Anal Itching (Itchy Bottom), Symptoms, Causes, Sore, Really Itchy Bum at Night, Anal Cancer, Treatment

Having an anal itching can be embarrassing and uncomfortable. The persistent need to scratch your bottom is irritating. What causes itchy bottom? Medically known as pruritus ani, this itchy feeling can be caused by a number of skin related conditions. Find more in the post the causes, symptoms and how to get rid of anal itching.

Itchy bottom is a common condition related to skin problems, hemorrhoids and poor hygiene around your anus. The itching is usually around the anus and can be intense accompanied by strong irresistible urge to scratch. Itchy bottom is in itself a symptom than a condition. Anal itching can be severe depending on the underlying cause behind it. Most anal itching can be treated at home without need for medical intervention.

I have an itchy bum, what does an itchy buttocks mean?

What does it mean to have your bottom itching? The urge to scratch your anal area is irresistible. As mentioned earlier, itchy anus can be linked to skin and internal medical problems. If you have an itchy anus related to skin problems, it could mean you have:

  • Atopic dermatitis or eczema
  • Excessively friction around your anal area arising from rough wiping after bowel movement
  • Psoriasis

Itchy anus could mean there could be an underlying medical condition. It could include:

  • Leaking stool (fecal incontinence)
  • Hemorrhoid
  • Sexually transmitted infection
  • Skin tags
  • Infections (parasitic or fungal)
  • Anal cancer
  • Diarrhea

Certain diet are also linked with itchy bottom. These include alcohol, peanuts, tomatoes and caffeinates beverages. An itchy bottom could also mean taking laxative or other medications that cause diarrhea. Although itchy anus can be treated at home with self-care measures, a persistent scratching that leads to bleeding needs the intervention of a doctor. It could be the onset of anal cancer.

Anal itching symptoms

Itchy bottom is a symptom rather than a condition. In addition to itchy anus, you’re likely to experience the following symptoms:

  • Burning feeling around the anus
  • Soreness
  • Redness
  • Swelling
  • Ulcers
  • Itchy rash around the anus
  • Bleeding arising from persistent scratching
  • Tearing of the skin around the anal area

Depending on the underlying cause, anal itching and irritation can be temporary or more persistent. You can treat itching bottom at home with self-care home remedies. However, see a doctor if:

  • The irritation and itching is severe or persistent
  • Anal bleeding
  • Infection
  • You aren’t sure what’s the cause of persistent itch

Itchy bottom causes

An itchy bottom is a symptom rather than a condition. It is a sign underlying cause such as bacterial infection or skin condition such as atopic eczema. Below here are some of the possible causes of anal itching and irritation.

1. Itchy anus due to infection

Itchiness on your anus may be a sign that you have an infection. This include:

  • Bacterial infection– it includes the streptococcal bacteria that causes all types of streptococcal infection or the staphylococcal bacterial that causes the staph infections. To relieve anal itching from bacterial infection, you will need to take antibiotics.
  • Fungal infection– infection from fungus such as candida can lead to itching and irritation on your anus. For instance candida albicans fungus known to cause vaginal thrush can lead to irritation, itching and sometimes around the groin and its surrounding area including the buttocks.
  • Itchy anus worms– itching anus is a common symptom of parasitic infection such as worms. These include threadworms that infect the small intestines. Scabies too can cause itchiness. Tiny mites that burrow into the skin around the anal area.
  • Viral infection– infection of the virus such as the herpes simplex virus are the likely cause of infection cause burning or irritation in the skin around the anus.

2. Itchy anus STD

If you’re sexually active you can get STDs like gonorrhea or anal herpes. Sexually transmitted infection affect both male and females. Your genitals, rectum, anus and throat are susceptible to infection. Itchy bottom may be anal herpes caused by the herpes virus. It can results to sores or blisters around the anus. The symptoms for anal herpes causing irritation on the anus include:

  • Irritation, pain and itching around the anus
  • Red bumps or white blister
  • Development of ulcers at the site where blisters originally formed
  • Scabs that tend to cover the ulcers that raptured or bled

Treating anal herpes is helpful to reduce the itchiness around the anus. This helps to reduce the duration of the outbreak and intensity. Initial treatment for anal herpes is antiviral therapy. HSV-II is the virus causing anal herpes. Your doctor will prescribe antiviral medication taken regularly. This will help reduce the occurrence and severity of anal HSV-II.

Since STIs such as HSV-II are highly contagious, you can lower the risk by practicing safe sex.

3. Itchy anus candida

An infection of the anus or rectum by yeast can cause unbearable itching. Vaginal itching common in women can bring a painful constant scratching sensation. Vaginal yeast infection is considered a Sexually transmitted diseases. Itching, burning and burning can be the signs and symptoms of yeast or candida. Men who have sex with a woman who yeast infection will likely develop the symptoms.

In men, the symptoms include red rash on the end of the penis and itching which can spread to the anus. The irritation can be severe leading to rectal or anal bleeding. See your healthcare provider to ascertain your symptoms come from yeast infection.

4. Itchy anus cancer

Itching around the anus can be the symptom of anal cancer. This type of cancer forms from within the tissues of the anus. Anal cancer is caused by the development of abnormal cells in your body. The cells can grow uncontrollably spread throughout the body and infect nearby tissues. Single men are more prone to get anal cancer compared to married. Single men are at higher risk equating to six times risk rate compared to those married.

Anal infection especially with the human papilloma virus (HPV) resulting to genital warts is one of the major contributory risk for the cancer. Additionally, immunocompromised patients those infected with HIV are at higher risk to get anal cancer.

