Your doctor may be able to diagnose the cause of your itching simply by asking you questions about your symptoms, medical history and personal care habits. If pinworms are suspected, your doctor may suggest doing a test for pinworms. You may also need a physical exam, including a digital rectal exam. If the cause of your itching isn't obvious or it doesn't respond to initial treatment, your doctor may refer you to a skin specialist dermatologist. It's possible the cause of the itching may never be identified. Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as nonprescription anti-itch cream or treating an infection or hemorrhoids. If your symptoms are worse at night, an oral antihistamine might help until an anti-itch cream takes effect. With proper care most people experience relief from anal itching.
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If you buy something through a link on this page, we may earn a small commission. How this works. A persistent need to scratch your bottom, also called pruritus ani, is a relatively common complaint. There are a number of reasons why anal itching occurs and, more often than not, it can be successfully treated.
Self-care at Home
Anal itching, or pruritus ani, is a common symptom of a variety of conditions. Most cases of anal itching can be treated at home without needing to see a doctor. We go over the possible causes, along with at-home remedies to relieve itching.
Anal itching occurs when the skin around your anus becomes irritated. You may feel intense itching around and just inside the anus. Abdelnaby A, Downs JM. Diseases of the anorectum. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. Philadelphia, PA: Elsevier Saunders; chap Coates WC. Disorders of the anorectum. Philadelphia, PA: Elsevier; chap Davis B.