thought dry skin but non irritating lotions havent helped. i havent noticed any fissures nor have the docs seen one. I wear boxers, shower regularly. it will get worse randomly, not just after bowel movements. during the winter i have dandruff issues but not now when i have this issue. no other rashes or anything.

    • Jan Modric

      summer itch,

      for how long do you have anal itch, and can you judge is the itch within the anus or around it. You could do few diet experiments, like going without coffee or alcohol, or certain spices for few days, then trying low-fructose diet. or a low-FODMAP diet for few days. When you have a bad itch, think what have you eaten a day before (food usually needs 20 hours or more to travel from mouth to rectum).

      Other possible causes include:
      – intestinal parasites (like pinworms) – Dx is with anal tape test
      – seborrheic dermatitis – in this case you would likely have greasy skin around the anus and maybe some scalling – a combination of corticosteroids and antifungal ointment could help

  • Marjorie Hodgins

    I have found that the information I have read with regard to anal itch and rash and shingles has been very informative to me and has taught me how to treat the symptoms of my anal itch and rash.I have a rash developing on the right side of my waist and will consult with my doctor with regard to it. I am very prone to getting rashes so am a little bit concerned with it.

    • Jan Modric

      Marjory Hodgins,

      rash appearing at the right side of the waist and in anal area may be due to reactivation of an old infection with Herpes virus (shingles). Treatment is usually with antiviral ointments. Shingles occuring frequently may be due to low immunity, anyway, your doctor will likely ask about your complete medical history (questionnaire here) to give you correct diagnosis and to find out eventual underlying disorder.

  • Sedre

    Hi, for the past week I have been experiencing a itch around my anus, I do not know what the cause could be, I have read many articles online but none of them add up… The only real symptom other than the itching are what I can only describe as a few small ‘skin tags’, ( tiny fleshy spots), where the itch is coming from.
    Could this literally just be skin tags, or a more serious underlying issue?

    • Jan Modric

      Sedre,

      if ‘skin tags’ actually are mucosal tags, these are probably – hemorrhoids, and these may itch. Hemorrhoids may be caused by straining at defecation. They may resolve in few days after stopping straining…

      If fleshy spots actually arise from the skin, they could be from some sort of viral infection, and this should be checked by a dermatologist.

  • Cedric

    Hi, I am 16 years old and ever since I was little I have had a recurring problem with anal itching. The itch would come and leave for anywhere from half a year to a year and recently almost two years. When it did come it would only last for about a week, but it still causes great annoyance since I do not wish to be very active when I have it. I recently received it after not having it for almost two years in which I thought it finally went away. There is no noticable rash, and I’m pretty sure it is not hemoroids because there is no sign of bumps or anything like it. Also when I once went to the doctor they thought it was pinworms but I don’t believe it is that either because I don’t have much trouble sleeping and no one in my large family has received it. What could this be? Is it possible that I am simply prone to dry skin problems that are causing it? Would there be certain foods that could cause itching or lack of certain foods, being that I do not each much fruit? Any input is greatly appreciated, thanks!

    • Jan Modric

      Cedric,

      hemorrhoids usually result from constipation and straining, are not necessary always seen from outside. A small crack caused by straining or fungal infection can itch. Dry skin would be likely, if you were having dry skin in general. Certain spices or certain foods that yield loose stools could cause temporary (not constant) itch. Intestinal parasites, either unicellular or worms (not only pinworms) can all cause anal itch; not necessary anyone other in your family would have them, and except in pinworms, symptoms don’t necessary worsen at night. Stool test for parasites is neded for diagnosis. Food allergy can also cause itch, but this would be likely only, if you were eating some special foods during your itchy periods.

      To exclude skin infection, a doctor would probably need to carefully examine the itchy area. Important information is, are you constipated or you have loose stools during itchy periods. New underwear or new washing powder or soap can cause allergic reaction.

  • iali3213

    Hi
    i have some sort of white stuff around the anus area, its a bit like althelets foot, white color its ichy, and comes and goes, i thinks it just got worse, dont think it when away, just less and more, i use foot cream (scholl) on it not doing much, dont want to see the doctor as not confident, any help would be appriciated.
    thanks

    • Jan Modric

      iali3213,

      fungal infection is possible. Over-the-counter drugs for “jock itch” exist, and a pharmacist can tell if they might be more effective than the cream you’ve tried. Prescribed oral antifungal medications are more potent, though.

  • jake

    What has helped me to ease the itchiness on my private areas is the use of coconut oil before i go to bed….my alternate healing doctor prescribed this and it has been the best medicine for me. Coconut oil by nature is a strong antifungal, antibacterial and antiviral agent, and also relieves any common dry skin problems. Give it a shot people.

    • Jan Modric

      jake,

      coconut oil may actually help in mild fungal infections, but not in all.

  • Wendy

    I am dealing with itchy skin around my anus. The problem only appears after bowel movements and it doesn’t happen every time. I can go for a couple of weeks with no problem and then I’ll have the itching for a few days. I’ve stopped washing with soap and use just water. To me it seems the skin in the area is dry, that’s how the itch feels. I have found a product that is giving me relief every time I have this problem…I’ve been using the creamy white diaper rash cream. Any idea what’s causing my itch? Do I need to see a doc? If so, what kind?

    • Jan Modric

      Wendy,

      when itchy appears after a bowel movement, for how long (minutes?) does it last? Have you found any rash or scaling or lump or tear? Is the itch worse at night? Any change in bowel habit? Dry skin, fungal infection, a crack (anal fissure), hemorrhoids, and certain irritating foods could be a cause. A dermatologist deals with fungal infection, seborrheic dermatitis, eczema or other rashes; a gastroenterologist deals with cracks, hemorrhoids, pinworms…

  • Wendy

    Hi Jan,

    I only have itching when I have a bowel movement which is usually in the morning. If I don’t have a BM that day, I am fine! And it doesn’t happen every single time. I could be fine for a few days and then the next day I’ll have it. The itching doesn’t last too long. The cream I use really, really helps. Now I am wondering if it’s something in my diet?

    • Jan Modric

      Wendy,

      it could help to find a solution, if you can exclude some possibilities one by one:
      – is there any rash, scaling, crack or any other visible change on the skin
      – do you think you could have hemorrhoids – these are usually caused by straining at stool
      – what are active ingredients in the cream and does the cream helps immediately? Do you cover the skin or mucosa with it?

      Some food would be a likely cause only, if you were eating that food few days in the row and then not for some time…I mean, just like your symptoms appear.

  • Wendy

    I don’t believe there is any rash or cracked skin. When I apply the cream it pretty much helps within minutes. The cream has zinc oxide, aloe and vitamin E in it.

    • Jan Modric

      Wendy,

      a fungal infection can cause small shallow cracks (not necessary to be called fissures) that can itch, also slight or strong discoloration, scaling, small bumps, or just a feeling of a dry or rough skin, anyway, without actually inspecting the groin, you can hardly judge what is it and what not. A small bump from a herpetic infection or staphylococcal folliculitis could also cause itching after a bowel movement.

      If itching appears when you have a hard bm, it could again be from a small crack, or hemorrhoids.
      If itching appears when you have a usual or soft bm, it could be diet related: certain fruits, vegetables, spices, aditives could be the cause.

      Did I mention intestinal parasites (of any kind)? These could cause itch without any obvious additional trigger, like certain food.

  • Katy

    A few days ago I noticed a very sensitive bump on the edge of my anus, about 1cm big. The next day I noticed more very small raised bumps, not as bad as this larger one but more call around my anus. It feels all very tender, like a bruise. I also noticed yesterday that my inguinal lymph glands at the top of my thigh are rather swollen too. I figured they were working to try and fight an infection or something, but i really dont understand what is wrong.

    • Jan Modric

      Katy,

      if not hemorrhoids, then the bumps could be abscesses – collections of pus from a local infection, probably in the rectum. Abscesses around the anus may occur in Crohn’s disease and certain infections. Swollen glands are probably a part of the process. This is not what would randomly occur to a healthy person, so I suggest you to see your doctor (or gastroenterologist) to get antibiotics, if necessary, and to determine the cause.

  • pulse08

    I have these little white bumps on the inner part of my anus that sometimes cause it to itch and they sometimes bleed. Any idea what they can be?

    also im a gay male
    if that might help

    • Jan Modric

      pulse08,

      herpes, folliculitis, clogged ducts of mucosal glands, or small abscesses are some of possible causes. A dermatologist can give an exact diagnosis.

  • McGirty

    Hoping I can get some help. I have been tormented by an itchy anus for the past few months now. It usually flares up right when I get up and before I go to bed or right after a BM, It also itches on the same spot (left lower wall). That area can feel tender or puffy as well and smell funky but I dont notice anything else there.

    I’ve been reading the enteries so far and cant think of any different detergent or food that I have been eating. I’ve been a fan of spicy food for most of my life and it has never bothered me. Trying to figure out what can be the issue here, What brand of OTC creams can I buy and try out? Its a pretty embarassing problem and I havent even been able to tell my wife about it,

    • Jan Modric

      McGirty,

      without knowing the cause, I can’t recommend any OTC ointment. Common causes include fungal infection or jock itch with obvious rash, hemorrhoids and intestinal parasites (stool test exists).

  • Louise

    bio Rutin helps itchy tush. I am a massage therapist. A client told me it would help me. So I decided to try it. If I miss a day using it, the itch returns. the itch used to occur at night and prevent me from sleeping. It’s worth a try.

  • Randomguy

    hey, very good article
    but i need some personal assistence
    I am 16, an my anal burns and itches most of the time, itz been going on for 6 months now,
    I get a relief when its wet with very less pain and burning
    but when it gets drier continous burning and ithing occurs,
    I havent told ma parents yet cuz i thought i wud get better.. but that is not happening
    Please help

    • Jan Modric

      Randomguy,

      try to check if there is any rash or crack around your anus. Hard stool can stretch the anus enough to cause burning and itch, especially if hemorrhoids are present. If you often have dry and hard stool, try to eat more vegetables, wholegrain bread, oatmeal…and less fast food, cookies, chocolate, cheese.. (if this is your diet), and drink sufficient amount of water to maintain soft stools. Foods that relieve constipation.

  • DJ RPM 01

    Hi, my daughter (10) has itching to the middle of her arm, she develops a bad rash and her skin looks discolored and lacerations and scarring from her scratching develops. what can i use to alleviate the itch and save her skin from further damage? The Dermatologist prescribed a topical cream that made it worse. I’ve been applying Aveeno cream, it helps some what, but is there anything better?

    • Jan Modric

      DJ RPM 01,

      first, the exact diagnosis has to be made. If it is a bacterial (usually staphylococcal) infection, an antibiotic ointment could help, but a fungal infection is treated with other meds. If ointment doesn’t help, prescribed oral antibiotics might be needed.

  • bombastic

    Hi
    I used to have anal itching only when I travel and walk a lot, and this has started in 2007, now I am having it even when am home usually it worse when I walk, if I don’t walk a lot I won’t have it and it get wrose as well after a stool.
    I take a shower everyday and no stool issues I go once or twice a day.
    I do seweat so it’s not caused by dryness I guess, I did a stool test and it was ok. I’ve been examined by a dermatologist, he said you’re a little hairy there and he prescirped me Ointment and hydrocertizone.
    The question is: what could be my issue ? and when do I use the Ointment and when do I use the hydrocertizone ? or should I use both and see which one makes me feel better ? would shaving help? The dermatoligist didn’t recommend it because he said it’s gunna get wrose when the hair grows back.

