Why can the anus itch. Causes and treatment of itching in the anus

Itching in itself is an unbearable urge for a person. The desire to scratch overpowers even the pain. Such a topic as itching and burning in anus accepted to bypass. But it exists, and its problems are dealt with by highly qualified specialists. If a person in public place there is anal itching, and it starts to itch, then it's just ugly. With such delicate issue, a person suffering from itching in the anus does not always immediately go to the doctor. Some pathologies at first glance are not related to this symptom. Therefore, if a person has an itch in the anus, the reasons for it can be identified, only a diagnosis by a doctor.

Why does itching appear?

Causes of itching in the anus:

• basically anal itching happens with helminthic invasions - pinworms;
• manifestation of intestinal dysbacteriosis;
• fistulas of the anus and rectum;
• haemorrhoids;
• malignant formations;
• diabetes;
• allergic reactions;
• against the backdrop of nervous tension.

After studying the causes of discomfort, methods of exposure can be determined.

Anal itching in men and women

Statistics for men is relentless, most often anal itching happens to them. A feature of this symptom is its manifestation against the background of such pathologies as prostatitis and urethritis. In these diseases, the infection enters the rectum, causing itching in the anus in men.

Itching in the anus in women is mainly associated with the manifestation gynecological diseases. Candidiasis of the vagina or thrush affects the genitals of a woman. But due to the specifics female structure, the vagina is in close proximity to the anus. The infection enters the rectum, causing anal itching in women. In women, this delicate symptom occurs after wearing tight underwear, especially synthetic ones. In this case, anal itching is not the cause of any pathology and you just need to change your underwear.

Itching of the anus in children

Itching in the anus in a child most often occurs due to infection with helminths. They enter the body of the child when he takes unwashed hands in his mouth. 12-14 days after the helminths enter the child's intestines, the female lays eggs in the anus, causing severe itching in the child's pope.

Red spots on the pope in a child may be allergic in nature, or may be a sign of simple irritation. The main difference between allergic spots is that they do not disappear as quickly as with irritation. food allergy accompanied by fever, and spots may appear on other areas of the baby's skin. If irritation on the pope of a newborn is local in nature and manifests itself only in this place, then most likely the reason is in diapers. It is necessary to change diapers to the baby more often, to give the baby's skin more breath, to arrange air baths. Parents should ensure that the temperature under the diapers is the same with external environment. Redness may occur as allergic reaction on soaps, creams, or even on the diaper itself. The most important thing here is to protect the child from the allergen.

A rash on the pope in a child can be allergic or infectious. Very often, due to their age, a pseudo-allergic rash appears on the pope of babies. Its feature is that it passes with age and does not harm the baby.

Allergy as one of the causes of itching of the anus

Itching in the anus is often due to allergies:

• food allergy;
• drinking coffee;
• medicinal component associated with the use of various ointments and suppositories.
• contact reaction of the body to clothing;
• hygiene products may contain irritating components;
• using poor quality toilet paper.

If severe itching in the anus is due to an allergic reaction, then some measures must be taken.

First of all, exclude from the diet foods that cause allergies. In order to install them, you need to contact an allergist. Then conduct antihistamine therapy. Various ointments are often used to relieve itching in the anus. But their use should depend on the specifics of irritation, and the disease that caused this symptom. Sometimes self-medication not only does not give the desired effect, but leads to further complication. With an allergic component, the doctor may allow the use of a hormone-containing ointment for itching in the anus.

Allergy as a causative factor of inflammation of the rectum

Final stage digestive process takes place in the rectum. Therefore, the specificity of diseases of the rectum is that in its mucosa there is a huge number of microorganisms. Inflammation of the rectum, which occurs due to an allergic reaction, may be complicated by infection of this area.

The rectum is in close proximity to the genitals, so inflammation can go to the genitals. Allergic inflammation of the rectum can be a continuation of the disease of the colon. The perianal region and anus may be exposed allergic diseases, which are the result of inflammation of the rectum. Itching around the anus and redness on the skin of the buttocks in the perianal area are some of the signs of an allergic reaction.

If symptoms of inflammation of the rectum appear, the proctologist will deal with this pathology, but if an allergic factor is present, the allergist should treat the disease.

