gastrointestinal disorders
Pruritus Ani (Anal Itching)
Treatment of Pruritus Ani
Systemic causes and parasitic or fungal infections must be treated specifically. Foods and topical agents suspected of causing pruritus ani should be eliminated. Clothing should be kept loose, and bed clothing should be light. After bowel movements, the patient should clean the anal area with absorbent cotton or plain soft tissue moistened with water or a commercial perianal cleansing preparation for hemorrhoids; soaps and premoistened wipes should be avoided. Liberal, frequent dusting with nonmedicated cornstarch helps combat moisture. Hydrocortisoneacetate 1% ointment, applied 4 times a day for a brief period (< 1 week), may relieve symptoms. Sometimes, higher potency topical corticosteroids may be needed. 