I have a terrible, itchy rash around my anal area. ACK, help!
Jan 24, · Genital herpes: This common sexually transmitted virus causes rash-like symptoms around the genitals and anus. Candida: Candida is a fungus that lives on . Aug 05, · Medical conditions that can cause anal itching include: diarrhea fecal incontinence (leaking stool) hemorrhoids parasitic infections sexually transmitted infections skin tags bacterial infections yeast infections anal fissures anal tumorsAuthor: Rachel Nall, MSN, CRNA.
Rashes are kind of the worst, no matter where they are on your body. But getting one on your butt? That's a whole 'nother level of misery. Have you ever discreetly scratched a butt itch in public? No, because you can't. Inconvenience aside, they're also a little concerning. Sure, that little bump on your butt could just be a pimple, but what if it's a little more serious—say, a little bigger and redder and actually kind of painful? Can you treat it with an over-the-counter cream, or do you need to make an appointment with your doc?
Complicating matters further: Many skin conditions present differently on light skin than they do on dark skin. And imagery of rashes—like the ones below—often feature white models and not models of color. I know that there are so many efforts ongoing to address that, but unfortunately we're not there. With that in mind, keep reading for the signs of the most common rear-end rashes, and how they may present differently depending on your skin tone.
You'll also get familiar with their treatments to help you beat the itch. I see it all the time. Cutaneous t-cell lymphoma CTL is actually a type of skin cancer, relating to abnormal immune cells called lymphocytes.
And this condition has a predilection for areas that are covered. CTL typically what are the throwing events in athletics like a wrinkled, smudgy rash, and while the image above shows red-colored irritation, Dr. Robinson says that on darker skin it can present hypopigmented lighter than the surrounding skin or hyperpigmented darker than the surrounding skin.
While this cancer isn't super common, when what causes a rash around the anus treated, Dr. Friedman says it can turn into a more serious health situation. This one involves the perianal area. It's thought to be an autoimmune disease where the immune system is attacking the skin, thinning its top layer and thickening the bottom part where your hair follicles and sweat glands are, according to Dr. It's usually treated aggressively with steroids.
And if left untreated the disease can easily turn into squamous cell carcinomaanother type of skin cancer. What you want to look out for is a kind of shiny lighter-colored rash in the anal area. When active, Dr. Friedman says, the edges of the rash will sometimes turn purple.
Again, a biopsy is needed to diagnosis this disease, so if you're starting to see a similar rash appear, give your doc a call ASAP. Never heard of it before? Don't worry, it's actually a relatively harmless rash. Go ahead and touch your butt. Do the bumps back there feel like sandpaper? If so, you might have keratosis pilaris, which is caused when excess skin grows over where a hair follicle would usually come out.
People often experience keratosis pilaris on the back of their arm and thighs, but it can occur on the butt as well. While the bumps may turn from flesh-colored to red from inflammation on light skin, they often turn hyperpigmented on dark skin. If you think you're suffering from keratosis, head to your closest drug store. You're going to want to buy something known as a keratolytic, which is basically a kind of therapy that treats excess skin.
Just make sure yours contains ingredients like urea and ammonia lactate. Herpes is typically thought of as something that can only affect how to make eyebrows less bushy mouth and genitalsbut it can crop up on your butt, too, says Joshua Zeichner, MD, director of cosmetic and clinical research in dermatology at Mount Sinai Hospital.
It can even find its way to your lower back, adds Dr. When the virus flares up—due to stress or illnesses that weaken your immune system—it can come to the surface of the skin, causing a rash, explains Dr. You can also try an OTC cold-sore medication or see your dermatologist for a what size caliber is a 9mm antiviral to clear up the outbreak faster, says Dr. It thrives in hot, humid environments, so working out in the summer time or sitting around in sweaty workout clothes or steam rooms increases your risk, says Dr.
This is a kind of rash that would take place in your gluteal crack or perianal area. But it actually stems from an intestinal worm infection. Friedman says—and this causes severe itch. In order to find out if you have a pinworm, a dermatologist would take tape, put it on your perianal area, and pull it off.
What's left on the tape will be examined using a microscope—and that's where they'll be able to see the pinworms and treat you with an anti-parasite medication. Those pimple-like bumps are actually superficial infections of the hair follicles—otherwise known as folliculitis.
Mild cases may be helped by washing with antibacterial soap. For recurring cases, Dr. Zeichner recommends washing with a surgical-grade cleanser like Hibiclens or an acne-treatment wash with benzoyl peroxide. To prevent future outbreaks, keep the skin clean and dry especially after workouts and wear breathable fabrics.