Severe itching in the anus may be a symptom atopic dermatitis that has arisen on the skin in the anus. In atopic dermatitis, inflammation of the skin occurs when it comes into direct contact with the allergen. This disease occurs due to genetic predisposition. Itching around the anus is often the only symptom atopic dermatitis and pass without inflammatory processes. This causes problems in diagnosing this disease.

Rectal disease due to food allergy

Irritation on the baby's bottom and itching in the perianal area can be symptoms perianal dermatitis that occurs as a result of food allergies. Food allergies can cause diseases such as proctitis. Proctitis is a disease in which inflammation of the rectal mucosa occurs. If the cause of proctitis is a food component, then it develops against the background of allergic colitis. Allergic colitis is an inflammation of the lining of the colon. Symptoms of allergic proctitis are:

• liquid stool with blood inserts;
• abdominal pain;
• itching and burning in the anus;
• when eating allergic itching in the mouth.

If the mother of the baby before breastfeeding ate food with allergens, then the child has an increased risk of developing food allergies.

Acute proctitis can flow into chronic. Medicines for the treatment of proctitis, regardless of the nature of the course, use the same.

Allergic inflammation of the rectum after taking medication

The cause of itching of the anus can be drug allergy. It can also manifest itself as an inflammation of the anus. Drugs causing allergic inflammation the anus can be of different directions:

• antiviral;
• antibiotics;
• local anesthetics;
• antifungal.
• laxatives

Taking medications that cause an allergic reaction bronchial asthma, can be expressed not only by itching in the anus, but also manifest itself in other parts of the body.

Manifestation of contact dermatitis in the perianal area

Contact dermatitis is a disease that causes inflammation of the skin. It arises from the contact of the allergen with the skin. A big problem is irritation on the skin of children from contact with diapers. This may manifest as a rash on the bottom of the baby. A rash on the pope in adults can also appear after contact with diapers. For example, if the patient is lying down and is immobile long time. One of the symptoms of allergic contact dermatitis is itching in the anus and rash. The following agents can provoke the manifestation of a rash:

• toilet paper in the composition, which includes substances with allergens;
• latex products;
• dyes in clothes.

Wipe the affected areas with napkins or towels that do not contain new skin irritants.

Diagnosis of anal itching

Any treatment anal itching preceded by diagnostics, which includes:

Depending on the causative factor of itching, treatment is carried out. Drug therapy can be intravenous and local.

There can be many diseases that cause anal itching. In the perianal region, they can be complicated by an infectious component. If a person itches in the anus, then a strong desire to scratch leads to a further deterioration of inflammation. Personal hygiene and the use of natural ingredients for washing will be the key to preventing infectious and bacteriological diseases. Symptoms and treatment associated with anal itching may differ in each case, but all pathologies require a medical examination.

Itching in the anus is very obsessive symptom causing discomfort and drastically reducing the quality of life. Almost always, people put off a visit to the doctor and start their condition, as a result of which redness and irritation are replaced by erosion or weeping. Many diseases can provoke itching of the anus. However, people are embarrassed not only to mention the cause of their anxiety and nervousness, but also to visit a proctologist.

Why does the anus itch? There is no definite answer to this question, since a number of diseases can directly or indirectly cause irritation of the mucous membrane in the anus and around the anus. So, in order.

Diseases of the rectum

The most common cause of itching and burning in the anus is the pathology of the rectum and anus. If a person is only concerned about discomfort in the anus, it is likely that these are warts or genital warts. When passing feces through the rectum, they are irritated, injured and infected, which causes itching.

If, in addition to itching, the patient experiences pain during bowel movements, and sometimes notices blood droplets on toilet paper, cracks in the anus are possible. More serious causes of such symptoms may be anorectal fistulas and rectal polyps.

Burning in the anus is present when infected with roundworms and other types of helminths. Emptying the intestines in this case is accompanied by unpleasant sensations.

Giardiasis provokes itching due to irritation of the anus with feces with frequent diarrhea. Giardia can provoke the appearance of rashes on different areas body, including the perineum.

