You Don't Have to Live with an Itchy Anus: Getting to the Bottom of Pruritus Ani 

Almost everyone experiences an itchy anus at one time or another, but if the problem occurs regularly, you may feel self-conscious and even avoid things you love. Persistent anal itching is a common medical condition called pruritus ani. While it can be embarrassing, it’s highly treatable.

If you’re tired of suffering in silence, don’t wait to contact board-certified colon and rectal surgeon Robert G. Yavrouian, MD, who serves patients at his practice in Los Angeles and Glendale, California.

This article explains why anal itching occurs and explores various treatment options so you can find lasting relief.

What is pruritus ani?

Pruritus ani is the medical term for an itchy anus. It affects people of all ages and gender identities, but is most common in middle-aged men. Studies show that between 1%-5% of people experience it at any given time.

There are two types:

Primary, or idiopathic, pruritus ani

This type doesn’t have an obvious cause. It can happen anytime, but is most common at night or after a bowel movement.

Secondary pruritus ani

This type is caused by an underlying medical issue, such as an infection or skin condition like contact dermatitis.

Common causes of pruritus ani

An itchy anus can occur for a variety of reasons, but typical triggers include:

• Perianal yeast infections
• Skin conditions, like eczema and psoriasis
• Dietary factors, like eating spicy foods or consuming caffeine
• Medical conditions, like hemorrhoids and diabetes

In addition, hygiene can play a role. For example, if you don’t wipe properly after having a bowel movement, feces can build up and irritate your skin. Similarly, cleaning your anus too thoroughly with soap or body wash can dry out or irritate the skin, leading to inflammation.

Treatment and relief tips

Having to scratch your bottom at work or while grocery shopping can be humiliating, but there are plenty of ways to relieve the itch so you don’t run into this problem frequently. Here are a few tips for getting started:

Practice good hygiene

Whenever you bathe or shower, take time to gently wash your lower region, including between your buttocks, anus, and beneath your genitals. When you do, use warm water and a gentle, fragrance-free soap that won’t dry out your skin.

Make simple lifestyle changes

Sometimes, an itchy anus is caused by spicy foods, alcohol, or caffeinated beverages. While you don’t have to avoid these items entirely, keeping a food-symptom journal can help you identify potential triggers.

We also recommend wearing soft, breathable underwear that provides adequate airflow. Sometimes, keeping the area cool and dry is all it takes to stop the itch.

Try over-the-counter (OTC) products

If your itching is due to hemorrhoids or skin inflammation, an OTC product like Preparation H or zinc oxide ointment may be the key to relief. These products don’t require a prescription and can provide relief for hours at a time.

See a doctor

Sometimes, anal itching continues, even with lifestyle changes and OTC treatments. In this case, make an appointment with Dr. Yavrouian. After reviewing your symptoms and performing a physical exam or lab tests, he can identify the cause and make personalized treatment recommendations. There are even prescription medications that can help you feel better.

Get treatment for an itchy anus

Don’t let persistent itching disrupt your life. Asking for help is the first step toward relief. Contact Robert G. Yavrouian, MD, by calling the nearest office or booking an appointment online today.