Anal itching, also known as pruritus ani, is a common condition characterized by itching or burning in the anus and surrounding area. It can be caused by a variety of factors, including skin irritation, frequent diarrhea or constipation, fecal incontinence, and skin conditions such as fungal infections or psoriasis.

Symptoms of anal itching may include a strong urge to scratch the anus, redness, and swelling in the affected area, and skin irritation or rashes.

Treatment for anal itching may depend on the underlying cause of the itching but may include home remedies such as keeping the area clean and dry, using over-the-counter creams and ointments, and avoiding irritants such as harsh soaps or toilet paper.

In some cases, a healthcare provider may prescribe topical or oral medications to relieve itching and treat any underlying skin conditions.

If you are experiencing symptoms of anal itching, it is important to see a healthcare provider for an accurate diagnosis and appropriate treatment. With proper care and treatment, most cases of anal itching can be successfully managed.

Sometimes the cause of anal itching isn't identifiable. Possible causes of anal itching include:

• Irritants. Fecal incontinence and long-term (chronic) diarrhea can irritate the skin. Or your skin care routine may include products or behaviors that irritate the skin, such as using harsh soaps or moist wipes and washing too aggressively.
• Infections. These include sexually transmitted infections, pinworms, and yeast infections.
• Skin conditions. Sometimes anal itching is the result of a specific skin condition, such as psoriasis or contact dermatitis.
• Other medical conditions. These include diabetes, thyroid disease, hemorrhoids, anal tumors.

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. See your doctor if the itching persists.