Intestinal dysbacteriosis

With dysbacteriosis in the intestine, the balance between the beneficial microflora, which helps the absorption of nutrients, and the pathogenic, is disturbed. Moreover, the “wrong” bacteria begin to prevail, and this leads to the fact that the mucous membrane is irritated and inflamed, this is accompanied by disorders in the form of constipation and diarrhea. Hard stools and liquid stools irritate the anus, and this causes itching. Especially if after a bowel movement a person neglects hygiene procedures.

STDs and other urinary tract problems

Venereal disease causes inflammation in genitourinary system. Sometimes gonorrhea, syphilis and chlamydia cause anal itching in addition to pain in the lower abdomen, discharge, burning when urinating, etc.

A less problematic cause of itching in the anus can be candidiasis. Thrush can spread from the genitals to the anus, especially if the patient has reduced immunity. Then it itches in the anus and in the perineum.

Manifestation in young children

Babies occasionally have diaper rash. The cause may be a streptococcal infection, candidiasis, or an allergic reaction to medications and food. The whole skin of the anus and buttocks becomes red, hot to the touch and causes great discomfort. When urine or feces get on the inflamed skin, the child reacts with loud crying.

Skin diseases and external irritants

Itching of the anus often worries people prone to allergies, as well as those who suffer from skin diseases:

• psoriasis;
• various dermatitis;
• red deprive;
• seborrheic eczema;
• scabies.

Anus may itch when infected pubic lice or in those who neglect daily hygiene after a bowel movement, wear tight synthetic underwear.

Burning in the anus in people with sensitive skin can cause even a single use of coarse toilet paper and scented sanitary napkins. Allergies or microtraumas on the skin of the anus lead to irritation and further infection.

A few more reasons

1. Obesity. fat people prone to increased sweating, so they often experience diaper rash and itching in the anus, buttocks and perineum.
2. Diabetes. One of the signs of the disease is itching in the genital area and anus.
3. Diseases gastrointestinal tract. Serious pathology liver may be accompanied skin itching, including in the anus. Itching and burning in the anus occur with pancreatitis and biliary dyskinesia.
4. Allergy. food intolerance, alcoholic beverages, preservatives and additives, as well as the use of certain medicines can cause itching in the anus.
5. Depression, nervous tension and unnecessary hygiene procedures. When a person pays excessive attention to the latter, dryness of the skin of the anus, degreasing can develop, and this gives rise to itching and inflammation. Constant anxiety and depression can cause various problems, including hypersensitivity of the skin to irritants. In this regard, in adults prone to increased nervous excitability, itching of the anus occurs more often.

Necessary actions

What to do for people with itching in the anus? To make an accurate diagnosis and determine what the problem lies with itching of the anus, you will have to bypass a number of narrow specialists. It is necessary to visit a proctologist, gastroenterologist, endocrinologist, dermatologist, gynecologist for women, and urologist for men. Each of the doctors will refer the patient for research:

When interviewing a patient, the doctor will ask:

• how long the patient has been tormented by itching in the anus;
• after which it is felt and when it intensifies;
• whether there is a burning sensation along with itching;
• how long the discomfort lasts;
• What time of day does itching feel?
• whether it increases after eating any food, etc.

Association of itching with defecation. Possible cause such a symptom may be weakness of the anal sphincter. This is observed with hemorrhoids, postpartum and postoperative injuries of the anus, prolapse of the rectum, or in those who practice anal sex.

Dependence of itching on nutrition. When a patient complains of discomfort in the anus after eating spicy and salty foods, as well as alcoholic beverages, the doctor may suspect proctosigmoiditis, that is, inflammation of the rectum and sigmoid colon.

Itching that develops after external influences to the anus. This refers to the impact on a person of harmful gases, chemicals or radioactive radiation in everyday life or at work. Labor activity on the chemical industries, indoors with elevated temperatures and moisture have a negative effect on skin. Chemicals can settle on the surface of the sweaty epithelium, and the steamed skin in the perineal area begins to rot, in its folds there is an active growth of pathogenic bacteria or fungi (candidiasis, dermatophytosis, etc.). The result is redness and anal itching.

genetic predisposition. The doctor will definitely ask if any of your blood relatives have endocrine diseases, obesity, diabetes mellitus, fungal lesions of the skin or nails, dyspepsia. All this information, coupled with the results of the tests, will help to find the cause of itching in the anus and begin appropriate therapy.

