Itchy bottom (Pruritus Ani)

An itchy bottom may be simply an annoyance, or might be so troublesome that it dominates your life. It is normally intensified by warmth, and is typically most problematic in bed.

The skin around the anus easily becomes inflamed and inflamed. This is due to the fact that it is challenging to keep the area around the rectum clean and dry; the skin is crinkly and traps small faecal particles. It is likewise sweaty and airless, and it may be moist from an anal or vaginal discharge. When it ends up being irritated, scratching is a natural reaction, however this damages the skin even more– the itch/scratch cycle. Ointments and creams can cause more issues by keeping the area damp.

Although it is very undesirable, anal itching hardly ever means anything severe. If you have pain as well as itching, take a look at the area on anal pain.

Anal itching can happen at any time of life, but seems to be most typical between 30 and 50 years of age. It is four times more typical in men than in women.

Anal itching facts

  • Anal itching is itching around the anus.
  • Examples of causes of anal itching consist of hemorrhoids, anal cracks, pinworms, foods, medications, and other diseases or conditions.
  • Additional symptoms related to anal itching consist of burning and pain if the anal skin is distressed by scratching.
  • The medical diagnosis of the cause of anal itchiness needs evaluation of the anus for typical anal problems such as hemorrhoids or fissures, skin conditions such as psoriasis or cancer, transmittable diseases such as pinworms or yeast, and leak of stool.
  • Treatment of anal itching depends upon the cause.

What is anal itching (itchy bottom)?

Anal itching (known clinically as pruritis rectums) is the inflammation of the skin at the opening of the anal canal through which stool exits the body. The skin surrounding the opening is known as the rectum. The itchiness is accompanied by the desire to scratch. Although itching may be a response to chemicals in the stool, it typically suggests that there is swelling of the anus area. The strength of anal itching and the quantity of inflammation boosts from the direct injury of scratching and the presence of moisture. At its most extreme, anal itching causes intolerable discomfort that often is referred to as burning and soreness.

What causes itchy bottom?

  • Itchy bottom can be caused by annoying chemicals in the foods we eat, such as are discovered in spices, hot sauces, and peppers.
  • Anal itchiness also can be triggered by the inflammation of constant moisture in the rectum from regular liquid stools, diarrhea, or escape of percentages of stool (incontinence). Moisture enhances the possibility of infections of the anus, specifically yeast, especially in patients with diabetes or HIV.
  • Treatment with antibiotics can result in a yeast infection and inflammation of the anus.
  • Psoriasis can irritate the anus.
  • Abnormal passages (fistulas) from the small intestine or colon to the skin surrounding the anus can form as a result of disease (such as Crohn’s disease), and these fistulas bring annoying fluids to the anal area.

Other problems that can cause anal itching include:

  • pinworms
  • hemorrhoids
  • tears of the anal skin (fissures), and
  • skin tags (abnormal regional development of anal skin)

What are additional symptoms associated with anal itching?

  • The strength of anal itching and the quantity of inflammation boosts from the direct injury of scratching and the existence of wetness
  • itchy bottom after diarrhea
  • At its most extreme, anal itching causes excruciating pain that frequently is referred to as burning and soreness, particularly during and after defecation
  • There likewise might be percentages of bleeding
  • itchy bottom at night only
  • it appears before period

What type of doctor treats itchy bottom?

Although bottom itchiness can be examined by a family practice or internal medication physician, it most often is assessed by a colorectal cosmetic surgeon (proctologist) and in some cases by a gastroenterologist.

How is the reason for anal itching diagnosed?

Anal itchiness is first assessed with a cautious examination of the rectum for such abnormalities as hemorrhoids, fissures, skin tags, moisture, and excoriations (breaks in the skin from scratching).

A rectal examination with a finger placed into the anal canal can recognize rectal growths. For a closer look at the anal canal, a proctoscope can be used. A proctoscope is a brief tube that is placed through the anus and into the rectum so that the anal canal can be examined visually If pinworms are presumed, they and their eggs can be recognized utilizing the pinworm test, a test in which the worms and eggs are recovered from the rectum utilizing transparent adhesive tape.


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