Other risk factors for anal cancer include:

  • Sexual activity: anal intercourse can increase the risk of getting anal cancer. Not using protection puts you at more risk.
  • Smoking: people with the habit of smoking are likely to develop cancer of the anus even if they stop smoking
  • A weak immune system may prevent your body from fighting off anal cancer. If you take immune suppressants or had an organ transplant, your immune system is generally weak.
  • Old age is another risk factor for cancer of the anus. This occurs in patients over the age of 50.

What are the symptoms of anal cancer?

Itchy anus is one of the symptom for anal cancer. Generally, the symptoms are similar to those of hemorrhoids, gastrointestinal diseases and irritable bowel syndrome. Bleeding from the rectum, changes in bowel habit are the common symptoms. Other symptoms of anal cancer include pain, lump near the anus, and discharge from the anus.

Early detection of anal cancer is the key to successful treatment. Cancer of the anus causing itching is treated by a combination of chemotherapy and radiation. This is to reduce the need for a colostomy increasing a survival rate of over 70% up to 5 years. Although surgery can be done. It is only reserved for patients failing a combination of chemotherapy and radiation.

5. Skin conditions

Itchy bum can be as a result of specific conditions such:

psoriasis– this leads to development of red, flaky, crusty patches of the skin around the anus

contact dermatitis ­- Allergic reaction to certain substances, allergens causes the skin around the anus to be inflamed and itchy

lichen sclerosis – this is a long-term skin disorder that tend to cause itchy or white dots around the genital and anus

atopic eczema– although atopic eczema affects mainly children, it can also affect adults. Eczema is a condition that causes the affected skin to become itchy, red, dry and cracked.

Find the specific underlying skin condition causing irritation or itchy bottom.

Really itchy bum at night bleeding

What causes really itchy bum at night? Itchy bum can become so severe at night such that some people find it hard to resist the urge to scratch the anus. This burning feeling can be persistent such that one ends up bleeding. A number of causes can be linked to irritation around the anus at night.

Possible causes of really itchy bum at night include:

  • Pinworm or hookworm infection
  • Hemorrhoids
  • Sexually Transmitted infections such as genital warts or anal herpes
  • Diaper rash: an inflammation of the skin most common in baby’s bottom
  • Ringworm of the body (Tinea Corporis)
  • Scabies
  • Anal cancer
  • Anal fissures
  • Yeast infection

Find out the underlying cause for really itchy bum at night. This will help you to treat the symptoms and cure the underlying condition.

A really itchy bum at night bleeding may be the symptom of anal tumor. Patients who experience really itchy anus at night bleeding coupled with pain, should go to the doctor. If anal cancer is detected early, it can be treated successfully.

Itchy buttocks hole treatment

Treatment of an itchy bum will entirely depend on the exactly what the cause is. There is no one universal treatment for all the causes discussed above. Itchy bum is in itself a symptom rather than a condition. Whereas in some cases self- care measures can be useful, visiting your doctor is essential to determine the underlying medical condition.

Anus itching medicine, cream for itchy bum

Treatment of anal itching depends on the cause behind it. You may take self-care measures such as an anti-itch cream or treating an infections or hemorrhoids. If your symptoms get worse at night, your doctor may prescribe an oral antihistamine to relieve the itch.

Over-the –counter medicines are available for itchy bottom. Ointments, creams, gel, foam, pads and suppositories can be used to relieve the burning feeling on your bottom. These products contain the same drugs used to treat itch bums and hemorrhoids. Here’s how to use the medicine:

  • Creams, ointments and gels should be applied as a thin covering around the itchy bum

Local anesthetics are temporarily used to relieve pain, burning, itching and numbing the nerve endings. You should limit the use local anesthetics to the perennial are and lower canal area. Over use of local anesthetic can cause allergic reactions coupled with burning and itching. Here are some of local anesthetic to use:

  • Benzocaine 5% to 20%
  • Benzyl alcohol (itch-X) 5% to 20%
  • Dyclonine 0.5% to 1.0 %
  • Tetracaine 0.5 % to 5.0 %

Antifungal cream will cleat fungal infection infections and thrush. You must first ascertain the cause of your symptoms to use antifungal cream. If the cause of pruritus ani is bacterial, use antibiotics to relieve the itching.


If you have a really itchy bum at night, using antihistamines may help. These medicine work by counteracting the action of histamines. Your healthcare provider may prescribe chlorphenamine or hydroxyzine taken at night and not used for longer than two weeks. Some antihistamines have a sedating effect.

Remedies for itchy buttocks

Itchy bum can be treated at home with self-care measures. Here are some of the home remedies to cure anal burning.

  • Cleaned gently after bowel movements– good bowel movements can help reduce itching on your bum. Clean the area with plain water or gentle soap.
  • Dry thoroughly but gently– after cleaning your bum, dry gently the area with toilet paper or towel. You can use a hair dryer set on low heat.
  • Don’t scratch– resist the urge to scratch the area, this is to minimize further irritation to your skin.
  • Wear loose cotton underwear and clothing– this helps to keep the area dry.
  • Avoid irritants­- generally avoid irritants such genital deodorants, perfumed soaps, moist wipes and other items that might irritate your bum. Avoid coffee, cola, alcohol, spicy foods, tomatoes and foods that are likely to cause diarrhea. Minimize excessive use of laxative.
  • Apply ointments or gels– protect your skin from moisture. Apply a thin layer of petroleum jelly or zinc oxide.
  • Maintain a regular bowel movements. If your stool is soft or you got a frequent bowel movements, adding fiber gradually to your diet may help. Including fiber supplements such as Metamucil or Citrucel also help.

Anal itching treatment at home video


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