an intense desire to scratch or rub the skin near the bottom. This sensation is often worse at night and can be associated with mucous leaking onto the skin near the bottom.
difficulty with skin cleansing, haemorrhoids, fissures, fistulae, previous anal surgery or trauma, skin conditions. Occasionally anal cancer, Crohn’s Disease or radiotherapy damage can cause such symptoms.
- treatment is aimed at the underlying cause.
- maintaining the skin appropriately dry or moistened as required tends to help.
- avoidance of scratching is very important.
- sometimes a change in diet is required.
- barrier creams and topical steroid creams (in the short term) can help.
- additional treatment from a dermatologist may be required.
- severe cases may benefit from injection of a dye called methylene blue into the skin near the bottom.