When to Worry About Persistent Anal Itching

The urge to scratch is intense, yet scratching provides no relief. Anal itching, or what we call pruritus ani, is a skin condition that affects the sensitive tissue around the anal opening. The itchiness may occur from any number of causes, and sometimes, it may be unknown.

Though we understand your wish to take care of the problem at home, you should worry about persistent anal itching. The ongoing discomfort is a sign that something is going on, and continued scratching may lead to wounds and an infection.

Our compassionate physician, Dr. Betsy Clemens at Midwest Hemorrhoid Treatment Center, specializes in diagnosing and treating rectal disorders. We understand the sensitive nature of your condition, but you don't need to suffer. 

Read on to find out when to worry about persistent anal itching and get professional medical care.

Overview of anal itching

Despite its fancy medical name — pruritus ani, anal itching is a symptom, not a disease. It causes an intense itchiness in the anal area and an overwhelming urge to scratch. 

When you give in to the urge, scratching provides no relief and may irritate the skin further, causing other symptoms like soreness or a burning sensation. Even more worrisome is that your nails may tear the delicate skin, allowing germs to enter and cause an infection.  

Anyone can experience anal itching, but it's more common in males. 

Causes of anal itching

The skin that surrounds the anal opening is very sensitive, and the itching may occur from any number of causes, some more serious than others. 

You may develop discomfort from a new laundry detergent that contains a skin-irritating scent or chemical or from using toilet paper that's too rough. Not thoroughly wiping after a bowel movement may also cause irritation and itching. Certain foods, like spicy or acidic foods, can also irritate the skin. 

Anal itching is also a symptom of rectal disorders like hemorrhoids and anal fissures. Yeast infections, pinworms, and sexually transmitted diseases (STDs) may also cause itchiness in the anal area.

Knowing the cause of your anal discomfort helps determine the best course of action.

When to worry about anal itching

Anal itching from minor irritation may resolve quickly. However, it's time to worry if your itchiness doesn't improve within a few days. The main concern about anal itchiness is the wounds you may cause when scratching and infection. 

You should also worry if your itch is severe or if you have other concerning symptoms like anal pain, blood in stool, or a fever. 

Treatment for anal itching depends on the cause but starts with good anal hygiene to reduce the risk of infection. Clean the area well after pooping but gently to prevent further irritation. Sometimes, a shower after a bowel movement is the best way to clean the area. Then, dry the area with a soft cloth and apply talcum powder to absorb moisture.

For rectal disorders like hemorrhoids and anal fissures, we recommend sitz baths to clean the bottom and reduce discomfort. We may also recommend creams or ointments to relieve the discomfort and prescribe an antibiotic or antifungal medication for an infection.

Wear cotton underwear, use skin-sensitive soaps and detergents, and avoid foods that may worsen skin irritation.

There's no need to suffer in silence with your anal itching; let us help you get relief. Call our office in Town and Country, Missouri, today at 314-669-2758 to schedule an appointment with Dr. Clemens.