    • Jan Modric

      bombastic,

      hair by itself, if there is no infection of hair follicles, should not itch, so I also don’t think you should shave. You can try the ointment and hydrocortisone separately and see what helps. Don’t use hydrocortisone for more that two weeks in a row, since it may cause skin thinning.

      Hemorrhoids, even small ones, may itch. Or a small crack in the skin…

  • suzie

    tuesday of last week, i suffered constipation. whenever i moved, i noticed blood on my stool and tissue. this went on for three days. after that, my bowel movement returned to normal, my stool was okay and there was no more blood on it. However, i discovered today a skin tag on my rectum after wiping. should this be a cause of great worry and to immediately seek medical advice? has this something to do with colon cancer? please help.

    • Jan Modric

      suzie,

      a skin tag may be a small hemorrhoid. Colon cancer does not appear overnight and not likely before 50 years of age.

  • birder

    Any suggestions for anal itch over the last 3 1/2 years that seems to worsen depending on what I eat (especially if things like pizza, ice cream, & other high fat carbs) & is completely relieved by anti-histamines but not affected by anti-fungal RX meds. or steroid creams. Seems like I can feel a small soft bump near the anus & wonder if I have a hemorrhoid that is causing the problem. Have multiple skin tags all over. Have had genital warts. Have been told there is a small fissure (probably from my scratching; very intense itching at times makes it difficult not to scratch). Am considering seeing a dermatologist or getting a colonscopy (last one in ’07 indicated internal hemorrhoids). Allergy (skin prick) tests, parasite stool, and celiac blood tests all negative. Diagnosed with vitamin D deficiency a year ago and taking 50,000 IU once/week since but am still deficient (maybe am having difficulty with absorption). Am wondering where to go from here…what type of test to have &/or doctor to see, or any other suggestions you may have would be appreciated.

    • Jan Modric

      birder,

      hemorrhoids may itch, and may itch more if you strain more during bowel movement after constiapting foods you’ve mentioned. Hemorrhoids are treated by a gastroenterologist. Including more fiber (plant foods) in your diet would make your stools softer and easier to pass.

      Skin crack by itself can itch.

      Antihistamines help in allergic itch, but also in some other types of itch, so on basis of that, it is hard to say, if you have a food allergy or not.

      More fiber in diet can help. Running a diet dairy and think which foods have you eaten on a day or day before the itch started, can reveal triggering foods. If no relief, you can think about hemorrhoid treatment by a gastroenterologist, or visiting a dermatologist.

  • rubio

    Hi Jan

    I wrote on here a little while back with complex concerns about my anus. In brief, I caught a sexually transmitted infection last year in my rectum, which was eventually diagnosed and treated. However although the STI was treated, I developed ulcerative proctitis due to the delay in getting this treated and developed a large skin tag around my anus from straining (mucus/blood) and also developed anal fissures. The ulcerative proctitis was treated with Prednisolone suppositories and it worked, it’s cleared up now. I had the skin tag removed by surgery last November (it was about 2cm long) and obviously it’s left scarring down there. Concerning the fissures, I was prescribed GTN ointment twice by my GI doctor, which has cleared them up.

    I’ve been to the GUM clinic, my GP and GI specialist various times throughout this ordeal (over 20 times), which began in May 2009 and they are baffled. I went to the GUM clinic a few weeks back as I have been suffering down there still – everytime I go to the toilet, it stings and it’s becomes progressively sore afterwards, therefore I have to clean it carefully after going to the toilet with water, which makes it better. My GUM doctor said that he could see no problems down there – he could see the old fissure scars etc. but no new ones, which I thought I may have. Although he said that he saw some interal piles. But he referred me to a surgeon at the GI clinic to deal with me. I have since used Anasol HC suppositories for the internal piles, which have worked.

    I saw the surgeon last week, explained everything that I’ve had and been through. She examined my anus and rectum. She advised that again she could see the scarring of the fissures and of the removal of the anal tag but saw no new fissures and all was OK inside the rectum, no internal piles etc. and she discharged me, although I knew I wasn’t still 100%.

    My problem now is that my anus is not what is used to be – if I go to toilet at work and cannot clean it after, I’m sat there quite uncomfortable with it stinging and need to wash when I get home for relief. It sometimes itches randomly on occasions.

    Any ideas at all what this could be or other treatments I can use? In case, I already was prescribed caneston duo as they thought it could have been a fungus / thrush, but it wasn’t. The area affected around my anus when it’s sore isn’t coming from the scarring either, it’s coming from a completely different area. I’m left baffled myself!

    Many thanks

    • Jan Modric

      rubio,

      if stool irritates you, there is obviously some vulnerable part of the mucosa on the inner side of the anus, maybe a small fissure. If washing with water helps, try to always do it, maybe some sort of wet tissues would also work. If not specifically prescribed try to avoid corticosteroid ointments that may permanently thin the mucosa or skin. Antihistamine medications may reduce the itch; a non-sedating variants are also available.

  • Worried

    Hi, Jan. I started my period about 5 days ago, and on the day that it started, my anus began to itch terribly. I thought that perhaps it was because I was on my period, but it’s been over for two days now, and the itching still persists, and now even my vaginal area has begun to itch. Last night, I looked at my anus in the mirror to see if I could figure out what was causing the itch. My anus is a bit red, probably because I couldn’t resist scratching because it was driving me nuts. I did, however, see what looks like a skin tag on my inner buttocks. It’s not right beside the anus, though. I’m not even positive that it really is a skin tag, but that’s just what it looks like. It’s a bit tender to the touch, too. The itch in my anus isn’t constant. It’s generally bad when I wake up, then it will stop, then it starts itching a few hours later, and then itches again before I go to sleep. Any ideas on what this is? I feel too embarrassed to go to the doctor.

    • Jan Modric

      Worried,

      even on the basis of your detailed description, I can’t say where the tag and itch arise from. The tag could be a papilloma, for example, the itch may be from the tag, or from some sort of infection, or from fungi…Fungal infection during menstruation is common, and may cause small cracks that itch. OTC ointments exist. If no improvement, a dermatologist may give you an exact diagnosis.

  • Worried

    Thanks, Jan. I will visit the doctor. I guess the reason I am so worried about this is because I’m afraid it’s threadworms, but that’s only based on descriptions I’ve read by others.

  • TY

    Itching with my anus started for me last summer and lasted for a year. In the fall, my doctor initially gave me a suppository for hemorrhoids which did not help. I was trying Preparation H for a long time, but during the winter the itching was getting worse. During the winter another doctor gave me a cream AnaMantle with Hydrocortisone. This made it burn, by this time it was cracked, and very itchy. I believe the itching was getting worse after I had taken an antibiotic. I gave this doctor another chance, at this point I was referred to an Anal and Rectal specialist. I explained the problem to this specialist, then was diagnosed with a fungus. The doctor prescribed Nystatin and Triamcinolone Acetonide cream USP. I applied this twice a day and after 3-4 days the itching was much less, what a relief. After 2 weeks, the itching was 99% gone and I had to get used to a life without Preparation H and without pain.

  • Tigre

    Hi, great article!

    Just wondered if you could offer me some advice as I’m at my wits end with the same itchy problem as most people posting here.

    The itch I have it intense and has been causing daily problems for about 2 months now, to a small area on one side of my anus. It’s an area about 1.5 inches in diameter on the outside, on just one side. I cannot see anything obvious to be causing a problem, although the skin in the itchy area is shinier and lighter in colour (pink) rather than the darker colouration around the rest of my anus. This could be down to the persistent scratching, I’m not sure.

    I have tried keeping the area clean and dry but the driving-me-crazy itching continues. If I apply an anti-itch cream (the type for intimate use) its effectiveness only lasts minutes. I have now applied a cream designed for Athletes Foot but I really have no idea what to try now to get rid of the itch.

    Sctach….scratch….scratch…scratch….

    🙁

    • Jan Modric

      Tigre,

      if it is a fungal infection (jock itch), your cream could help. If any crack has developed, it could need some weeks to heal. If your cream does not help, a doctor may prescribe you an oral anti-fumgal medication. If this does not help, a dermatologist can give you the exact diagnosis.

  • mummy

    hi I have a problem with my anus and I don’t go to the toilet regularly I go to the toilet after 3 or 4 days and
    when ever I go to the toilet for a bowel my anus area starts to hurt for the first pooh to come out and it comes very hard then the rest is soft but still painful after when im done my anus area itchy,hurts and burns from inside and out and I have been to the doctor for this and they give an ointment its called anugesic cream when ever I apply it it hurts and itching but still no improvement and I have been having this problem since I give birth and its been about 3 months and 16 days so can you please help me what to do. thanks

    • Jan Modric

      mummy,

      I recommend you to get the exact diagnosis from a gastroenterologist. Hemorrhoids is one common problem during and after pregnancy, so the doctor can judge if this needs to be treated.

      What you can do on your own, is to avoid foods that cause constipation, and try some foods that can relieve it. Drinking sufficient amont of water and some sort of physical activity are also necessary to prevent constipation.

  • queenbee1919

    About two months ago I noticed little white/fleshy bumps popping up around my anal region. Here recently I’ve noticed they have gotten a little bigger. I have only had three sexual partners and haven’t been sexually active for two years. At first they looked like skin tags but now they look similar to a pimple and they also seem to be spreading towered my vaginal region. Sometimes when i Have a bm one with bleed. I’m scared to death that they could be an STD. I have an appointment in a couple of days to go to the local health department to get it checked out! Is there anyway it could be something else besides an STD…any advice would be great!

    • Jan Modric

      queenbee1919,

      skin tags, folliculitis (staph infection – autoinfection from bacteria that live on on the skin) and genital warts (caused by HPV) are three possible causes I can think of at this moment.

  • mummy

    thank you very much for your time I really appreciate it and for your generous advice.

  • Extremely Itchy

    I have been having the same problem for years now. My itch is extremely bad when the skin around my anal region grows back. As soon as the skin grows back I notice a leaking sensation and it becomes extremely itchy. Its worst at night. I scratch and the skin comes off really easy. It’s almost like the skin stays moist and is dead skin. It does not hurt when the skin is scratched away so it must be dead tissue. When the skin is not there the itch goes away but it begins to burn. The burn goes away shortly after. I have tried everything. Anti fungal powder prescribed by a doctor, Boudreaux’s Butt Cream, Anti Fungal Cream, Antibiotics prescribed by my doctor. Nothing works. I’m so frustrated. I have had a Polinital Cyst for a few years but recently had surgery to have it removed. I though that was causing it but it didn’t go away. Please help….

    • Jan Modric

      Extremely Itchy,

      I encourage you to speak with the doctor who has removed the pilonidal cyst. Maybe there is another cyst, or the firts one was not removed completely.

  • skaterkid

    hey im a 16 year old with pinworms. i can not sleep at all. i have severe rectum pains and itching bt my mom said that its just nothing and they will eventually go away, she also doesnt want to pay for a medical solution like over the counter medicine or perscried meds, is there a possible solution to get rid of my pinworms at home??

    • Jan Modric

      skaterkid,

      unfortunately, I don’t know for any reliable remedy for pinworms. Intestinal parasites are treated with prescribed medications, which are usually effective. If you have intestinal parasites, they might not go away on their own – symptoms may last for weeks or months. Urge your mother to enable you visiting a doctor and having a stool test for parasites, if the doctor will think this is necessary.

  • Romec123

    Hi Jan
    For some time I have experienced anal itching that seems to be brought on after a bowel movement. In Addition to the itching I feel as if something is wiggling around the opening of my anus. Lasts about 4-6 hours after bowel movement. Sometimes I have several bowel movements a day and sometimes none for several days. Any ideas?

