Pruritus Ani

Key Points
Common skin condition affecting the area around the anus
Typically caused by irritation to the affected area, but may be associated with other skin conditions
Consists of severe itching and may be accompanied by inflammation

Pruritus ani is a common skin condition affecting the area around the anus. The condition consists of severe itching in the skin surrounding the anus, and may be accompanied by inflammation.

Pruritus ani is typically an isolated condition, often caused by irritation in the affected area. However, the condition may also arise in association with other skin disorders, including dermatitis, psoriasis, bacterial or yeast infections. In cases caused by irritation, irritants include diarrhea, constipation, scratching the affected area, rough use of toilet paper, excessive scrubbing, and even foods which are spicy or acidic.

Diagnosis
Key Points
Diagnosis based on the presence of symptoms in the affected area
Other tests may be performed to confirm diagnosis and rule out similar appearing conditions

Pruritus ani is typically diagnosed based on the presence of symptoms in the affected area. Other tests may be performed to confirm the diagnosis and rule out similar appearing conditions.

Treatment
Reducing or eliminating irritation is key to improving isolated cases
Treatment of associated skin conditions may help to resolve ani pruritus
Health care professionals may prescribe topical steroids or zinc pastes to assist in resolving the condition
OTC Options: soap free cleansers

Reducing or eliminating irritation to the anus is key in improving pruritus ani in isolated cases. This includes gentle care and cleansing, preferably with lukewarm water, soap free cleansers or moist/soft toilet tissue. Additionally, it is recommended that affected persons avoid spicy foods, eat plenty of fiber, refrain from scratching, and attempt to avoid constipation. Health care professionals may prescribe topical steroids or zinc pastes to assist in resolving the condition.