Anal Itching: Causes and When to See a Doctor - Surgery

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Anal itching?


Doctor, I have been experiencing itching around my anus recently.
While showering, I noticed a small bump near the anus that feels like a flesh-colored growth, but it doesn't hurt; it's just the skin around the anus that is very itchy.
Which specialist should I see if I go to the doctor? Thank you.

Jay, 30~39 year old female. Ask Date: 2016/08/16

Dr. Xu Kaixi reply Surgery


Based on your description, it may be anal polyps, hemorrhoids, or other skin tumors.
It is recommended to visit a surgical outpatient clinic for further examination and diagnosis.

Reply Date: 2016/08/16

More Info


Anal itching, or pruritus ani, can be a frustrating and uncomfortable condition. It is essential to understand the potential causes and when to seek medical attention. Based on your description, it sounds like you are experiencing localized itching around the anal area, along with the discovery of a small, non-painful bump that resembles a skin tag or a growth.
There are several common causes of anal itching:
1. Hygiene Issues: Both inadequate and excessive cleaning can lead to irritation. Insufficient cleaning can leave fecal matter that irritates the skin, while excessive scrubbing can strip the skin of its natural oils, leading to dryness and itching.

2. Skin Conditions: Conditions like eczema, psoriasis, or contact dermatitis can cause itching and irritation in the anal area. These conditions may be exacerbated by soaps, detergents, or other irritants.

3. Infections: Fungal infections, such as candidiasis, or bacterial infections can lead to itching. Additionally, sexually transmitted infections (STIs) can also cause anal discomfort.

4. Hemorrhoids: Swollen blood vessels in the rectal area can cause itching, pain, and discomfort. They can also lead to the formation of skin tags.

5. Pinworms: Particularly in children, pinworm infections can cause significant anal itching, especially at night.

6. Dietary Factors: Certain foods, such as spicy foods, caffeine, and alcohol, can irritate the anal area and lead to itching.

7. Skin Tags or Other Growths: The small bump you mentioned could be a skin tag, which is usually harmless but can sometimes become irritated. Other growths, such as warts or polyps, may also occur.

Given your symptoms, it is advisable to see a healthcare provider for a proper evaluation. The most appropriate specialist to consult would be a gastroenterologist or a proctologist (a doctor specializing in the rectum and anus). They can perform a thorough examination, which may include a visual inspection and possibly a digital rectal exam to assess for any underlying issues.

In the meantime, here are some general tips to alleviate anal itching:
- Maintain Good Hygiene: Gently clean the area with mild soap and water. Avoid harsh soaps or scrubs that can irritate the skin.

- Avoid Irritants: Steer clear of scented products, wipes, or creams that may exacerbate the itching.

- Wear Loose Clothing: Tight clothing can trap moisture and heat, leading to irritation. Opt for breathable fabrics.

- Use Moisturizers: If the skin is dry, applying a gentle moisturizer can help soothe irritation.

- Avoid Scratching: While it may be tempting, scratching can worsen the irritation and lead to infection.

If the itching persists, worsens, or if you notice any additional symptoms such as bleeding, pain, or changes in bowel habits, it is crucial to seek medical attention promptly. Early intervention can help address any underlying issues and provide relief from your symptoms.

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