Back to Health A to Z. You can often do simple things yourself to ease an itchy bottom anus. See a GP if the itching does not stop. An itchy bottom that's worse at night is often caused by threadworms , especially in children.
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Anal Itch (Pruritus Ani)
Anal Itching (Pruritus Ani): Types, Causes, Diagnosis & Treatment
Anal itching is a common condition. The itch, situated in or around your anus, is often intense and may be accompanied by a strong urge to scratch. You may find anal itching to be embarrassing and uncomfortable. Also called pruritus ani proo-RIE-tus A-nie , anal itching has many possible causes, such as skin problems, hemorrhoids, and washing too much or not enough.
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The itching may become worse at night or after a bowel movement. Scratching the area results in further irritation and makes the itching worse instead of relieving it. Scratching with the fingernails may result in skin damage or an infection.
Pruritus ani is a common condition with many causes, predominately anorectal pathology. There are some new insights and therapies, but the most recommendations are based on low-level evidence. A review of the evidence is presented and a management plan based on the elimination of irritants and scratching, general control measures and active treatment measures is offered. Treatment of primary and secondary pruritus ani has a good prospect of regression of symptoms and skin changes.
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