    • Jan Modric

      Romec123,

      itching, wiggling, and altrnating diarrhea and constipation could be from intestinal parasites (worms). Diagnosis can be confirmed by a stool test for ova and parasites.

  • thatguy

    About 5 years ago I had some anal bleeding I believe to be a fissure that just had not healed. It went away and came back. About 7 months ago I developed an itch around my anus. About 6 months ago I developed an itch under my scrotum. I still have them today and the itch is out of control. There is no redness. Ive tried keeping it dry as much as possible but I am a very healthy person. In short I have tried everything sits baths, powder, cortizone cream, etc. Recently, I saw the doctor for it and he gave me some kind of steroid treatment for 5 or 7 days starting out at 7 or so pills one day and one less pill everyday. He only did an outside inspection of the anal area even and could not see a fissure from this inspection. He also prescribed some kind of zinc powder. It didn’t work the powder made the area too dry to where the skin cracked so i discontinued. He also said it did not appear to be a fungal infection. Since then he prescribed suppositories that I have not taken yet. There is no swelling just ridiculous itchiness. I do sleep around a lot often unprotected so I asked the doc if it could be and std but he said it does not appear to be. The is one bump on my anal area (from my research) that seems to be consistent with a sentile pile. The anal area is always moist from some kind of liquid coming from the mucosas area. Sometimes there is a very small amount of blood on the toilet paper from this too. For about a month I also had what appeared to be and anal fistula(from my research) but went away. Any idea what this could be. My age is 26 if that helps and I have never been to a foreign country where I could have picked up some weird parasite.

    • Jan Modric

      thatguy,

      I recommend you to visit a gastroenterologist or proctologist, who can examine you carefully and check your rectum (by a rectoscopy). Fissures and fistula could be, for example, from an abscess or pilonidal cyst under the skin around the anus, or under the mucosa in the anal canal.

  • Holistic H

    Hi everyone have been reading your messages as my other half has the same problem itchy anus and groin area, I have suggested using probiotics, and also an old cure half a teaspoon on bicarbonate of soda with some milk once to twice a day. This wont work overnight but you should notice a difference in a few weeks. good luck

    • Jan Modric

      Holistic H,

      I don’t know how probiotics could work, also I think soda with milk could cause more harm than benefit – it could aggravate a fungal infection, for example.

  • Monu

    i m male 23 years old. Actually from past 2-3 months the main problem arise when i wash my anal portion….i feel very itchy and very much unbearable. What should i do….this is the first time i m facing this problem.Kindly show me some way.I will be very much thankful to you.

    • Jan Modric

      Monu,

      first, you can check if there is any rash or noticeable change in the itchy area.

  • Monu

    yes, there are rashes in the itchy area.

    • Jan Modric

      Monu,

      a dermatologist can give yo a diagnosis and prescribe appropriate treatment. A frequent cause of itch in the groin is a fungal infection (jock itch) that can be treated by OTC ointments or oral antifungal medications.

  • rerobbo70

    Hi, i have had an anal itch for year,s, it gets worse at night, over the years i have noticed small spots of blood when i wipe, it gets really sore when i go to toilet, little tears appear, i wash with warm water, and put vasaline, this help,s for a while, about two months ago the itch got so bad one night, i really had to scracth, the following day all these little lumps appeared, got really scared, also some bleeding, i kept washing area 4,5 times daily, then last week when to pharmacy, got cream for hemorrhoids, applied in morning and at night and after bowel movment, about two days ago got terrible burning in anal region, even found it hard to sit down, cream was not helping, if fact was making it worse, so stoped using it, this morning after shower and thorough cleaning of anal region, i got a small mirror to look, got some fright, area full of lumps/ blisters and skin around anus looked horrible like skin wasting away, pure white/grey in colour, straight away made appointment with G.P, fully convinced i had anal cancer, doctor told me i have anal warts due STD, this i find baffling as its over 12 months since i have had intercourse, and i have never had a homosexual experence in my life, the last person i had sex with was my ex wife and as i have said its over 12 months, have appointment next week in STD clinic, doctor says they will burn off these warts, i am totally baffled and fell doctor is taking the wrong couse of treatment, yours sincerly extremly worried,

    • Jan Modric

      rerobbo70,

      apart from warts, some other possible causes would be staphylococcal or fungal infection, abscesses in the anal canal opening to outside skin (may happen in Crohn’s disease), pilonidal cyst, hidradenitis suppurativa, which are all described above in the article. Genital warts can appear months after infection, so having no sex in last 12 months does not exclude warts.

  • Worried

    Hi, Jan. I wrote on this forum about a month ago and you had suggested I see a doctor for my problem due to the fact that, even with my detailed description, it was difficult for you to diagnose the cause of my problem. Well, I went to the doctor, and I ended up having bacterial vaginosis, which is similar to a yeast infection, only it’s caused by bacteria. The doctor took a culture and ran a test on it and that’s how she came to this conclusion. She gave me three of these waxy, pellet type sort of things that I had to insert for three nights in a row and then the infection went away. What was curious about this incident was that it happened when I started my period. Well, now I have started my period again a month later, and I am having the SAME problem again. The itching in my anus has returned with a fury. Do you think that I have another infection? Or do you think that this is perhaps something that wasn’t diagnosed when I visited my doctor? I am going to paste my original post below so you don’t have to look it up again:

    Hi, Jan. I started my period about 5 days ago, and on the day that it started, my anus began to itch terribly. I thought that perhaps it was because I was on my period, but it’s been over for two days now, and the itching still persists, and now even my vaginal area has begun to itch. Last night, I looked at my anus in the mirror to see if I could figure out what was causing the itch. My anus is a bit red, probably because I couldn’t resist scratching because it was driving me nuts. I did, however, see what looks like a skin tag on my inner buttocks. It’s not right beside the anus, though. I’m not even positive that it really is a skin tag, but that’s just what it looks like. It’s a bit tender to the touch, too. The itch in my anus isn’t constant. It’s generally bad when I wake up, then it will stop, then it starts itching a few hours later, and then itches again before I go to sleep. Any ideas on what this is? I feel too embarrassed to go to the doctor.

    Thanks for your help.

    • Jan Modric

      Worried,

      it’s possible an infection has reoccured, so I recommend you to visit a doctor again. The question is why did this happen: due to a change in normal vaginal flora, a gynecological disorder, low immunity…so you may also ask about eventual additional investigations: gynecological examination, urine culture, blood tests for immune status or whatever the doctor will think it’s necessary.

  • Worried

    Thanks, Jan. I will make an appointment to go back to my doctor in the morning. I have been very sick the past few days, with a horrible sinus infection. That, I am sure, is what would be the cause of my low immunity. I must ask, though: do you think it’s a sign of something more serious?

    • Jan Modric

      Worried,

      if sinus infection persists, i recommend you to ask for a culture of nasal mucus and also for a culture of vaginal mucosa, before starting with antibiotics. This may reveal eventual connection between infections. They are blood tests (like white blood cells) that may show if it is something more serious.

  • Love Bug88

    So I have had for over a year now itching on the inside of my anus. Almost always after I have a bowel movement but also sometimes just randomly. it can be extremely uncomfortable. I used to be obese until about 8 years ago and my diet seems fairly normal though my stools are very soft due to the weight loss surgery I had. Any ideas?

    • Jan Modric

      Love Bug88,

      you can carefully inspect the skin around the anus for any rash or cracks. Anyway, itch or pain arising from the inside of the anus can be due to thrombosed hemorrhoids or some other disorder, which can be diagnosed by a rectoscopy performed by a gastroenterologist. Inside of the anal canal could also be inflamed due to constant soft stools.

  • summer itch

    I just went to the dermatologist and he said the skin around my anus is perfectly fine. I asked what could explain the intense itchiness that has been waking me up at night? he said possibly a nerve problem stemming from my lower back, which unfortunately, there is no cure for. All I can do is manage the itch. Is this right? Is all I can hope for the rest of my life to manage this awful itchiness so I can sleep at night???

    • Jan Modric

      summer itch,

      do you have any pain in the lower back, or why the doctor have said it could be a nerve problem? Pinched spinal nerves usually cause pain, burning, tingling or numb feeling, but not likely itch. Pinched nerves often *can* be treated. Intestinal parasites, including pinworms may cause anal itch without causing any rash. A gastroenterologist can perform appropriate tests.

  • mommy2010

    Hello, I have experienced persistent anal itch for several years (approximately 5). It’s only in one spot on the anus and slightly extends into the anal canal. I had a biopsy of the area done last year because I was concerned it could be cancer related to a high risk HPV infection but the doctor told me it was not cancer and to treat it symptomatically. I took the results to another provider this year who said the biopsy did show koilocytes which is an effect on the cells due to an HPV infection. This concerned me so I had an anal pap done and was told nothing looked abnormal at the time of the procedure. The results showed glandular cells and no high risk HPV. High risk HPV was detected on a vaginal papsmear 7 years ago but has since not been detected. My question is can these koilocyte cells return to normal or are they likely to keep changing and eventually turning cancerous? My body cleared out the high risk HPV infection so I’m not sure why this is still lingering in the anal area. The doctor tells me it’s most likely a flat wart and not to be too concerned but with the research I’ve done online it sounds like the flat warts are the ones of concern. I’ve never had any visible warts of any kind in the genital area so this concerns me. I’m a 32 year old female in otherwise good health. Any info is appreciated…thank you.

    • Jan Modric

      mommy2010,

      koilocytes can be found in certain vaginal or anal cancers (koilocytes alone are not already cancerous cells), meaning that, theoretically, you could have an increased risk for anal cancer. These cancers initially grow slowly, and they rarely appear before age of 40-50. If you speak with a gastroenterologist he/she might recommend you to have regular rectoscopies.

  • Supplements

    Hello,

    Heres the story:
    June 2010: I’m 18. I was having horrible shooting pains in upper left abdomen. Supposedly, I had a gallbladder problem. Went to hospital, they removed it. Symptom free for a little while.
    September 2010: Symptoms return. I went to a natural health doctor who puts me on natural supplements: Parotid PMG, Cataplex G and some other parasite removal supplements.

    One or all of these supplements is causing an itchy anus. The weird thing is that these supplements have a strong odor, and when I go to clean the area, my anus smells like one of supplements. I’m not sure which because they’re hard to differentiate between them. I want to stop taking all of the supplements.

    What is happening here? Could I be allergic to one of them or something?

    I also found out about a prescription drug that I think may solve my gallbladder (which doesn’t exist) problems. It is called: hyoscyamine.

    What do you suggest?

    • Jan Modric

      Supplements,

      Cataplex G contain some vitamins and minerals, and and Parotid PMG contains some digestive enzymes, so if this was given to you for intestinal parasites you can consider it as a fraud, since none of them treats parasites. To my knowledge there are no safe and effective non-prescription drugs against parasites. I recommend you to stop them.

      If your pain is in the upper *right* abdomen, it could arise from the bile duct (from gallstones in it, or motility disorder). A gastroenterologist should say, which investigations to make. Hyoscyamine may help against cramps, but it can mask the original problem, so I recommend you to visit a gastroenterologist.

  • jim davidson

    hi, i have sort of the same problem but need a bit of help,about a year ago after sex with a women i started getting a rash around the genital area which has spreaded to the anul area,i wore a condom,but i have tried a lot of treatments,i have been treated for jock itch,scabies,crab treatment but still have the same problem,i had a gonerea and chlamydia test which was negative,at the moment i am treating as a yeast problem using diflucan,monistat 7,tea tree oil powder aand probiotic acidophilus tablets for the last 3 weeks which gets rid of the rashs but not the itching feeling,the rash when it comes looks like little red pimples and sometimes i get itchy in damp ares like backs of knees waist line and under chin,can anyone help please

    • Jan Modric

      jim davidson,

      a dermatologist can take a sample of the rash and give you an exact diagnosis. In jock itch, patches of discolored scaly skin rather than separate bumps appear. Staphylococcal folliculitis or scabies are two possibilities I can think about.

