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 itchy anus. Scratching aggravates existing itch, so – do not scratch.

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
  • mikejr

    can’t stop the itch

  • 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

    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.

  • 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.

  • 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.

  • 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 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.

  • 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.

  • 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?

  • 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

  • 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.

  • 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

  • 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.

  • 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.

  • 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?

  • 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.

  • 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 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.

  • 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.

  • 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.

  • 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.

  • 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?