Anal Itching: When to Seek Medical Help and Which Specialist to Consult

If you are experiencing severe anal itching, which medical specialty should you consult?

Hello Doctor: After my menstrual period ended last week, I started experiencing itching around the anal area, and then I also felt some itching near my private parts.
After using a feminine hygiene wash for a few days, only the initial itchy area—the anus—remains itchy, to the point where it’s becoming quite concerning.
I’m hesitant to scratch (and even when I did, it didn’t help...), and using antifungal cream hasn’t worked either.
I have an external mole that has been there for over a year, but I’ve never experienced anything like this before.
I’m not sure if this is due to bacterial or fungal infection from the heat caused by menstrual pads or if it’s related to the external mole causing the itching.
I want to seek medical attention but don’t know which specialty to consult.
This has really affected my sleep quality, and I’m worried about whether this itching could be transmitted to my husband through contact.
What can I do to alleviate the itching around the anal area, and which department should I seek help from? Thank you.

Cindy, 20~29 year old female. Ask Date: 2011/12/02

Dr. Hong Jianfeng reply Family Medicine

Hello, based on your symptoms, it appears to be quite severe and may indicate a multiple infection.
It is recommended that you seek medical attention from an obstetrician-gynecologist or a colorectal surgeon as soon as possible.

Reply Date: 2011/12/02

More Info

Anal itching, medically known as pruritus ani, can be a distressing condition that significantly impacts quality of life. It is essential to understand the potential causes and when to seek medical help. Given your symptoms, it is advisable to consult a healthcare professional, specifically a dermatologist or a gastroenterologist, who can provide a thorough evaluation and appropriate treatment.

Understanding Anal Itching
Anal itching can arise from various factors, including:
1. Hygiene Issues: Both inadequate and excessive cleaning can lead to irritation. Inadequate cleaning can leave fecal matter that irritates the skin, while excessive cleaning can strip the skin of its natural oils, leading to dryness and irritation.

2. Skin Conditions: Conditions such as eczema, psoriasis, or contact dermatitis can cause itching. These may be exacerbated by moisture or irritants, such as scented soaps or wipes.

3. Infections: Fungal infections, such as candidiasis, or bacterial infections can lead to itching. These infections may be more common in warm, moist environments, which could be a factor if you have been using pads during your menstrual cycle.

4. Hemorrhoids: Swollen veins in the rectal area can cause itching, discomfort, and sometimes bleeding. If you have external hemorrhoids, they could be contributing to your symptoms.

5. Worm Infestation: Pinworms, especially in children, can cause significant anal itching, particularly at night.

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

When to Seek Medical Help
You should seek medical attention if:
- The itching persists despite over-the-counter treatments.

- You notice any bleeding, discharge, or changes in bowel habits.

- There are signs of infection, such as swelling, redness, or warmth in the area.

- The itching is affecting your sleep or daily activities.

Which Specialist to Consult
For your symptoms, the following specialists are recommended:
- Dermatologist: They can assess skin conditions and provide treatments for any dermatological issues causing the itching.

- Gastroenterologist: They specialize in digestive system disorders and can evaluate for conditions like hemorrhoids or infections.

Management and Treatment Options
While waiting for your appointment, consider the following self-care measures:
1. Maintain Hygiene: Gently clean the area with mild soap and water. Avoid scented products that can irritate the skin.

2. Moisturize: Use a fragrance-free moisturizer to prevent dryness.

3. Avoid Irritants: Stay away from harsh soaps, wipes, and toilet paper with fragrances.

4. Wear Loose Clothing: Cotton underwear and loose-fitting clothes can help reduce moisture and irritation.

5. Dietary Adjustments: Monitor your diet for any foods that may trigger itching and consider reducing or eliminating them.

6. Over-the-Counter Treatments: While you mentioned using antifungal cream, ensure it is appropriate for your symptoms. Sometimes, hydrocortisone cream can help reduce inflammation and itching.

Conclusion
Anal itching can stem from various causes, and understanding these can help in managing the condition effectively. Given your symptoms and their impact on your quality of life, it is crucial to consult a specialist who can provide a proper diagnosis and treatment plan. Do not hesitate to seek help, as early intervention can lead to better outcomes and relief from discomfort.

Similar Q&A

Dealing with Persistent Itching: Which Specialist to Consult?

You have a rather awkward issue that has been bothering you for a long time, and you haven't sought medical attention because you're unsure which specialty to consult. Initially, you experienced abnormal itching in your anus, which was so severe that you scratched the s...

Dr. Cai Mengru reply Family Medicine
Dear Ms. JC, Regarding the issue of abnormal itching around the anus, the most likely conditions are skin infections, particularly fungal infections. Additionally, less common causes such as pinworm infections can also lead to itching in that area. Psychological factors may also...

Persistent Anal Itching: Which Specialist Should You Consult?

Hello, Doctor Gao. I have been experiencing anal itching for some time now, and it has been affecting my sleep at night. I previously consulted a dermatologist, but the ointment they prescribed did not improve my condition. The doctor also recommended taking medication for roundw...

Dr. Gao Qingyun reply Family Medicine
Dear Ms. Lin, Regarding anorectal diseases, it is recommended that you consult a colorectal surgeon. Thank you, and I wish you peace and good health. Sincerely, Dr. Gao Qingyun Director, Family Medicine Department Taoyuan Hospital, Ministry of Health and Welfare

Understanding Anal and Genital Itching: When to Seek Medical Help

Doctor: Hello! I have been experiencing anal itching for quite some time. I have been hesitant to seek medical attention due to embarrassment, but I have researched various methods to alleviate the itching and possible causes online. I have initially ruled out causes such as pinw...

Dr. Wu Fangcan reply Family Medicine
There are many causes of anal itching, including atopic dermatitis, contact dermatitis, scabies, pubic lice, lichen planus, xerosis, psoriasis, and seborrheic dermatitis. Some are associated with systemic diseases such as hyperthyroidism, hypothyroidism, chronic renal failure, ir...

Understanding Anal Itching: When to See a Specialist for Relief

The symptoms have persisted for nearly a month. Initially, I thought it was due to irregular sleep patterns, dietary issues, and some stress, so I made adjustments and changes. Although the frequency of itching has decreased, it still occurs occasionally. A few weeks ago, the itc...

Dr. Zhang Shuhao reply Surgery
Anal itching accompanied by discharge requires the exclusion of issues such as hemorrhoids or fistulas. It is recommended to visit a colorectal clinic for examination. During this time, avoid high water temperatures while bathing, and refrain from using bath products containing f...