  • Nossle0

    I hope you can give me an answer. My 6 year old daughter has been having an awful time with rectal pain. It is not internal but she does have what looks to be like “open sores” on the outside of her rectum and redness spreading up onto her cheeks. It been hard to keep it clean because she is scared to have a bowel movement because it is so raw at times. I’m starting to get the redness to go away at times. But is hard for me to keep it clean all the time for she is at school during the day. It hurts her to wipe, she crosses her legs and freezes in pain when it gets unclean and she hesitates to have a bowel movement until she has dirty panties. What can I do to help clear this problem? What could it be? She also says it itches. So I sometimes wonder if it is just lack of proper wiping that caused it to get like this or could she have just scratched it open due to itching?

    • Jan Modric

      Nossle0,

      the original cause could be a fungal infection (jock itch), or pinworms, for example. OTC creams for jock itch are available, but prescribed oral medications are more effective. Pinworms can be diagnosed by a “tape test”. There could be also some inflammation/infection under the skin, abscess within the rectum, pilonidal cyst, hydradenitis suppurativa…Not sure which doctor to visit first – gastroenterologist or dermatologist.

  • Scarlett1021

    Hi, I hope you can help me. I’m a 29 yr old female, and I’ve been suffering varying degrees of anal itch (sometimes super intense, sometimes just minor, sometimes not at all) for about a year and a half. About 2 years ago, I was sick a few times, and each time the infection would head to my lungs. It would go away, and then it would come back again. Long story short, the doctor prescribed antibiotics to get rid of the infection once and for all (they did x-rays, and it really was no big deal, just needed some antibiotics). A few months later, I noticed that I was super itchy, starting with my vaginal area, and eventually moving to my anal area. I went and got checked out (I do a pap smear every year), they did an extra pap smear to see if I had a staph infection, and gave me a prescription for a yeast infection, figuring that’s what it was. It turned out I also had a staph infection, so I had to take another round of antibiotics to get rid of it, and another round of yeast infection meds after that. I went back about a month later because my anas area was still itchy. The doctor, who was wearing gloves, saw something small and white and refused to touch it, stating that it was anal warts and I needed to see a dermatologist (the earliest they could see me was 6 months away). Well, long story short, it turned out to be a piece of toilet paper (I made my husband look at it when I got home). The dermatologist agreed with me when I was finally able to see him (after 6 months of intense, constant itching), and said sometimes women just need more than one dose of yeast infection medication to make it go away. He gave me another, and waalaa, it was gone. 2 weeks later I started having intense pain in my side, and although the urgent care physician’s asst. student diagnosed me with a urinary tract infection, it turned out I had kidney stones (which I found out when I went to the ER 2 days after christmas, and they gave me a CT scan). Of course, because I was originally thought to have a UTI, I was given antibiotics… again. I explained what I had just been through and they gave me 3 doses of yeast infection medication. I took all of them, and for awhile (like 5 months), the anal itching went away. It has since returned, albeit, with much less intensity than before. My vaginal area does not really itch. I went to a different dermatologist to have some moles looked at, and mentioned it to her, and she prescribed me Pramosone, which seems to be working fairly well. Now, to explain the rest of it – when I turned about 6 years old, I decided I was going to stop going #2, because I didn’t like it. I understand that this is fairly common in children, but it lasted until I was about 16. It got to a point where I could hold it for literally weeks at a time. I have since gotten over it, but I tell you that to illustrate that my bm have never been normal. Sometimes I go 2 times a day, sometimes I don’t go for 3 days at a time. Sometimes they are hard and sometimes they are not. There doesn’t seem to be any rhyme or reason to it. At the same time, in April of 2009, my dad was diagnosed with Appendix Cancer. We aren’t really sure if it’s stage 3 or 4, but they removed it, and he is doing very well on treatment. In fact, to look at him, you’d never know he was sick. Of course all of this causes me a great deal of stress. Every 3 weeks we meet with his drs. get his numbers, and he gets his chemo. So now I worry all the time. I am a chronic worrier, and it usually affects my digestive system. This year has been particularly stressful, so it comes as no surprise that I’ve been having loose stools more often than not, and just about every day, if not a few hours after I eat. My dermatologist seems highly competent, and wanted to start with the pramasone first. Is there anything else I should be looking at? There are no lesions, no lumps, no bumps, no discoloration, no blood, no worms that I can see, not a whole lot of cramping, just with indigestion… I can’t think of anything else. Of course I’ve looked at anal cancer, but I think thats more because I worry now about anything being cancer (we were completely broadsided by my dad’s diagnosis. We had absolutely no idea – he had no symptoms, at all). Is this just my nerves and stress talking, and the itching is unrelated?? What do you think?? Thank you in advance for any help/advice you might be able to give.

    • Jan Modric

      Scarlett,

      it seems you are prone to various infections. One thought is to get your immune status checked (certain blood tests performed by an infectologist or immunologist). You had fungal infections, and these could be an issue again, even if no rash can be seen. Intestinal parasites (pinworms, detected by a ‘tape test’, or others, detected by a stool test) can also cause anal itch. Hemorrhoids (often developing in constipation) can itch. Skin irritated from diarrhea may itch.

      One test, which cost you nothing, is having a low-FODMAP diet trial for few days, to see if it has any effect on your bowel movements.

  • Lisanne

    OK – long story. I had a severe anal fissure and had a lateral internal sphincterotomy two years ago. 3 months after my surgery which was successful, I began to suffer from anal itching. The itching is inside my anus. My surgeon does not know the cause. I have been to two more anal surgeons, my GI doctor, and various others like my PCP and my Gyn. I have a few very small hemmorhoids internally, no one thinks they are the cause. My internal rectal skin has a whitish tinge to it and no one has any idea what it could be. I have tried every class of topical steroids, and the stronger ones like Clobetisol make my heart race (can’t do any vasoconstrictor drugsssss) and I’m allergic to sulfa. I itch all the time, and use rolled up toilet paper shoved in there to scratch. It is so bad my eyes tear up. Any ideas?

    • Jan Modric

      Lisanne,

      I don’t know if I can make any better suggestion than your doctors. What was said to be a cause of the fissure? Was an inflammation or infection beneath the mucosa mentioned as a possible cause? In this case superficial corticosteroids would not likely work, and maybe an injection would be needed. Was a fungal infection excluded? Sometimes there is not much rash in fungal infection.

  • lunatic

    Dear Jan!

    I’m a 21 year old guy, and I’ve been feeling this rather irritating itching around my anus for years now. I never thought it was normal, but also never really cared for it. I feel it both during the day at times and at nights as well (I think the latter one is more “intense” a bit). My first and biggest concern was that I have some kind of intestinal parasite. Ive always been very slim, and I can’t say that I eat a lot, so I can’t really establish whether I’ve lost weight or not (I think it’s quite constant, no losing, no fatting). Lately I’ve also been having loud bowel movements at nights which bothers me, I don’t know if it’s related with my itching problem. I think my bladder is fair regular and normal, and I’ve never noticed anything strange in my stool, though I don’t really examine it. 🙂 It might sound childish and stupid, but I’m extremely worried that I have worms living inside of me, because this has always been one (if not) my biggest fear, so the itching no longer remains just a physical disorder, but the problem is beginning to be mental as well (I can’t sleep since I found out that these parasites tend to actually come out when asleep…it is just shocking to me…). I’m overly concerned that even if I indeed have a worm problem and get a treatment, I don’t want an earthworm-like something to be coming out of me (let’s put I have something like that in me), I just couldn’t handle that mentally. So I don’t really know what to do now. I’m quite aware that what I just wrote does not sound very “grown-up”, but this uncertainty really wears me out, so your professional advice and reassurance would be unspeakably appreciated!

    Thank you in advance!

    • Jan Modric

      lunatic,

      Intestinal parasites are not always worms, but can be unicellular parasites, like Giardia, for example. I think I understand your problem: you find the possibility you might have worms so disgusting or horrific, you are not prepared to face with it. I don’t see anything childish in it, it’s actually a sign of maturity, you can write openly about this. You may try to speak about this in live with someone you can trust. Diagnosis is made by finding parasites in laboratory in a stool sample you provide. A certain type of worms – pinworms – may be diagnosed by finding their eggs on the outer anal mucosa by a “tape test”.

      There are other causes of itch to think about before parasites:
      – careful examination of the skin in the groin may reveal some rash, which is commonly caused by fungi (jock itch). OTC and prescribed medications exist. Various other rashes could also cause itch.
      – loose stools of any cause can cause itch. Fructose malabsorption could cause diarrhea and/or excessive gas, which could cause “loud bowel movements”. A low-fructose diet would help in this case.
      – hemorrhoids

  • irritated

    ok, so a few weeks ago, i was subscribed some medication for my sinus infection, well now i have extreme itching around my anal. The itching comes around randomly throughout the day. I don’t know if my medication has to do with any of this but i thought i might mention it. Anyways, do u have any idea what this may be?

    thank you.

    • Jan Modric

      irritated,

      it could be an allergic reaction or a side effect of drug you are taking. If you still have to take it for a long time, you can ask the doctor to change it (do not change anything by yourself).

  • stubbycoop

    Here are my symptoms:

    1. Periodic pain in the “anal canal”

    2. Periodic intense itching in the canal near the opening, especially just inside opening.

    3. 4 Small “bumps” or “knots” just inside the anus that itch and bleed infrequently after bowel movements.

    Just curious as to possible causes and your thoughts? Thank you so very much.

    • Jan Modric

      stubbycoop,

      bumps may be from hemorrhoids, genital warts or other cause, which may be determined by a gastroenterologist after anal examination or rectoscopy.

  • Irritated

    The drug they gave me had 5 pills, I took 2 the first day and the rest, once a day. The last day I took this was around October 25. I can’t remember the name of the medication but I know it’s an alternative antibiotic of Penicillin. I’m allergic to penicillin. Anyway, it’s nothing serious?

    Thank you.

    • Jan Modric

      Irritated,

      I can’t exclude allergic reaction, but I’m not sure if an allergic itch could last for 10 days…A fungal infection with more or less obvious rash in the groin after antibiotic treatment is also fairly common; OTC antifungal ointments exist, but you can ask the doctor about what to do. Eventual loose stools by themselves could result in itchy anus.

  • SAMCRO

    Hi Jan,

    I’m 30 yrs. old, suffering from psoriasis since 14. For the past year, I’ve had severe itching around the rectum. Initially thought it was just the psoriasis, but now i’m not sure. I’ve had stool tests to check for infections but they came clean. Had gastritis earlier this year but that’s been cured.

    Symptoms are: intense itching, tenderness around rectum, white patch around the area.

    I use a gentle cleanser around the area and try to keep it as dry as possible, but nothing works.

    • Jan Modric

      SAMCRO,

      a dermatologist can determine is it psoriasis or not. It could be also a fungal infection, for example.

