How to treat Pruritus Ani

How to treat Pruritus Ani

Pruritus Ani (also known as anal itching, itchy bottom, or itchy anus) is a dermatological condition. It is characterized by itching in the anal area. After a bowel movement or at night the itching often becomes worse. It is important to avoid scratching the area because it can make the irritation and itching worse. It may cause skin damage or an infection.

Pruritus Ani is more likely to occur in men than in women. There are 2 types of Pruritus Ani:

  • Primary Pruritus Ani – this is the most common type of Pruritus Ani, and it has no identifiable underlying cause.
  • Secondary Pruritus Ani – this type may be caused by different conditions, including contact dermatitis, infections, systemic diseases, or other factors.

What causes anal itching?

Surprisingly, the itchy bottom is usually caused by overuse of soaps and too much scrubbing with a towel or rough toilet paper, and not by poor hygiene. If you apply perfumed creams, lotions, ointments, powders, or other products in the anal region, this may cause some kind of hypersensitivity reaction leading to irritation and itching.

The combination of tight-fitting underwear and excess perspiration can also lead to itchy anus. Some foods and beverages, such as tea, coffee, carbonated drinks, spicy foods, tomatoes, citrus fruits have been linked to this condition. Diarrhea and constipation are other potential causes of Pruritus Ani. Pranicura helps to reduce the itching issue day by day and give permanent solutions.

Here are some other causes:

  • Infections (yeast infection, candida, pinworms, scabies)
  • Diseases, such as leukemia, renal disease, Crohn’s disease, psoriasis, contact dermatitis
  • Hemorrhoids, anal fissures, fistulas


Here are some tips about how to treat Pruritus Ani:

  • Keep the area around the rectum clean and dry. It is better to only use water, without soap, or moistened wipes to clean the perianal region after a bowel movement. After washing, pat dry the area carefully.
  • Avoid scrubbing vigorously with toilet paper.
  • Resist the urge to scratch the place.
  • Avoid all kinds of perfumed products that may cause irritation to the area.
  • Eat more fiber. Consume 20 to 30 grams of fiber per day. This will help prevent diarrhea or constipation. It will also ensure regular bowel movements. To do so, eat more fruits, veggies, grains, beans, and cereal. If you can’t get enough fiber through food, consider fiber supplements intake.
  • Avoid any foods that might promote itching – spicy or acidic foods or caffeinated beverages.
  • Avoid wearing tight underwear made of synthetic fabrics. Instead, choose cotton underwear that fits you properly and can absorb moisture better than synthetic materials. Wash your clothes with fragrance-free detergents.
  • Apply creams and ointments to relieve the soreness, pain, and itchiness.

If the problem persists for more than 2 weeks, visit your physician. He will examine you (using anoscope) to find the cause of Pruritus Ani and will prescribe you the necessary treatment to get rid of that uncomfortable condition. The most important thing to remember is to keep the area clean and dry and not to scratch it.

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