The itchy anus can come from several causes:
1) Constant diarreah that irritates the area which may be always moist. The cottonelle wipes is perfect to keep it dry.
2) Hemorroids which are easily diagnosed
However, if you always itch, the area is so inflamed that it may be:
2) Perianal Crohns which is what I have been diagnosed. The skin has evolved into thick red lines of growth, clearly not irritated skin but one that has permanent inflammation. Try the Prax lotion, I suggest that you stay away from menthol (which relieved my symptoms, temporarily, but made the inflammation worse). The only permanent solution to Perianal Crohns are the biologics, currently I am on Entivio which has reduced the itch and scar lines by 50%.
Make sure that you see a Proctologist or Colorectal surgeon for this. The two Gastroenterologist were useless for this: One recommended that I put Corn Starch to keep it dry, the other one said it could be another disease Lichen Planus. It was not until I saw the Colorectal surgeon that he immediately diagnosed as Perianal Crohns. These colorectal surgeons hold the live intestines in their hands during surgery and understand what they are looking at. The GIs look at it from XRays and Colonoscopy scopes, one level removed from the actual living tissue. One dermatologist gave me hydrocortisone ointments which mildly helped but it was not until Prax that I found relief.
Crohns is a wicked disease: it travels through the years downward from the intestine to the colon, to the rectum and ends up in the anus. I even have the Scar lines about
1/2 inch into my outside regular butt tissue, I thought that Crohns will manifest itself only on the mucusa but no, it made its way outside of the anus mucosa into the normal skin. Crohns can also travel upward into the Jejunum and even the Esophagus. All of this happens after decades and decades of this disease. The anus is the final stop since it has no more body to extend itself to.
Here is a quick way to determine what you may have:
If you only have itching after a bowel movement but not during the rest of the day or night, you may only have an irritation caused by diarreah. The cotonelle wipes will help to keep this area clean.
If your itching is 24/7 like mine and you have a scar ring around the anus that itches like hell you may have Crohns in that area. It is not related to bowel movements.
Post Edited (Fernando) : 8/13/2015 12:16:06 PM (GMT-6)