  • ichynstinky

    i have had a ichy anus for 2 years i have had a colonocopy it was clear, used sterod cream and hermroid cream and antifungus cream and worming pill nothing seems to work. i am geting really bad gas i seem to fart every 20 min. the iching goes in cycles it stop for a day and i feel normal then it comes back and it seems to build up to really intense. i can have no iching during the day then at night the gas starts and i wake up in the middle of the night and the iching is intense it feels like a crawling sensation in my but. if i rub or touch my anus the feeling is really intense and the iching stops. then my anus feels swallon and stuck togher. could i have a bacteria infection. i had guadia about 2 years ago. i also drink alot of beer and coffee and eat lots of chill but i always have with no problems

    • Jan Modric

      itchynstinky,

      the itch obviously arise from the same source as bloating. Causes of bloating and excessive gas:
      – certain foods, including chili
      – a food intolerance, such as celiac disease (problematic foods: wheat, barley, rye) fructose malabsorption (symptoms after fruits or any food containing fructose), lactose intolerance (symptoms after dairy products and any food containing lactose)
      – food allergy to some food
      – intestinal parasites (diagnosis is with a stool test for parasites; only prescribed antiparasitic drugs are reliable)
      – a liver, gallbladder, bile duct or pancreatic disorder (a whitish sticky loose stools would be likely in this case)

      You’ve said gas and itch come in cycles, what speaks more for a food allergy or intolerance (or parasites) rather than some organic disorder. Bacterial infections rarely last for 2 years, but small intestinal bacterial overgrowth (SIBO) could be possible. Another possibility would be an overgrowth of Clostridium difficile bacteria – a barnyard smell is typical.

      You can have some diet trials (low-fructose diet, lactose-free diet, gluten-free diet) where you exclude certain foods for few days and see if it helps. If this doesn’t work, you can consider to have a stool test for parasites or Clostridium difficile toxin (ordered by a gastroenterologist) or skin tests for food allergies (performed by an allergist).

  • VentanA

    Hi guys. Glad I found this site. Ok here is my problem. About 2 years ago I started experiencing what they would call swampass and thought nothing of it. After a while I started to need to put some sort of gold bond or hydrocortizone on my anus and the spot between my balls and butthole. It would hurt like a tingling pain feel like hairs were being pulled out but the cream helped for a couple hours or sometimes the entire day. So i just kept putting creams on everyday for a bout a year and a half. But then back in september it started to itch like mad and I said this is enough Im finally going to the doctor for this embarrassing problem. Doctor perscribed me an ointment which within week and a half gave me a huge painful rash around the area. So i went to a new doctor and got antibiotics and antifungel medicines to cure it. It worked and the pain and itching went down tremendously. But now recently its starting to come back. Is this anything really to worry about? I cant see a specialist until january because I have no insurance. Im back on antibiotics and anti fungals. There has never been any bumps, ulcers, rashes (except from the reaction to the medicine) or anything that would make me think it was an STD or something. As im typing this right now its itching. Mostly just the top of my anus. No bumps or anything. No herpes symptoms and its not red at all right now. What do you guys think it might be?

    • Jan Modric

      VentanA,

      antibiotics work against bacteria and antifungals against fungi, so what you had the last time was probably either a bacterial or fungal infection. Fungal infections in the groin are more common, and itch may be present without any rash. Hydrocortisone used for prolonged periods may cause a permanent thinning of the skin.

  • VentanA

    So maybe since i have been using goldbond for these last two years my skin might be thinned there forever? and do you have any idea what it might be? i barley have used hydrocortasoid so i dont think thats iot

    • Jan Modric

      VentanA,

      excessive moisture in the groin and the fact that it was probably an antifungal medication has helped you once, speaks (to me) for the possibility of fungal infection, even if there is no visible rash. In general, prescribed oral antifungal medications are more effective than otc creams. Some people report have garlic has helped them…I don’t claim you have a fungal infection, only I can hardly imagine how could some bacterial infection cause itch without any rash. Theoretically it could be also a reaction to some cream or clothes you’re using. Goldbond does not contain hydrocortisone and should not cause any skin thinning; I obviously wrongly assumed you were using hydrocortisone for long time.

  • VentanA

    could it be a parasite though? like it just itches a lot and the antifungal medicines really are not working that much. it itches mostly when I stop moving

    • Jan Modric

      Intestinal parasites often (not always) cause bowel problems, like excessive gas, change in bowel habit, and itch would be probably confined to the anus and not the entire groin area. Anyway, a stool test for parasites would be needed to confirm/exclude parasites. Oral antifungal medications are more effective than ointments.

  • VentanA

    well the itch seems to be leaving the groin area now and the only place where it really itches is a patch of skin right above my anus. It wakes me up at least 2 or 3 times a night sleeping. I fall back asleep but i have to not concentrate on it which is hard. Its bad until i pu ton the goldbond. It seems to really only itch when I am not moving or laying down which is weird because the last two years i have never had it itch this bad except for a single day once. Like it doesnt hurt like it used to or burn but just itches. Are there presciption anti itch pills that are stronger ALOT stronger then Benedryl?

    • Jan Modric

      VentanA,

      Benadryl may help to relieve itch and Goldbond may help to keep the skin dry, but neither of these actually treat fungal infections. They are OTC antifungal ointments available, but prescription oral antifungal medications are stronger.

      Symptoms of intestinal parasites may vary a lot from no symptoms at all to diarrhea, constipation, bloating, gas, increased appetite and itch.

  • VentanA

    Yeah my bowl movements or gas are all the same for a 23 year old guy. Nothing has changed with that. If it was parasites what are some signs I would see?

  • VentanA

    I just noticed 4 really small kind of like pin head sized purple spots right above the opening of my anus. They only hurt when i scratch them or put pressure on them otherwise they do not hurt. I am on Desoximetasone cream which so far has made them better a little bit. But the doctor has not seen them yet because he was only perscribing me for the itch because i never told him I saw them before. Like I said they are really really small. Kind of look like tiny blood blisters. They are barley protruding the skin. what do you think they are? Herpes? Warts? anything else? thanks

    • Jan Modric

      VentanA,

      in herpes there is usually a cluster of small, whitish, translucent itchy blisters, surrounded with a red halo, and, later with a yellowish crust that heal on its own in few weeks. Purple dots could be from small bleeding under the skin or enlarged small veins (maybe related to hemorrhoids), but hard to say without knowing when did they actually appear. They don’t sound like warts to me. Desoximetasone is a corticosteroid which is used only in specific skin disorders, and again, its long-term use can result in the thinning of the skin. A dermatologist can say if it is a fungal infection.

  • musm

    dear sir! me 20/m … MY PROBLEM i m facing some serious itching about 1 month ago ..hmm i think from november this year. the itching is anal itching and it is around my ass hole skin.. and now i notice that some mosquito like bite pimple around that skin and itch too much … i dont know the reason and i am very tense and upset ,, because i am fine before that and this is first time that itch this area.. before this itching i just cut the hair with a scissor around my anus . …. can u tell me the reasons with proper answer.. i m using travogen cream but no result found… and i stop that and now start hydrocordisne cream that help to low down that itch …. im very shy person and can tell any one about this problem… i m very very worry about this problem please kindly reply me as soon as possible… thnks

    • Jan Modric

      musm,

      itch after cutting the hair could be from ingrown hair, which can heal on its own in a due time, or a dermatologist may prescribe you an appropriate medication…If there are white heads on the red bumps, it could be a staphylococcal folliculitis – an otc antibacterial ointment containing mupirocin can help in this case.

  • musm

    hello again.. sir i see that there are no white head.. there are black head or can be said pimple type something black.. ?
    yes as you said about time ..as time passes the itch become low but not finished yet ..!! what i do ??? reply

    • Jan Modric

      musm,

      the black heads (if small, like pinpoints) may be hair parts that have remained after cutting the hair. You may ask for an anti-itch cream in a local pharmacy. Other than that, ingrown hairs should heal on their own.

  • musm

    i see that the black pimple like something is in the shape of (feeder nipple)?? what u say

  • musm

    thanks for your reply ! can i apply hydrocortisone cream?? or not.. if i dnt use any cream ! how long period it take to heal … ? what you say to use any cream or not ?? if yes so what cream you recommended or suggest ?? reply

    • Jan Modric

      musm,

      in case you have ingrown hair, hydrocortisone cream will not help in treating, but it can reduce the itch. If you think your condition is already getting better, you might need no cream at all, but you can ask in a pharmacy what do they have. If the black dots are from hair, the hair will grow out – from this you will know it was ingrown hair. It may take several days or a couple of weeks for itch to go completely away. If the condition becomes worse, please visit a doctor to prevent eventual infection.

  • musm

    and also added that now itching is much less in that area..! and it begin when i wash it water other wise it not itch when it was dry ?? what its means ??

  • musm

    Yeah ! there are 3 to 5 black dots on that area and the hair will grow out from them… and today is my 4th day (with out using any cream) and itchi condition in that area is much better than day before..!!!!

  • asdf

    I get anal itch pretty regularly from from spicy foods, alcohol and minor anal fissures. I didnt see this remedy posted so I though I should share.

    I find that dabbing my anus with rubbing alcohol on a tissue makes the itch go away every time.

    Sometimes I get awoken at night with the itching and this is a surefire way to stop the itch.

    Of course this burns pretty bad for about 20 seconds but after that the burn dissipates it takes the itch with it.

    If alcohol is too painful for you try witch hazel or diluted alcohol

    • Jan Modric

      asdf,

      alcohol does not likely treat anything, but it can relieve the itch for some time.

  • asdf

    hi Jan

    If you would check your know it all ego at the door you would see that you are just reiterating what I already said and your comment is redundant.

    • Jan Modric

      asdf,

      I believe alcohol can help to relieve itch after eating spicy foods or drinking alcohol, since it acts as a local anesthetic and a cooling agent. However, I also believe applying alcohol may slow down the healing of an anal fissure or fungal infection. Apart from that, alcohol itself (like alcohol containing tissues) can irritate someone’s skin. From these reasons I cannot recommend alcohol as a remedy for itch.

  • musm

    Hi jan!
    i want to know two question.. my first 1 is that , in my case,, at the start of that itching (not use any cream) i use mastard oil over that area . is any harm to that skin or not ???
    and my 2nd one is that the itching reduce from anus (both side skin) to anus nOW i feel itch to the anus skin..? and some time it itch like some insect bite 🙁 ?? what you think ?? why the itching not giong : reply
    thanks

    • Jan Modric

      musm,

      except if it the itch becomes much worse, I recommend you to wait few days and see what happens. I don’t recommend using any home-made ointments or oils; you can use wet tissues after going to toilet and dry the area afterwards. I can’t say if mustard oil has made any harm, but don’t use it any more.

  • asdf

    Jan,

    I am not asking for your recommendation or comment, I am simply letting the readers know what makes the itch go away for me.

    the fact that you must always be the one with all the answers says volumes about your narcissistic personality.

    • Jan Modric

      asdf,

      you’ve said applying alcohol helps you to itch going away. I believe you. From the other comments you can see that many people with anal itch probably have fungal and other infections and other disorders in which applying alcohol could aggravate their itch or even worsen the underlying disorder, so I, as an author of the above article, feel responsible to warn people that alcohol sometimes can be more harmful than beneficial.

  • musm

    ok, i said that i use mastard oil when i cut the hair to that area first time and when the itch started I m too upset and not know what to do …? so that thought that mastard relieve the itch … But the condition become more worst and since then i not use that oil…and start to use travgon cream… i not go to doctor becuse i m very shy person 🙁 : i not know what i said to doctor 🙁

    and plz ans me that ..! Now the itch is around the (anus skin right and left) both and it not itch all the time but when i passed urine .. i that linked with itching Plz reply me to that answere plz plz
    thnks

    • Jan Modric

      musm,

      if there is no obvious inflammation than mustard oil probably did not harm you. Travogen cream is intended to treat fungal infection, so if you do not have a fungal infection it will not likely help you. If the itch is the main problem, and there is no obvious red rash, then I don’t know if you need any treatment. An antihistamine ointment or pills may relieve the itch though.

