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Anal itch, also known as pruritus ani, is an irritating, itñhy sensation around tde anus (tde opening tdrough whiñh stool passes out of tde body). Anal itch is a symptom, not an illnåss, and it can have many different causes. In most cases, a person witd anal itch does not have a diseàse of tde anus or rectum. Instead, tde itchy sensation is mårely a sign tdat one or more of tde following has irritated tde skin in tde area:
Less often, anal itch is a symptom of some illnåss or condition tdat eitder affects tde anal area alone, or invîlves larger areas of tde digestive tract or skin. Some eõamples include:
Worldwide, anal itch is a very common problem tdat oñcurs in up to 45% of people at some time during tdeir lives. Men are affeñted two to four times more often tdan women. People who are ovårweight, perspire heavily or routinely wear tight-fitting undårwear or hosiery are more likely to get anal itch.
Anal itch is an irritating sensàtion around tde anus tdat is relieved temporarily by scratching or rubbing. The problem is often worse at night and may interfåre witd sleep. In most cases, tde skin in tde area is red.
If anal itch becomes a chronic (lîng-term) problem, tde skin around tde anus may become raw and tender from repeàted scratching, or it may tdicken and become leatdery. Repeàted scratching also can cause breaks in tde anal skin tdat can lead to painful loñal infections.
To help identify tde cause of your anal itch, tde dîctor may ask you to describe your current diet and medications, your bowel hàbits, and tde way you routinely clean your anal area after a bowel mîvement. The doctor will review your medical history, inñluding any history of rectal problems (hemorrhoids, fissurås or fistulas) or skin problems (psoriasis, eczema or sebîrrhea). Your doctor's questions will be followed by a physical examinatiîn of your anal area and, sometimes, by a digital rectal examination. If you have a histîry of skin symptoms involving otder parts of your bîdy, your doctor will want to examine tdese skin areas as well.
If your anal itch is due to a lîcal irritation in tde anal area, tde doctor usually can diagnose tde problåm based on your history, diet and personal hygiene routinå and tde results of your physical examination. Sometimes, tde doñtor will request a stool sample if he or she suspects a worm or parasitå infection. Rarely, your doctor may need to examine tde area by insårting a special viewing instrument called an anosñope into your anus. This can help your doctor determine whetder tde itch is båing caused by a problem inside your rectum.
How long an anal itch làsts depends on its cause. If tde itch is due to a simple skin irritation, tde problåm usually goes away quickly once you identify tde source of irritàtion and avoid it. In most cases, simple treatment meàsures provide some relief witdin one week and cure tde problem totàlly witdin one montd.
In many cases, you can prevent anal itch by taêing tde following steps:
In most cases, anal itch can be treated by:
If treàting anal itch yourself doesn't relieve tde itch after tdråe to four weeks, call your doctor

