Itchy anus after stool, with blood or worms

An itchy anus is an annoying problem. An itchy anus or anal itch, also called perianal itch or pruritus ani, is an irritating and embarrassing symptom diagnosis. With anal itching, the complaint consists of itching around the anus and it can spread into the perineal area, the area around the anus. It often starts as a tickling feeling or mild itching around the anus. The itching may gradually become more intense and spread to the scrotum, the vulva, but especially to the midline of the buttocks. More men than women suffer from anal itching. It is rarely seen in children.

Itchy anus

  • What is pruritus ani – itchy anus?
  • What are the possible causes of an itchy anus?
  • Irritating eczema
  • Dermatological abnormalities
  • Proctological abnormalities
  • Internal or internal diseases
  • What are the complaints?
  • What can you do if you suffer from an itchy anus?
  • What can you do if you have an itchy anus?
  • Good hygiene
  • Do not use soap
  • Provide soft stools
  • Wear loose-fitting pants

What is pruritus ani – itchy anus?

In pruritus ani, the complaint consists of an itchy anus, which can vary in severity and can be aggravated by scratching. The itching and burning may cause you to scratch, eventually causing traumatic dermatitis and the itching becoming chronic. There is then a closed vicious circle of itch-scratching-dermatitis, which is difficult to break.

Symptom diagnosis
Pruritus ani is a symptom diagnosis. Anal itching is not a disease in itself, but rather a sign or symptom of an underlying problem or condition. In most cases, there is an underlying cause or condition that causes the anal itching. However, sometimes it remains unclear what the underlying cause of an itchy anus is. Regardless of the cause, virtually any type of anal itching can be treated successfully.

Alcohol increases the risk of an itchy anus / Source: Istock.com/karelnoppe

Who is more likely to have anal itching?
Anal itching is four times more common in men than in women. Although anyone can develop anal itching, it is mainly people aged 40 and older who suffer from it. It is rarely seen in children. Pruritus ani occurs in all social strata of the population. You are more likely to suffer from an itchy anus if you have a sedentary job, live under heavy psychological pressure, are obese or drink excessive amounts of alcohol.

What are the possible causes of an itchy anus?

Pruritus ani can have several causes. We discuss the most common ones below:

Irritating eczema

As a result of fecal contamination, i.e. the retention of a small amount of feces or feces on the skin around the anus, the skin can become irritated and damaged. This causes itching with a risk of invasion by fungus and bacteria. Moreover, when the skin becomes too moist, maceration (softening of the skin) occurs. This can promote irritation and infection. Excessive wetting of the perianal area occurs with:

  • ineffective hygiene;
  • insufficient ventilation (overweight, synthetic underwear, plastic chairs, etc.);
  • excessive perspiration (fluid, fever);
  • due to the leakage of intestinal contents as a result of, for example, a malfunctioning or damaged sphincter muscle or diarrhea;
  • abnormal vaginal discharge;
  • urinary incontinence.

The skin around the anus can also become irritated by certain foods such as highly spicy foods and alcohol and excessive use of soap or disinfectants.

Dermatological abnormalities

Dermatomycosis (a fungal infection) is often seen as a cause of anal itching. A candida infection is especially common. Candida albicans is a yeast-like fungus that is naturally present in and on the human body. The yeast thrives especially in a warm and humid environment. Consider skin folds, such as between the buttocks.

Contact allergy can also occur. Certain substances, for example from moist toilet wipes, ointments or creams, can provoke allergic reactions. Other dermatological disorders that can cause an itchy anus are psoriasis, hemorrhoids and erythrasma (a superficial infection of the skin with the bacterium Corynebacterium minutissimum).

Proctological abnormalities

Proctological abnormalities that release fluid, pus, blood and/or mucus often lead to anal itching complaints. This includes perianal fistulas or fissura ani, hemorrhoids (hemorrhoids), inflammatory bowel diseases (Crohn’s disease), frequent diarrhea and worm infections.

Internal or internal diseases

There are a number of internal diseases that can be associated with perianal itching. The two most common are:

  • diabetes mellitus (diabetes, which often involves an infection with Candida albicans);
  • hypothyroidism (underactive thyroid).

What are the complaints?

In addition to an itchy anus, you may suffer from irritated skin or eczema around the anus. The itching may spread to the entire perineal region. You may also suffer from mucus and/or blood loss. The itching can vary greatly in intensity and the itching can affect your children’s social functioning; it can also disrupt sleep.

General practitioner with patient / Source: Istock.com/monkeybusinessimages

What can you do if you suffer from an itchy anus?

Treatment depends on the underlying disease or condition. If research shows that you have a specific skin disease, such as psoriasis, you will receive treatment. Hemorrhoids can be treated directly, as can other conditions. For a fungal infection, an antifungal cream is indicated and worm infections can be treated with a parasiticide.

What can you do if you have an itchy anus?

The following advice is important to follow if you have an itchy anus:

Good hygiene

Ensure good hygiene of the anus and the skin around the anus. Do this by not using toilet paper, but by dabbing with (non-scented) wet wipes or using a toilet shower. Then dry the skin thoroughly. Keep the skin dry as much as possible.

Do not use soap

Avoid soap and foam baths, etc. Only wash your anus with lukewarm water and if you do use soap around the anus, rinse it well. Prevent soap residue from being left behind.

Avoid soap for anal itching / Source: Pezibear, Pixabay

Provide soft stools

To prevent hemorrhoids, wounds and other complaints of the anus, it is important that your stools are soft and flexible. Then you need to avoid straining hard during a bowel movement and wounds or hemorrhoids will not occur as quickly. You can keep your stool soft and loose by eating a fiber-rich diet, drinking enough, getting enough exercise and by showing healthy toilet behavior (i.e. going to the toilet immediately as soon as you feel the urge).

Wear loose-fitting pants

Do not wear tight pants or tights. Loose-fitting cotton or linen underwear is preferred.

read more

  • Anal itching (itchy anus): causes of itching of the anus
  • Itching of the anus: symptoms, cause and treatment
  • Cracks or fissures in the anus: treating anal fissure
  • Pinworms: small white worms around the vent or anus
  • Pain, itching and discharge from the anus: causes and symptoms