  • mommy2010

    Hi Jan,

    I have had an itchy anus for around 5 years now. I mentioned it last year at my annual pap and because of some hyperpigmentation around the anus I asked for a biopsy because I was concerned about anal cancer. The Dr. did not notice anything of concern but did a biopsy of the external anal tissue as I requested. He called with the results and said no dysplastic changes were seen and just to treat it symptomatically. This year I went for my annual pap and took the results to the ARNP that I saw and she viewed the results and said that it should definitely be followed up as the pathology report listed koilocytes and this is an effect of HPV. This worried me because I had high risk HPV detected on a papsmear 7 years ago but since then it has not been detected and my papsmears have been normal for the past 5 years. When I consulted with the doctor from the previous year he said it didn’t necessarily mean active infection and because there was no dysplastic changes that I shouldn’t be concerned. Well of course I still was so I opted to have an anal pap done at the same clinic. They didn’t feel it was necessary once again but did it anyway and the results came back normal with no evidence of high risk HPV in the anal canal. However, the itch is still present and I also notice a few very small purple bumps on the other side of the anus opening. They are not obvious unless I “bear down” and the anus protrudes but they are in the fold of the anal tissue on the outside. They are small and very soft to the touch with no pain or itching in that area. I also notice some irritated skin just inside the anal opening that is red/purple but the doctor I saw for the anal pap a few months ago didn’t mention anything about this. What could these small, painless, purple lumps in the fold of my external anal tissue be? I am a 32 year old female and am concerned about anal cancer. Thank you for your help!

    • Jan Modric

      mommy2010,

      soft, purple bumps that become obvious only when you bear down (meaning that is no real change on the surface of the mucosa?) sound like small distended veins, known as – hemorrhoids. Your doctors told their opinions about papilloma; a colorectal cancer, which is extremely unlikely at 32, forms an obvious abnormal mass, either in a form of a flat plaque, or a cauliflower-like polyp.

  • Oscar

    Dear Jan,

    I really hope you can help me here. This is something that I’ve never fixed in my life and it would mean the world to me.

    I’m a 30 yr old male. 15 years ago, while experimenting, I inserted something in my anus which left small cuts to the outside. At 20 I was diagnosed with IBS but nothing was ever said or done about the cuts at the entrance of my anus. To this day it is quite sore and itchy. Around the anus there are folds in the skin, the area tends to be red and there are small unhealed patches within the folds. I don’t know if this is still due to the injury I caused many years ago but I presume that it is. I think that it is only external as it is irritable in general, not when I go to the toilet.

    I’ve never seen a doctor about this. I’ve stopped drinking, smoking, I use wet wipes and apply antiseptic cream (Sudocream). All of this has made a great difference but it is still there and it still greatly effects my life.

    What would you suggest? Thank you.

    • Jan Modric

      Oscar,

      eventual repeating cracks (anal fissures) could be itchy. Fungal infection could persist in the folds – OTC antifungal ointments or prescribed oral antifungal medication would help in this case.

      Frequent loose stools could also cause or aggravate itch. A low-FODMAP diet may help in IBS.

  • Oscar

    Thank you Jan. Can you recommend any available antifungal ointments? I’d rather not visit the doctor to get a prescription.

  • musm

    hi jan ! i wannt to say that the itch was not going yet : i m not use any cream (for 9 days) and now i feel that some pea size (pimple)like somethng is there ,,it just i feel not see that on the left on anUS skin (<–),,, yes the itch reduces to anus only now ,,but its was not giong yet and also it is not only the itch first there was some sort of burning and then desire to itch.. but in the whole day the burn& itch was not to much it was on morning after wakeup and gone to bathroom and passed urine. then itching started and slow down at afternoon !! so what i do ?? i cant understand what it is :@ but i m worried :,, what i do : help me
    sorry for the english but i hope u understand and answere me i m waiting..

    • Jan Modric

      musm,

      if the pea-size pimple is on the skin (not mucosa), it can be a boil (furuncle) caused by a staphylococcal infection. Such a boil can grow further and at some point pop up and drain pus and then it can heal on its own, but it would be good to get a diagnosis of this and, if an infection would be confirmed, a doctor would prescribe you an oral antibiotic.

  • musm

    hi jan ,, can u explain what is mucosa???
    explain it plz if u can ..in simple word.
    thaku

    • Jan Modric

      the inside of anus (and the whole gut) is covered by a pink, soft layer as you have in the mouth – this is called a mucosal or mucous layer or mucosa. So I asked if the bump arises from a pink layer or the outside skin.

  • Jan Modric

    musm,

    then you can just wait to see if it will heal on its own.

  • musm

    hi jan i want to say u that are u see that these are the sign of ingrown hair or not ..i want to mention that at the starting when i cut the hairs the season was summer and now as the season changes to winter is that impact on in grown hair itching ?? and another thing i notice is that the itching is early in the morning and itching before the stool.>> means itching before the stool and during it when i passed and then itching cam down and after pased stool soon i feel that there is no itch//
    i eat lot of spicy food too is that impact on itching // i love spicy food
    plz answere me

    • Jan Modric

      musm,

      if the itch and red bumps don’t go away, I recommend you to visit a dermatologist to get an exact diagnosis and appropriate treatment. I don’t recommend you using any ointments, since certain ointments can irritate your skin and on the end you won’t be able to say is the itch from ingrown hair or ointments…

      I can’t say for sure if you have ingrown hair or infection of the hair follicles (staphylococcal folliculitis) or both, or some other infection. The pea-size bump you’ve mentioned the last time could be from an infection of the hair follicle rather than from an ingrown hair. Such a small infection can heal on its own, but if you have constant problems, I recommend you to visit a dermatologist.

      It is usually hot and humid weather that may make itch worse; cold and dry weather could worsen itch if you have dry skin.

      You can also make a test and stop eating spicy foods for few days and see if it helps.

  • musm

    hi Jan ..
    today i see that the pea size pimple is getting large in size .. actually the skin from up and bottom of anus there is some (big from pea-size) pimple like something is there and skin is hard from bottom of anus … and notice that something is getting up from bottom of anus skin,, some pimples or what idnt know ? but it is very itching.. i mention already in previous that itching is there on anus..

    i m very afraid that it not be an Hemorrhoids or some thing like that ..plz help me … 🙁
    an other thing is that can u give me your email adress then i want to show you that pic.? if you can plzzzzzzzzzzzz help me

    • Jan Modric

      musm,

      – Hemorrhoids (one or more pinkish or bluish *soft* bumps) arise from the inside pinkish part of the anus.
      – An infection of the hair follicle, also called a boil or furuncle, is a *hard* pea-size, rough, skin-colored, reddish or bluish pimple arising from the skin around the anus with a small, but obvious opening on the top. Other small bumps can be small boils.
      – Abscess (a collection of pus under the skin) looks like bump, completely covered by the skin.

      What you’ve described sounds like a boil or more small boils to me; treatment is with prescribed antibiotic pills. I recommend you to visit your personal doctor or a gastroenterologist to get an exact diagnosis and treatment. I’m not aware of any remedy or non-prescription medication that could help you. What you have does not sound like a cancer, but I strongly recommend you to get this treated by a doctor to prevent eventual further spread of infection.

    • Linda Maney

      hi,i don,t no how old this post is, but 2 years ago , I had vulva cancer ,and just the other day , I wipe to the left , I am left handed , and it was itchy , sore,but not on the other side, so I got a Mirror and looked, a saw a row, a perfect row of what looked Like a
      Mosquito bumps , I have worried , and scared to go back to the dr. but will probably go anyway, e mail me if you want to [PERSONAL DETAILS REMOVED].

      • Thank you for your input Linda. Unfortunately we do not allow users to share contact/personal details on this forum as we cannot be sure if they are really the person they claim to be. If the other user does want to connect with you then he/she can find you through your Disqus account.

  • musm

    ok…
    yeah i think that the pimple is NOT arise from the inside pinkish part of the anus. its is around the anus skin with the small opening on the top and hair are coming out of that !!! yesterday the is itch is too much so i apply small amount of hydrocortisone cream on that area .. it relive the itch too much ?? can i treat it with this cream.. i apply this after 2 week .. before i m not using any cream,,?/

    .. if the condition not better in 1 week then i will go to doctor.,

    thanks

    • Jan Modric

      musm,

      in general, corticosteroid creams should not be used in bacterial infections, since they may slow down the healing.

  • rceddpc

    hello,
    So i was treated for anal warts about 2 months ago with Imiquad 5% cream, and they disappeared within a couple weeks. About 2 weeks after that, I experienced an itch that would bother me every now and then. I asked my doctor and she told me that i probably wasn’t connected to the warts. I keep the area clean and I dont use soap down there because i did once and it itched worse that day. I am pretty sure it is not connected to my eating because i have not changed how I eat since then and it had never bothered me before. I bought Hydrocortisone 1% but am not sure if i should use it. I know i can only use it for a week but I’m still somewhat skeptical. I really hope this is nothing serious.

    • Jan Modric

      rceddpc,

      a careful examination of the skin around the anus could reveal some rash, and this could be caused by a fungal infection, for example. Corticosteroid cream can relieve some itch, but it does not treat an eventual infection, so it would be find a cause first before using any creams. A crack around the anus (anal fissure) can also itch. Are you male or female and how old are you? Colorectal cancer is extremely rare before 40 and itch is not really its typical symptom. I also can’t exclude the recurrence of anal warts.

  • halp

    Dear Jan I hope u can help me yesterday I developed an anal itch but no burn I examined myself in the mirror and I have a flat white bump kinda thing I looked at pictures of anal warts, I dont know if this is a case of staph (ive had that before in my butt region but it healed and it wasnt in the rectum hole) it itches really bad and is driving me insane I dont have a rash or anything its just a flat white bump help me please i cant sleep anymore x.x

    • Jan Modric

      halp,

      I recommend you to visit a dermatologist.

  • Rob

    Hi Jan,

    As I said a while ago, there is a postive relationship between beer consumption and anus itch for me but you asked if I had a yeast infection at one time in my groin. I really don’t know what such an infection is but could it be because of yeast in beer?

    • Jan Modric

      Rob,

      if beer triggers itch, you can stop drinking it. I can’t reliably answer you if beer increases the risk of a yeast infection. Yeast infection in the groin is known as “jock itch” – a discolored rash is usually present. I recommend you to get hydrocele treated to prevent complications, other than itch…

  • Rob

    One more thing. I have a hydrocele on my left testicle. I don’t think it is, but could this be affecting my anus itch? Thanks.

  • camelgirl

    Ok, so I have this anal itch. It started after I have some burning and itching in my vaginal area. I went to the doctor my results came back negative for a yeast infection. but they said it looked like a yeast infection. it was fire engine red there and i had burning, itching and a discharge. I took diflucan and monistat 3. they simptoms went away but a few days later around my anus started getting itchy. then i got a rash. all around my anus was red and purplish. I went to the doctor they say dry skin and gave me some 2.5 hydrocortisone. 4 months have passed and i still have itching and red/purple around my anus. when i scratch it spreads. any idea what this might be?

    • Jan Modric

      camelgirl,

      regarding you had a fungal vaginal infection, the rash around the anus may also be caused by fungi, but it is a dermatologist who can make a diagnosis. OTC antifungal ointments are available, but prescribed antifungal medications are more effective.

  • mikejr

    can’t stop the itch

    • Jan Modric

      mikejr,

      can’t comment this without knowing more details, but one thing you can do is to check for any rash in the groin. Rash related itch can be usually checked by a dermatologist, and itch in combination with bowel symptoms by a gastroenterologist.

