Professional Reference articles are designed for health professionals to use. You may find the Itchy Bottom Pruritus Ani article more useful, or one of our other health articles. This is the sensation of persistent perianal itching, resulting in a desire to scratch the anus. It is a symptom and NOT a diagnosis. Symptomatic treatment options Consider treatment options which aim to break into the itch-scratch cycle:. Referral Consider referral to a colorectal surgeon or dermatologist in anyone who has had no relief after weeks of conservative measures. Referral would also be required for those in whom a secondary cause has been discovered which needs secondary care management. There is some evidence that intractable cases may respond to temporary "tattooing" with an intradermal injection of methylthioninium chloride methylene blue. Persistent scratching may lead to dermatitis , excoriation, lichenification, ulceration or infection. Depression may follow severe, persistent symptoms.
WHAT CAUSES PRURITIS ANI?
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Pruritis ani is a common medical problem affecting both men and women. This information was composed to help patients understand pruritis ani, its symptoms, evaluation, and treatment options. This information may also be helpful to individuals or caregivers of patients who are suffering from pruritis ani. Men are more commonly affected than women with a ratio. The condition is most common in people age 40s to 60s. There are many causes of pruritis ani, and an accurate diagnosis is important in order to treat the specific cause. Medical management of pruritis ani often provides patients with relief of their symptoms and improves their quality of life. Pruritis ani is classified as primary or secondary.
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