Itching (rectal)

Other names

Pruritus ani
Anal itching
Itchy anus
Perianal irritation

Synopsis

Rectal itching, medically known as pruritus ani, is an uncomfortable, often embarrassing symptom characterized by persistent itching around the anus. It may be a temporary irritation or a chronic condition, and while often due to local irritation, it can also indicate underlying digestive, dermatological, or parasitic issues.

Common causes include:

  • Poor hygiene or over-cleaning (especially with soaps or wipes)

  • Hemorrhoids

  • Fungal or yeast infections

  • Pinworms (especially in children)

  • Anal fissures or small skin tears

  • Food sensitivities (spicy foods, caffeine, citrus, chocolate)

  • Skin conditions (eczema, psoriasis)

  • Excess moisture or sweating

  • Inflammatory bowel disorders or rectal prolapse

Scratching worsens inflammation, may lead to skin breakdown, and increases the risk of secondary infections.

When to see a doctor:
If the itching is persistent, disrupts sleep, or is accompanied by pain, bleeding, discharge, or a lump, evaluation is needed to rule out infection, parasites, or rectal conditions like hemorrhoids or fistulas.

Natural Remedies

Practice Gentle Hygiene: Clean with warm water (no soap), pat dry, and avoid wipes with alcohol or fragrance.

Apply Barrier Creams: Zinc oxide or petroleum jelly protects irritated skin.

Avoid Trigger Foods: Especially spicy, acidic, or irritating foods that may worsen symptoms.

Use Loose, Breathable Clothing: Cotton underwear and proper airflow help reduce moisture.

Take Sitz Baths: Warm shallow baths can soothe inflammation and reduce itching.

Ingredients

These raw ingredients are often used in alternative medicine to treat this condition.

reishi mushroom
slippery elm bark
turmeric
vitamin C
zinc
aloe vera
chamomile
dandelion
licorice root
marshmallow
peppermint oil