  • anonymous

    Solution: Apply Witch Hazel (can get at any pharmacy, and it’s cheap) liberally with cotton balls.

    As long as the cause is not parasites or something serious, this works like magic to completely stop maddening itching.

    • Jan Modric

      anonymus,

      I believe, general anti-itch remedies should be used only when there is no rash. For rash related itch, specific ointments or oral medications that also treat the cause are available in most cases.

  • wing25br

    I have had this issue for quite awhile and I can not stand it anymore. It comes and goes and usually starts after a particular larger bowel movement. I do like spicy foods specially with crushed red peppers but cannot figure if that is the issue or not. Shortly after this issue starts it can also cause irritation or an itchy sensation on my penis too. It does seem to get worse at night. I should not have but I explored the area and found that the main site of itching is slightly within the anus as well as around the outside. Any thoughts would be much appreciated.

    • Jan Modric

      wing25br,

      to narrow down possible causes, you could check if there is any skin rash or discoloration or crack. It is then a dermatologist who can deal with rashes, or gastroenterologist who can deal with cracks.

  • Burnin up

    I’ve had anal itching for about 7 weeks now. Went to the doctor and got medication for threadworms. That didn’t help. Then had an anti-inflam called proctosedyl. I’ve been using that for a week. It relieves the itch but i’m still suffering. I’m meant to stop using it today and it hasn’t gotten better. The itch is worst when i’ve been physically active and have a sweaty/moist groin area. Along with the itch I get sloppy/ diarrhearish stool. I feel like the frequency of my bowel movements have increased also.

    What are the other things I should cover or mention to the GP to get checked up on in order to get to the bottom of this?

    • Jan Modric

      Burnin up,

      you can ask your GP to arrange you an appointment with a gastroenterologist. Chronic diarrhea speaks for a gastrointestinal disorder (Crohn’s disease), intestinal parasites, food intolerance or other disorder. You can check this personal medical history questionnaire and write down all details to get prepared for the appointment.

      Additionally you can check your groin skin carefully for any rash (fungal infection).

  • inpain

    I am 36 years old and have anal itch before and would just use preparation h for it. I have not used toilet paper for over a year due to the pain. Well about a month ago I could feel a bump in anus and it has progressively just become worse. Yesterday I noticed a second bump and I can hardly even stand to sit. It does not really itch it just hurts very bad. I do not even like to go to the bathroom and the more I sit the worse it hurts. I am embarrassed to go to the dr. and have no insurance. I am guessing I have 2 hemorrhoids at least that is what they look like. But I am not sure I can take the pain much longer.

    Oh and I always wash myself down there but had always used soap and water maybe that is a bad thing.

    • Jan Modric

      inpain,

      external hemorrhoids are easy to recognize, but internal hemorrhoids are painful only when thrombosed, for example, and are usually so soft that may be easily missed even by a doctor. So, I’m not sure if that what you have are hemorrhoids. There could be two abscesses (collections of pus), for example. I strongly recommend you to arrange an appointment with a gastroenterologist or to go to the ER.

  • inpain

    The reason I think they are external Hemorrhoids is because the look almost identical to the picture above on the site. Just did not know if there was something I could do for the pain. One was bad enough but now I have two and I am in a lot of pain.

    • Dr. Chris

      Hi Inpain

      Speak to your doctor. You may need a referral to a proctologist if the regularly prescribed medication does not help ease the symptoms. Surgery may have to be considered. Your doctor will advise you further.

  • an-us-noying

    I am a 50 years old man who has a diabetes and have had itch for couple of years although it seem to bothering me more severely than it used to. Ever since I was diagnosed with diabetes 5 years, the doctor prescribed me with Metformin 500 mg with some other medicine, which seem to have side effect of changing my bowl movement; I skipped my usual daily visit to bathroom as a result,instead frequently making it once every two or three days constipated and its frequency of it became the norm nowadays. This initialy caused minor fissure on my anus due to the size of bowl with bleeding, and changing the contour of the area (loss of weight due to diabetes may have affected this as well)- I think that the lining inside the anus has been pushed out further-allowing to make moisture get easily trapped with not as much vantillation around the area before, which seem to have resulted in contracting jock itch in the area.
    On top of that I wear thermal underwear during the winter, eat spicy foods and drink lots of coffee quite frequently. I applies triple antibiotic ointment (polymyxin B-bactriacin-neomycin) off the counter twice daily when it feels itch especially before going to bed, and it helps me going to bed with no itch, but the medication wears off and it seems to be a recurrent episode feeling itch every night when I lay down at bedtime. The area gets itch during the day time too, prompting me to apply the oitment again. How the fissure gets treated, would it disappear with no treatment? If I keep the area ventillated, would the itching be gone?
    I am a bit embarrassed to talk about the problem with the doctor…I may have to bring that up in my next visit.

    • Dr. Chris

      Hi an-us-noying

      This may be related to hemorrhoids as a result of your constipation further complicated by the anal fissures. What needs to be established here is whether the constipating is related to the diabetes medication as you say or whether your diabetes has progressed to the point that it is affecting the nerve control of your bowel movements thereby causing constipation (diabetic neuropathy). The latter is a serious complication.

      There is no way that we can tell you whether this will disappear but given that you are diabetic, your healing ability is impaired. You need to discuss this with your doctor who will prescribe the appropriate medication. This should not be an embarrassing issue such that you cannot seek medical help – your doctor is seeing conditions such as this on a regular basis. If your diabetes is uncontrolled, it is possible that the recurrent infection is related to this and can progree considerably should you not seek medical attention. Speak to your doctor immediately.

  • cmillz

    I cant figure out what is going on. Ive been reading symptoms of stuff and cant guess what it wrong. I have had an itchy rectum for a while now but it comes and goes about once an month. No bumps or anything. I just notice that the rectum is red. It will itch for about 2-3 days then it disappears for a month or so.

    • Dr. Chris

      Hi Cmillz

      Occasional itching without other symptoms may be related to hygiene factors or even certain foods and spices that you have eaten. In milder cases of hemorrhoids, the symptoms are not as obvious but the condition tends to aggravate during periods of prolonged sitting and so on and resolves on its own after a couple of days. Speak to your doctor about it because it may still be related to some condition that is currently mild but will progress over time until the clinical presentation is more debilitating.

  • an-us-noying

    Thank you, Dr. Cris, for answering my questions. It’s my first time asking medical questions to doctor online, and I like that. Thanks!

  • Safeornot

    For several months, I have had itching and irritation at the anus and surrounding skin. I then noticed it is red. I also have had some bloating and mild discomfort in my abmonen, right side and center, on and off for over a year. I’m 39.

    I am concerned about STD’s or about liver problems. I had unprotected sex with women several times in the last couple of years. I had high liver enzymes about 5 years ago, but they improved a bit, and doctor had mentioned Gilberts Syndrome.

    Please help. Suggestions? Concerns? Probable cause?

    • Dr. Chris

      Hi Safeornot

      Before assuming that it may be due to a liver disease, first have a liver function test and so on. Gilbert’s syndrome diagnosed in adulthood has to be associated with some serious underlying disorder. This could also cause dermatological features but would not have remained silent for so long only to suddenly start up. Given your history, an STD may also be possible. Many of these may present with a rash that extends or is confined to the anal area. There are other possibilities but a lot depends on a thorough knowledge of your medical history, physical examination and findings upon clinical investigation. You need to see a doctor as soon as possible. Delaying in an attempt to find an answer on your own can only complicate the condition further, and with STDs, this can impact on the treatment and proper resolution of the condition.

  • dmeiss

    hi jan,

    I have been suffering with pain and itching up inside the anal canal for 4 months. This all started with a hemorrhoid resulting from the preparation for a colonoscopy. The hemorrhoid was on the left side. I was treated with anusol, prep H, and Canasa. The hemorrhoid healed but the skin on the left side where hemorrhoid was is still red and irritated. I have been to see a colon and rectal dr who said I have pruritus ani. The pain and itching is only on the left side where it is irritated. Do you have any ideas what might help the irritated anal skin to heal? I don’t understand why it will not heal. I have been to a dermatologist who said it probably is not a fungal or yeast infection since it is only on the left side where the skin is irritated. Do you have any thoughts on what would cause this and why it is taking so long to heal?

  • musm

    hi jan ! its about 5 months to go but the itching around anus skin not gone away. what i do please tell me! there are some scaling skin around anus (both left and right skin) which create uncontrollable itching, in other word there is scale skin type at fold of hip skin( there are some small pimples to on scale skin) it feel like some insect biting or something moving . the itching is not only on anus area its start penis to anus skin .. please tell me what it is ?
    i m waiting 4 your answere
    thank u

  • musm

    hi ! its about 5 months to go but the itching around anus skin not gone away. what i do please tell me! there are some scaling skin around anus (both left and right skin) which create uncontrollable itching, in other word there is scale skin type at fold of hip skin( there are some small pimples to on scale skin) it feel like some insect biting or something moving . the itching is not only on anus area its start penis to anus skin .. please tell me what it is ?
    i m waiting 4 your answere
    thank u

    • Dr. Chris

      Musm,

      In the past 2 months you have posted some 15 comments/questions on the same issue. This is a free service that is intended to guide readers and not serve as a medical consultation. You need to see a doctor, preferably a dermatologist or proctologist, and have your condition assessed, treated and managed properly. An online service will not serve as the answer. You have been advised before about possible causes like hemorrhoids, anal fissures, sexually transmitted diseases, skin diseases like psoriasis and so on. Now you need to be seen and assessed by a medical professional.

  • roxie

    I would suggest anybody with what they think is hemmorhoids go to dr even if u don’t have insurance. My mom went to the er about 8 months ago and they blew it off as hemmoroids and now my mom is in the hospital with a hole in her rectum and anal cancer, staph infection, streptococi and squamous cell cancer. She has no insurance. I am urging everyone demand they look at it. The one doctor blew my mom off because of no insurance and now we don’t know if she will live or die with this and she has only had it for 2 years.

    • Jim Marcum

      I hope and pray your mother gets better.

  • dmei

    I have been suffering with pain and itching up inside the anal canal for 4 months. This all started with a hemorrhoid resulting from the preparation for a colonoscopy. The hemorrhoid was on the left side. I was treated with anusol, prep H, and Canasa. The hemorrhoid healed but the skin on the left side where hemorrhoid was is still red and irritated. I have been to see a colon and rectal dr who said I have pruritus ani. The pain and itching is only on the left side where it is irritated. Do you have any ideas what might help the irritated anal skin to heal? I don’t understand why it will not heal. I have been to a dermatologist who said it probably is not a fungal or yeast infection since it is only on the left side where the skin is irritated. Do you have any thoughts on what would cause this and why it is taking so long to heal?

    • Dr. Chris

      Hi Dmei

      It is highly unlikely that preparing for a colonoscopy would cause hemorrhoids. It was either existing but not producing any symptoms or on the verge of developing. The proctologist you saw should have prescribed the appropriate treatment and so should have the dermatologist. Both medical specialists would also investigate further if this area is not healing so we really cannot comment further if they have not provided you with any conclusive answers. After all, they examined you physically, know your medical history and should have advised on further tests. It can take long to heal if you are constipated or have diarrhea, scratching the area (understandably it is is itchy), using any topical applications that you should not be applying on this area, wiping excessively, conducting enemas and so on. A number of conditions can also hamper the healing – from obesity to diabetes and even HIV infection – so further testing and investigation is definitely required.

