A very delicate topic – but quite frequent discomfort that may arise in each person – is an itch in the anus. The reasons for such inconvenience can be either non-serious banal factors, such as diarrhea or hygiene, or very serious diseases of the rectum. For obvious reasons, this situation has a very negative effect on the mood, psychological state of a person, negatively affects his performance, communication with people, etc.
About any unpleasant symptoms and diseases associated with the anus and rectum, rarely anyone wants to tell anyone whatsoever. And if there is a burning sensation, itching in the anus, the cause of which to a person is not clear, he often delays a visit to the doctor. This problem stops many people, not only because of embarrassment, but also from ignorance to which doctor to address with such an incomprehensible symptom. A doctor who deals with all problems associated with the rectum – a proctologist or coloproctologist, as well as a woman should consult a gynecologist for a consultation, and a man – a urologist.
The main possible causes of itching
Diseases of the rectum
This is the main cause of itching anus. If nothing bothers the patient besides the itch, it can be genital warts, warts. However, in the presence of pain and blood discharge, it is possible that the cause may be cracks in the anus, and anorectal fistulas, and benign tumors – polyps in the rectum.
If, in addition to pain, blood after defecation on toilet paper, there is a feeling of heaviness in the anus, burning sensation – this may indicate internal hemorrhoids or external hemorrhoids of varying degrees of severity. The most serious, dangerous cause of itching anus can be chronic proctosigmoiditis and malignant neoplasms in the rectum.
The second reason for the appearance of irritation, itching in the anus is the presence of various parasites in the human intestine. The most common invasions are caused by pinworms, especially in children and adolescents (see pinworms in children, pinworms in adults). When the child is sleeping, female pinworms lay eggs in the area around the anus, which causes discomfort and itching in the anus.
The cause of burning is also due to the presence of ascariasis and infection with other types of helminths, and these symptoms most often occur after emptying the intestines. Giardiasis can also cause itching, since with the massive reproduction of these parasites, diarrhea occurs in children and adults with intense cramping pain in the abdomen, and with frequent stools, irritation of the anus also leads to itching. In case of giardiasis, the possibility of a rash on various parts of the body, including in the perineal area, is also a source of itching.
Diarrhea, constipation, which accompany many diseases of the gastrointestinal tract, quite often cause discomfort in the anus. When intestinal dysbiosis, for example, a violation of microflora leads to irritation of the intestinal mucosa, frequent diarrhea (pills for diarrhea), which causes itching in the anus. (how to treat intestinal dysbiosis).
Gynecological diseases in women, prostatitis and urethritis in men
Another cause of itching in the anal passage in women are various infectious diseases of the genitourinary system. Any STIs, gonorrhea, trichomoniasis, chlamydia can cause any discomfort in the groin, itching, burning, pain. The most common and most innocuous cause of an itch of the anus is with thrush in women, because the vagina is near the rectum, and fungal lesions can spread in this area. Candidiasis of the vagina is quite easy to treat and does not pose serious difficulties in diagnosis, unlike other hidden infections and gynecological diseases. Sometimes the presence of pubic lice contributes to the appearance of itching in the entire perineum.
With a rare change of diapers in young children there is staphylococcal diaper rash or itching in the ass can be caused by candidiasis.
Skin diseases and some irritants
When the body is prone to various allergic reactions and skin diseases, such as various types of dermatitis, psoriasis, lichen planus, seborrheic eczema, scabies, pediculosis (pubic lice), after violations of personal hygiene (inability to take a shower for several days), using rough toilet paper with dyes and fragrances, wearing synthetic underwear with rough seams, thongs that cause skin irritation – also provoke itching and discomfort. At the same time from scratching microcracks are formed, into which pathogenic bacteria can easily fall, causing more serious infection.
Overweight – Obesity
People burdened with excess weight or with increased sweating, in the perineum from rubbing appear diaper rash and irritation of the skin, which also causes itching.
Itching in the anus can be a sign of diabetes, as this disease is often accompanied by constant itching in the genital area, in the anus.
Also, discomfort, discomfort in the rectal area can talk about diseases of the liver, pancreas (symptoms of pancreatitis), biliary dyskinesia.
If you are allergic to certain foods, alcohol, chemical additives, as well as taking certain medications (antibiotics), itching may also occur as a side effect in the area of the anus.
Depression, anxiety, mental disorders
Some neuropsychiatric diseases, which occur in people with an obsessive desire to always be perfectly clean, force a person to wash the anus thoroughly with soap several times a day, which leads to defatting, drying of the tender skin, causing itching and infection with pathogenic bacteria. Anxiety, stress or depression also create conditions for itching in any parts of the body, and the skin becomes sensitive to the slightest irritation.
What to do when itching anus
Only on the basis of a number of tests, an examination by a proctologist, gynecologist, endocrinologist, gastroenterologist, and dermatologist, the true cause of such symptoms can be established. Therefore, doctors can refer a patient in the following areas to determine the diagnosis:
- skin examination by proctologist, gynecologist, dermatologist
- blood glucose test
- urine and blood count
- blood chemistry
- analysis of feces for intestinal dysbiosis
- analysis of feces on worms eggs
- colonoscopy or anoscopy
If itching is the only complaint of the patient, the doctor finds out the following features of the appearance of discomfort. Firstly, it is necessary to establish the type of itch, is it the primary symptom or secondary, secondly, determine the shape – wet or dry, and also:
If itching is associated with defecation. This may be a sign of a weak function of the sphincter of the anus, which happens with hemorrhoids, with postoperative, postpartum damage, prolapse of the rectum, nervous diseases in children, with anal sex. Depends on nutrition. If itching increases after salty, spicy foods, alcoholic beverages, this indicates proctosigmoiditis. Harmful external influences. Perhaps the cause of itching in the anus is a domestic or industrial harmful chemical, radiative forcing. If a person is forced to work in a chemical industry, in a very polluted, dusty room with high air temperature and other adverse conditions, this can affect the condition of the skin and perineum, causing similar discomfort. The presence of domestic animals – may be the cause of the worm infestation. Anamnesis of the genetic characteristics of the patient. It is necessary to find out whether there are endocrine diseases, diabetes mellitus, fungal lesions, dyspepsia in close relatives. And only after receiving the results of all examinations can you determine the disease that caused this discomfort and begin its treatment.
Treatment of an itch of an anus
If it is found out the secondary nature of the cause of itching, then the main disease that caused its occurrence should be eliminated. That is, it is the treatment of STIs, dysbacteriosis, candidiasis, helminthic invasion, treatment of pediculosis and scabies, liver failure, etc. If during the diagnostics anal fissures, hemorrhoids, papillitis, prolapse of the rectum or proctosigmoiditis are revealed, then the corresponding complex treatment of these pathologies is performed.
There are cases when, in addition to the patient’s complaints of itching, no analysis of diseases is detected, in which case the latent course of proctosigmoiditis is suspected, and dietary food, skin ointments, microclysters with collargol are prescribed. In the case of neuritis and psychosis, sedative sedatives are prescribed – valerian, bromine, corvalol. For allergic causes, antihistamines are indicated, i.e. allergy pills. For the prevention of itching of the anus, the cause of which is established and the treatment carried out, you can use rectal plugs Gemo-Pro with propolis.