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Therapeutic measures

When the cause of itching is the neglect of the rules of hygiene, the treatment consists in daily washing with mild disinfecting solutions (furatsilin, infusion of chamomile, sage, and others). For a while, you will have to abandon the use of toilet paper, even soft. Your doctor may recommend that you use wet antibacterial wipes after every bowel movement.

Just in case, it is better to switch to a diet, that is, remove pickles, hot sauces, seasonings, peppers, pickled vegetables and other foods that can irritate the mucous membrane of the rectum and anus from the menu. In addition, try to wear only cotton underwear.

If the patient is allergic to something, he may be prescribed a course of glucocorticosteroid hormones. For local application recommend corticosteroid ointments, solutions containing menthol, Anestezin, Lidocaine or Novocaine. Skin diseases treat suitable remedy: ointment Hydrocortisone, Triderm, Candide, zinc or salicylic. For fungal diseases of the skin of the anus, creams and ointments are used that are active against the identified types of fungus: Clotrimazole, Triderm, Posterizan, Onabet and others.

Depending on the severity of hemorrhoids, Gepatrombin, Aurobin, Bezornil, Relief, Ultraprokt, Detralex and others can be used. Complex ointment Menovazan has a cooling effect, softens, eliminates pain. It is convenient to use with dry skin of the anus. If hemorrhoids have reached stage 3-4, surgery will be needed.

If helminthic invasions are detected, careful personal hygiene is recommended. After each bowel movement, the anus area should be washed with cool water and baby soap, and then treated with glycerin. Naturally, after each visit to the toilet, hands should be washed with antibacterial soap. Underwear should be changed every day. Briefs should be washed in hot water with laundry soap and after drying, iron. This strategy will help avoid re-infection.

A very important component of getting rid of worms is drug therapy. Depending on the pathogen, Albendazole, Pirantel, Decaris, Vermox, Vormil, Metronidazole, Nemozol and others can be used.

When a patient has internal diseases, all efforts are directed to their cure. Otherwise, the simple removal of itching will be a temporary measure, the effect of which will disappear very quickly.

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Many people experience intestinal dysbiosis. After frequent diarrhea, the skin of the anus burns, and then itching appears. To avoid aggressive impact diarrhea or constipation, you need to be treated with pre- and probiotics (Acipol, Bifidolactobacterin, Linex, Bifiform and others similar drugs). For people prone to increased nervous overexcitation, the doctor may recommend drinking mild sedative drugs for a month: Novo-Passit, motherwort tincture, Calm, Tenoten and others.

As you can see, itching in the anus develops for a reason. Without a doctor and a normal examination, you will not find the cause, so go to the doctor and try to deal with the disease or the factors that caused such discomfort with him.

Itching in the anus is a fairly common problem that many patients are embarrassed to even tell a doctor about. As a result, it is aggravated, from a nuisance turning into debilitating torture. But itching usually does not go away on its own. To eliminate it, appropriate treatment is required. And since there are many reasons for this phenomenon, you first need to clarify why it itches in the anus area.

Characteristics of the problem

Itching in the anus can be localized directly in the rectum or spread to the entire perineum. It can be both mild and short-term, and strong, unbearable, long-lasting, intensifying at night or acquiring in some cases a permanent character.

Simultaneous burning, swelling, maceration and excessive moisture of the skin near the anus, thickening or, conversely, exfoliation of the upper layer of the dermis around the anus are possible.

Why does anal itching occur?

This unpleasant discomfort can be the result of many different etiological factors. However, primary (an independent pathology that occurs without a cause), or idiopathic, and secondary (as a symptom of a background disease) forms of itching in the rectum and near it are isolated.

Frequent factors of this pathology:

• haemorrhoids;
• anal fissures;
• helminthiasis;
• encopresis;
• liver pathology;
• venereal diseases;
• diabetes.

In addition, the appearance of itching can contribute to:

• chronic colitis;
• dysbacteriosis;
• fungal infections;
• skin diseases;
• tumors;
• dermatitis resulting from contact of the dermis with detergents, after applying rectal ointments and suppositories;
• food allergies, especially against the background of alcohol consumption.

Often, the reasons are excessively thorough hygiene of the specified area, stress, and even tight, uncomfortable underwear.