  • matt

    So i had a rash on my rectum and went to the doctor. He gave me steroids and anti fungals. It was starting to go away really good but then i decided to use the old steroid cream i used to have and it has gotten worse. I called the doctor and they said to stop using the cream and see if it improves. last time i used it was about 11pm and its 11pm now. when will it start to go down. It sucks.

    • Dr. Chris

      Hi Matt

      That is difficult to answer but it is unlikely to happen overnight. Go back to your doctor in a day or so if it is not easing and appears to be getting worse. This is a case of interfering with the treatment you have been prescribed. Your doctor may now have to consider additional medication.

  • Tmsj

    Ive had severe anal itching for years now. Even up a little further toward my vagina … the itch is sooo bad and after i scratch my anus there is bleeding pretty bad. Once i get to scratch i keep going until i feel better but then im cut and it hurts ! I just had a baby and it seems worse since then. I think i do have hemmeroids.. is there anything over the counter?

    • Dr. Chris

      Hi TMSJ

      There are many over-the-counter hemorrhoid preparations and you can speak to your pharmacist about this. However, you should see your doctor to have this assessed and identify any complications that may have arisen as a result of long term untreated hemorrhoids, if indeed it is hemorrhoids.

  • John B

    I have done a lot of my own research on anal itching and bleeding problems as I have had bad bouts of both for years. I have found something that works absolutely great for me with no side effects. I really don’t know why I haven’t come across this from someone else so I am posting my little story in the event it helps someone else.

    I have travelled a lot over the years especially to Mexico for vacations. A doctor once recommended that I bring Oil of Oregano with me on my trips outside of Canada to use as a natural anti-bacterial and especially to prevent the dreaded Montezuma’s revenge. He was right. I’ve lost count of the times I’ve been vacationing with people who picked up digestive tract illnesses from improperly prepared food. I’ve never had a problem. On one trip to Mexico I was bitten by a dog. There was no doctor anywhere near where we were and I really didn’t want to fly back to Canada. I put the oil of oregano on the bite thinking if it wasn’t better in the morning then I would make my way to a hospital. I woke up in the morning and the infection was gone and my arm was just really sore. It got increasingly better over the next days and eventually healed just fine. I don’t recommend this to everyone but it worked for me. So one day while I was having an anal cracking and really bad itching episode I though what the hell if it worked on a dog bite maybe it’ll work on my bum. I rubbed a couple of drops on and instantly the itch was gone and I mean instantly. There was quite the burning sensation when it went on but I like it. It beat the heck out of the mind-numbing itching. One day I felt one of my open-sore bouts starting where the skin just peels off and it is incredibly painful and bleeds like crazy. Normally they appear about an inch from the anus and are about a half inch to an inch across. I put a few drops on the area. It burns going on but I never develop the sores anymore. I put a couple of drops on in the morning after my shower and a couple a night before bed. Instant relief from the symptoms and the problems goes away in two or three days. My two cents worth.

  • kjls

    I have been suffering from anal itching for about 4 months. I had anal cancer about 18 months ago. I had a colonoscopy 8 months ago and everything was fine. I have tried prep. H but that does not help for more than a few hours. This is driving me nuts. Any advice on what this could be?

  • matt

    about 4 days ago my anus started to become very very sore and slightly itchy it feels like there is a small split there or something and i have to keep wiping it (which is extremely painful!) because it seems to be secreting some kind of pus or something its a slightly yellowish fluid that builds up very fast and some times there is small amounts of blood too. my anus also seems to be quite red and possibly slightly swollen it is making things very painful and even walking and sitting down makes it hurt.
    other symptoms i have at the moment (which i think are completly unrelated but i think i should mention anyway ) are a very very sore and swollen throat making it ridiculously painful to swallow at all and also a couple of my toes have been very very itchy and peeling skin off lots sometimes to the point where they are raw and become even more painful also a few times small hard lumps containing pus have appeared on the toes and my dad thinks on the toes it may be soriasis i am 19 (and also have severe rhemitoid arthritis)

    what does this sound like to you and what should i do about it?
    any help would be really appreciated
    thanks

    • Hi Matt. The anal symptoms sounds like hemorrhoids. Mucus is also seen in hemorrhoids although most people only think of anal itching, pain and some blood when wiping. It is possible that the throat and toe symptoms are entirely different. While psoriasis can be associated with rheumatoid arthritis, do not assume just yet that it is psoriasis. Remember conditions like gout can also present with the toe symptoms.

      But there is also a concern here about inflammatory bowel disease (IBD) as well. Some people with inflammatory bowel disease have a type of arthritis that is similar to rheumatoid arthritis. IBD could explain the anal symptoms, mucus and so on. And then there is the possibility about certain types of infections that could explain the throat and anal symptoms.

      There is no way for us to know or tell you for sure. But we strongly recommend that you see a doctor immediately, and possibly a specialist physician like a rheumatologist and/or gastroenterologist as soon as you can.

  • Mandi

    Hi, I have been itching in the area around my rectum for about 8 months now. I have tried everything…preparation H cream, hydrocortizone, anti-fungal cream, salt baths, pinworm medicine (Reese’s and Abendazole) and still cannot get rid of this nauseating itching. The strange part is that there is no visible irritation on the skin in question. There are no rashes, no flaky or dry skin, and no real visible pinworms. I was even checked for hemroids and told that I was okay. Is there anything else it could possibly be, and if so how I might cure it???

    • Hi Mandi. As you can see from the list above, there are many possible causes of itching. Although some of the possible causes have been excluded thus far, you should still see a proctologist or gastroenterologist. They may want to conduct further investigations after thoroughly assessing your case history and doing a physical examination. A sigmoidoscopy or colonoscopy may even be necessary. It is difficult for us to say what the cause may be in your case through an online platform like this. While we have discussed possible causes above, you need to see a medical professional for a definitive diagnosis and appropriate treatment.

  • Jim Marcum

    I have been fighting this anal itching also. Seems like it is a lot worse at night. I had some boils first appear inside my right thigh close to groin area. had lanced and healed. in one month had two more boils appear on my right buttocks and had lanced both were mursa or staph infection. in one month had two more boils appear right buttocks area and they were not lanced I was given anitbiotics for 1 month. For a couple weeks into antibiotics everything cleared up. One boil was large and it took some time it finally dried up but it is itchy now with flaky skin. main problem last week of the four week dosage of anitbiotics my anal area started itching again. it itches like hell and I use prep H suppositories and steroid creams and those things help but this itch just keeps hanging around. also some blood when I wipe and I have been using moistened prep H wipes but even with these it seems that just wiping starts it to itch and I rub the hell out of it for a few seconds. some small trace of blood seen. I had colonscopy two years ago said all was good said I had hemeroid. my GP made me an appointment with the surgeon who did the colonscopy but I didn’t go I thought it was more of a rash type deal. don’t know I used some sitz bathes with saltz didn’t seem to help anything. I used cetiphil gentle cleanser. after reading the above i’m going to go with no soap down there for a while I know I have a soap allergy. hope I can get clean without soap down there. my doctor don’t like fulling to much with things like this and you hate to go to specialists like dermatologist who mostly mess with teen acne. what should I do?

    • Hi Jim, Given your history we would strongly suggest that you see a proctologist. It is quite unfortunate that you did not go for that colonoscopy but either way it was 2 years ago.

      You have to look at the here and now. Yes, over cleaning can be as much of a problem as too little cleaning. Soap, vigorously rubbing the area when bathing and also excessive wiping are all a problem for an itchy anus although you may think that you are doing the right thing.

      There are a host of factors that can be contributing to your anal itching and it is difficult to say what it could be and what you should or should not do on your own to manage this problem. Rather leave it to the professionals. Speak to your GP and get a referral to a proctologist who can advise you further.

  • Jonathan T

    Ive had this itching in the rectum area for a few weeks now. I havent really tried everything but just stop scratching. And at first it worked but now I feel that I hwve this blister in my rectum. Should I be worried? Should I just keep it clean and not scratch till it goes away?

    • Hi Jonathan. Scratching often exacerbates the itching. So yes, you should not scratch as far as possible. Try to see a doctor about it. Often it is conditions like hemorrhoids (piles) that causes this itching, despite the fact that you cannot feel the piles and there is no bleeding when you wipe after a bowel movement. Your doctor will be able to advise you further. Do not continue to treat this condition on your own or you could be delaying proper medical treatment of a very serious condition.

      • Jonathan T

        Thanks for replying back. What kind of doctor should I look up to help me with this problem?

        • Hi Jonathan, You would need to see a proctologist.

      • Jonathan T

        What kind of doctor would I need to help me?

  • Sarah Hamilton

    hi, I have a 4 yr old, who has been treated for pin worms, although none was ever seen, he has been ” digging ” at his anus for almost a year, since I potty trained him, he is smart , active, no delays , he has trouble eating, only eats certain things, not very good things , I thought he would grow out of it, he hasnt, only worse, we have went completely backwards pull ups again, he makes poo mess every where, iam at my witts end , iam embarrassed for him, iam scared to talk about it with anyone ,, they may think somethings wrong with him, iam scared to put hydrocortisone cream on it because iam afraid he will get in his mouth or eyes, I love him so much, I just keep cleaning him up and everything else, but I know this isnt healthy or safe, please help us,

    • Hi Sarah. He needs to see a pediatrician. This may not be related to his previous pinworms and could be due to a number of other conditions. Encopresis is one consideration. Do not start any treatment that has not been prescribed by a doctor or his pediatrician. There is no need to discuss the matter with anybody else but a medical professional. Do not be embarrassed by it but do not let your fear hold back seeking medical treatment for him. In the long run you could be doing him more harm by delaying medical attention.

  • Gary

    Can sitting all the time cause anal itching?

    • Hi Gary. Yes, it is possible. The itching may arise from the skin as prolonged sitting can affect the skin in various ways. More importantly though is that anal itching may be associated with conditions like hemorrhoids (piles) even if you do not have other symptoms of piles.

  • cde01

    Hi, I’ve been having itching on my butt cheeks, between my butt cheeks, anal and now going towards my vagina. I do have severe exema on my hands. Do u think having an open exema sore on my hand could have spread it to my butt? If not what do you think it could be? It itches severely, hurts, and burns. What type of dr should I go to to have it checked?

    • Hi cde01. Eczema could be occurring in different parts of the body and it is therefore possible that the current buttock symptoms are related to your eczema. Of course it does depend on the type of eczema. The more correct medical term would be dermatitis and there are many different types of dermatitis. The possibility here considering that it is spreading in this way is that it may be a fungal infection of the skin. This is also known as tinea cruris (groin fungus) and you can read more about it here http://www.healthhype.com/groin-fungus-tinea-cruris-causes-symptoms-treatment.html
      It would be advisable to consult with your GP who may then refer you to a dermatologist, or if necessary a gynecologist or even a proctologist.

  • malcolm smith

    I have another question I also have some unusual veins in my forehead from this medicine I was taking for this std. I think I took too much of the medicine. The veins in my forehead swelled up and it felt like my head had pressure in it. Im not sure if its going to cause an anurism what do I do about this.

  • Eric

    Hi, im Eric and i am 14 years old. I have been having some problems with finding smal Worms comming out of my anus. This causes me to 1. Feel discusted. 2. Its very itchy.. 3. Its just horrible! Please I need help! (The worms are white and smaller then 1cm. And There are plenty of them)

  • Brown

    Hi, For the Past Month and a Half every time I’m able it to I start my menstual I get a bump on my bum hole and maybe a 2 or 3 small bumps with by it .. it itches but it doesn’t blister, doesn’t hurt, doesn’t puss or anything . It goes away after some days go by ..I’ve tried hydrocortisone cream it helps for maybe 5 minutes but it goes right back to itching ..