Medical expert of the article
New publications
Anal itching
Last reviewed: 12.07.2025
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Causes of anal itching
Category |
Examples |
Dermatological diseases |
Psoriasis, atopic dermatitis |
Local discord |
Local anesthetics, soaps, ointments |
Food irritations |
Spices, citrus fruits, caffeinated drinks |
Fungal infection |
Candida |
Bacterial infection |
Secondary infection caused by scratching |
Parasites |
Pinworms, scabies |
Local diseases |
Bowen's disease, extramammary Paget's disease, cryptitis, functioning fistulas |
Systemic diseases |
Diabetes mellitus, liver disease |
Related to body hygiene |
Poor personal hygiene, tight underwear |
Psychogenic factor |
- |
[ 3 ]
Where does it hurt?
Diagnosis of anal itching
The diagnosis of anal itching is made by examining the anal area; anamnestic information is important. The skin is usually dull and thickened, although the underlying pathology is often obscured by excoriations caused by scratching and secondary infection. Skin scrapings for microscopy can detect fungal infections, and stool analysis can detect parasites. Biopsies can be taken from visible lesions.
What do need to examine?
How to examine?
Who to contact?
Treatment of anal itching
Treatment of anal itching involves eliminating foods that may cause anal itching. Clothing should be loose, and nightwear should be light. After defecation, the patient should treat the anal area with absorbent cotton wool or simply a soft cloth moistened with water. With increased humidity in the anal area, talc powders that do not contain medications are effective. For symptoms of irritation, sparing applications of 1% hydrocortisone acetate ointment 4 times a day are effective. Causes of anal itching associated with systemic diseases, parasitic or fungal infections deserve separate consideration.