Background diseases

Since the therapy of this pathology should not only be symptomatic, treatment should begin after a thorough diagnosis.

Let us consider in more detail the reasons for the described phenomenon.

Haemorrhoids

This disease develops venous congestion, then there is an expansion of the veins located in the rectum. Itching accompanied by burning and false sensation foreign body in the anus, in this case is the result of thinning of the mucous membrane and skin of the pathological zone. However, their sensitivity to annoying factors increases noticeably. In addition, with hemorrhoids, the anus often becomes inflamed, which increases irritation.

anal fissures

For a mucosal fissure in acute phase the anus is characterized by pain. Symptoms such as itching and burning appear later if the pathology is not recognized or treatment was not followed immediately. In this case, it itches usually at the time of defecation, and the burning sensation persists for a certain time after it. The cause of these sensations is a mechanical tissue defect that is irritated stool and then it flares up.

Helminthiasis

For effective treatment hemorrhoids our readers advise. This is natural remedy, which quickly eliminates pain and itching, promotes the healing of anal fissures and hemorrhoids. The composition of the drug includes only natural ingredients with maximum efficiency. The tool has no contraindications, the effectiveness and safety of the drug is proven clinical research at the Research Institute of Proctology.

Encoprese

Insufficiency of the anal sphincter irritates the sensitive receptors of the perianal zone, especially in children. Due to their age, they are not able to provide proper hygiene. As a result, the skin becomes inflamed, burning and itching become permanent and can disturb the child very much.

Venereal diseases

Genital infections are often accompanied by secretions that cause mechanical and chemical irritation of the perianal area. The result is itching and severe burning in the perineum.

Diabetes

This disease is characterized increased level sugar in the blood, which leads to its partial release through the skin pores. As a result, symptoms of irritation of the dermis develop. In addition, hyperglycemia contributes to the active reproduction of microorganisms, the waste products of which increase itching.

Liver pathologies

In diseases of the liver, the process of removing toxic substances from the blood is disrupted. Spreading throughout the body, they irritate sensitive receptors, including those localized in the rectum.

Uncomfortable underwear

Strongly tight underwear or thongs that are popular today are a fairly common cause of itching in the anal area, especially in girls. Its appearance in such cases is associated with the constant contamination of microorganisms of the genital organs, skin and intestines. These unusual conditions lead to the release of their metabolic products on the surface of the dermis. As a result, symptoms characteristic of perianal dermatitis are formed.

Diagnostics

Treatment of rectal itching, like any other pathological process starts with diagnostics. In case of severe discomfort, symptoms can be relieved by symptomatic means. In the absence of treatment of the underlying disease, manifestations will resume.

It is necessary to start the examination for any pathology of this area with a visit to the proctologist

First, hemorrhoids and anal fissures are among the most common causes why the area itches. In the case of these diseases, it is possible to avoid conservative therapy. However, for this complex treatment should be done as early as possible. Secondly, the cause of anal itching can be tumors, which must be treated radically and as quickly as possible.

If a non-proctological nature of the disease is suspected, the doctor may refer the patient to a gastroenterologist, dermatovenereologist or infectious disease specialist.

If the itching bothers the child, it is better to immediately contact the pediatrician and get tested for the presence of worms, as this is a common cause in children. At the same time, the sugar level should be checked. At increased rates visit an endocrinologist. In the absence of a patient organic cause itch, he goes to a neuropsychiatrist.

Treatment tactics

Simultaneously with the examination or pathogenetic treatment if the diagnosis has already been established, it is carried out local therapy aimed at eliminating hypersensitivity receptors and relief of inflammation. For this, anti-inflammatory drugs are used. A special diet and physiotherapy are also required.

Constant or periodic itching in the anus is an unpleasant phenomenon. It can occur at any age, regardless of gender. This condition may be associated with both manifestations various diseases, including with helminthic invasion, and with violations of the diet, when irritants. In this case, itching in the anus usually occurs after a bowel movement.

The main causes of itching in the anus

In most cases, anal itching is provoked by completely harmless causes. but that is no reason to do self-treatment without visiting a doctor. It is worth knowing that sometimes itching is the first symptom. malignant neoplasms epidermis. To establish this diagnosis in a timely manner means giving you a chance for a full and quick recovery.

