Anal Itch (Pruritus Ani)

Prevention

In many cases, you can prevent anal itch by taking the following steps:

• Practice good anal hygiene - When possible, gently cleanse the anal area after every bowel movement by using wet toilet paper (unscented and dye-free) or a wet washcloth. Wipe gently or blot the area. Never rub or scrub. If you are in a public toilet, use dry toilet paper temporarily, then finish your cleansing regimen when you return home.

• Use only water to clean the anal area, never soap.

• Avoid using medicated powders, perfumed sprays or deodorants on the anal area.

• Eat a sensible diet that is low in the foods and beverages known to cause anal irritation.

• Wear cotton underwear that is not too tight.

• If you are taking oral antibiotics, eat yogurt to help restore the normal ecology of your colon.

Treatment

In most cases, anal itch can be treated by:

• Thoroughly but gently drying the anal area after every bowel movement, using unscented toilet paper, a clean cloth towel or a hair dryer if necessary.

• Dusting the anal area with nonmedicated talcum powder between bowel movements, or laying a clean square of cotton gauze against the anus to absorb any excess moisture.

• Resisting the urge to scratch, no matter how itchy the area becomes. The itch will pass, or at least decrease in intensity, over a short time, but the more you scratch, the longer it will take for the itching to go away.

• Applying topical remedies such as zinc oxide or hydrocortisone ointment (1 percent) on a regular schedule, or as needed, to help you avoid scratching.

• Wearing soft cotton gloves while in bed if you scratch at night or in your sleep.