Should not appear when discomfort use irritating alcohol solutions and soaps with an aggressive reaction. This may only exacerbate your problem. active scratching should also be avoided. Pathogenic intestinal microflora can penetrate into the resulting scratches, which will lead to pyoderma and other inflammatory diseases.

Among the most common causes of itching in the anus are:

1. intestinal lesions with worms (pinworms come out to lay eggs from the rectum in the folds of the skin around the exit from the rectum);
2. fistulas and fissures of the rectum;
3. psoriatic skin lesions and eczema;
4. contact allergic dermatitis(may occur as a response to the use of aggressive detergents and detergents, as well as personal hygiene products);
5. seborrheic dermatitis and fungal infections (in women it is often associated with an exacerbation of thrush in the vagina);
6. scabies and pubic lice;
7. irritation with scented toilet paper;
8. violation of the acid-base balance of water;
9. improper use of laxatives based on salts.

These are the so-called external causes anal itching. Now let's take a closer look internal causes in which itching in the anus is a symptom. Here are the most important:

1. hemorrhoids and hemorrhoidal bonds;
2. diabetes mellitus and impaired glucose tolerance;
3. chronic diseases of the liver and gallbladder;
4. intestinal dysbacteriosis;
5. intoxication with salts of heavy metals.

All these conditions provoke an imbalance in the moisture content of the epidermis and can cause itching and burning in the anus. In this case, it is possible to eliminate an unpleasant symptom only if correct therapy underlying internal disease.

Risk factors

Other risk factors include:

• alcohol consumption;
• use as condiments a large number red hot pepper;
• the use of grapes with seeds;
• stressful and anxious situations;
• eating large amounts of carbohydrates.

Particular care should be taken by people who lead a sedentary lifestyle with sedentary work. In such people, normal blood flow in the pelvic area is often disturbed. Gradually, stagnation of blood is formed, which leads to the expansion of the veins of the small pelvis. This can cause hemorrhoids and bleeding from hemorrhoids.

Individuals who suffer from frequent constipation should also lead a more active lifestyle to stimulate normal bowel function. Timely bowel movement is the key to your health. Stagnation of bile and its massive output can also cause itching and burning in the anus. Eliminate congestion in the gallbladder.

Symptoms of itching in the rectum

For a correct diagnosis, anamnesis is important:

• when the back appears in the anus;
• how strong he is;
• with what factors it is associated;
• whether itching is accompanied by a burning sensation;
• duration of unpleasant symptoms;
• its relation to the time of day.

After the interview, the doctor should conduct a visual examination. During this, the integrity or damage of the skin is revealed. You should first contact a dermatologist, who, after testing, can recommend you a consultation with a surgeon, an infectious disease specialist and a gastroenterologist. Appointed:

• analysis of feces for eggs of worms (scraping is done from the skin around the exit of the rectum);
• analysis of feces for occult blood;
• taking epidermal material for biopsy and examination for fungal infections;
• a blood test to determine the level of sugar in the morning on an empty stomach;
• biochemical blood test to determine liver tests;
• analysis of feces for intestinal microflora.

If necessary, a colonoscopy may be ordered. The surgeon determines the presence of hemorrhoids and nodes. Angiography of the veins of the small pelvis may be prescribed. All these examinations will help to establish the exact cause of itching in the anus.

What treatment for itchy anus can help you?

Depending on the cause, it may be prescribed specific treatment back of the anus. You can do the following on your own:

1. observe the rules of personal hygiene;
2. after bowel movements, gently clean the anus with slightly damp wipes;
3. after that, drain and powder with talc;
4. use only white toilet paper without fragrances and dyes (it should be noted on the packaging that chlorine and printing paper were not used in the production);
5. eliminate irritating foods from the diet;
6. discard synthetic underwear (wear cotton underwear and iron it with a hot iron on both sides after each wash).

Take off acute symptoms ointments help with itching in the anus. Hydrocortisone or other corticosteroids may be recommended. In the presence of weeping surfaces, you can use salicylic or zinc ointment. They dry out the skin. If you see inflammatory lesions with redness and purulent vesicles, then you can apply thin layer penicillin ointment for 3-5 days. At fungal infection Nystatin ointment helps.