Most people consider yeast infections strictly vaginal. But this type of infection can occur in skin folds on the body like the butt! What people don't understand is that yeast is not the problem itself. Friedman says. What's actually happening is that people are experiencing intertrigo or irritant dermatitis, inflammation of the skin in skin folds caused by poor hygiene and friction. Yeast which is a fungus may overgrow in the inflamed area, leading to infection.
Watch for itchiness on your butt, closer to your perianal area. You might see satellite pustules, or small pus-filled bumps situated slightly away from the main rash area. As far as treatment goes, OTC ointments or creams for yeast infections should do the trick.
Psoriasis usually shows up on elbows and knees, but in between the butt cheeks is a common spot, too. Less often it's hyperpigmented or hypopigmented.
You can treat psoriasis with a 1 percent hydrocortisone cream, but prolonged use can damage your skin. Eczema is an inflammatory skin condition that causes skin to dry out and crack—often caused by genetics, irritants, or allergies. These microscopic cracks develop in the outer layer of skin, so the key to treatment is hydrating and repairing the skin barrier with moisturizers and how to get plaque off teeth fast creams, according to Dr.
The severity of eczema is typically under-diagnosed in people of color because, again, redness isn't a common symptom in dark skin, yet docs have been trained to monitor the level of redness to make treatment recommendations. Straining during bowel movements thanks, chronic constipation or pregnancy causes hemorrhoidswhich are swollen and dilated blood vessels around your anus.
These protrusions are itchy, painful, and hard to ignore. Heat rash occurs when sweat-duct openings become blocked, which can happen when wearing tight-fitting clothing that traps in sweat and bacteria.
The resulting bumps are typically flesh-colored on darker skin and red on lighter skin, says Dr. But don't worry, heat rashes are easily treatable with a little OTC medication.
Friedman recommends antibacterial washes or acne washes that contain benzoyl peroxide or salicylic acid. Pro tip: benzoyl peroxide can stain, so be careful when applying. Unlike a heat rash which is often caused by irritationother rashes are sparked by allergic reactions. Here's how to spot the difference: Irritant rashes are often itchy and they hurt like crazy, Dr. The bumps will appear raised and tend to be a darker pink to red color on light skin and hyperpigmented on dark skin. Rashes caused by an allergic reaction are often times more swollen, pink in light skin or hyperpigmented in dark skin, and maybe even watery.
Head to your doctor's office if you're unsure what you're dealing with so they can provide the proper treatment or medication. Weight Loss. United States. Type keyword s to search. Today's Top Stories. Spicy Chocolate-Dipped Clementines Recipes. If the rash is: wrinkled and smudgy. American Academy of Dertmatology. This content is imported from Instagram. You may be able to find the same content in another format, or you may be able to find more information, at their web site.
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What is an Anal Itch (Pruritus Ani)?
Apr 19, · It’s probably: hemorrhoids Straining during bowel movements (thanks, chronic constipation or pregnancy) causes hemorrhoids, which are . Jan 04, · Skin conditions: The skin around your anus may be sensitive to anything that comes in contact with it such as toilet paper, underwear washed with certain detergents, harsh soaps, bubble bath and dry skin, or skin that has too much moisture. Allergic rashes and a skin condition called lichen sclerosis can also cause anal itching and/or irritation. Nov 12, · If the genital rash is due to an allergy, removing the allergen will usually allow it to clear up. The symptoms can be treated in the meantime, and a doctor can run allergy tests if the exact.
Medically reviewed by Drugs. Last updated on June 1, Anal itch, also known as pruritus ani, is an irritating, itchy sensation around the anus the opening through which stool passes out of the body.
Anal itch is a symptom, not an illness, and it can have many different causes. In most cases, a person with anal itch does not have a disease of the anus or rectum. Instead, the itchy sensation is a sign that one or more of the following has irritated the skin in the area:.
Less often, anal itch is a symptom of some illness or condition that either affects the anal area alone, or involves larger areas of the digestive tract or skin. Some examples include:. Worldwide, anal itch is a very common problem that occurs in up to 45 percent of people at some time during their lives. Men are affected two to four times more often than women. People who are overweight, perspire heavily or routinely wear tight-fitting underwear or hosiery are more likely to get anal itch.
Anal itch is an irritating sensation around the anus that is relieved temporarily by scratching or rubbing. The problem is often worse at night and may interfere with sleep. In most cases, the skin in the area is red. If anal itch becomes a chronic long-term problem, the skin around the anus may become raw and tender from repeated scratching, or it may thicken and become leathery.
Repeated scratching also can cause breaks in the anal skin that can lead to painful local infections. To help identify the cause of your anal itch, the doctor may ask you to describe your current diet and medications, your bowel habits, and the way you routinely clean your anal area after a bowel movement. The doctor will review your medical history, including any history of rectal problems hemorrhoids, fissures or fistulas or skin problems psoriasis, eczema or seborrhea.
Your doctor's questions will be followed by a physical examination of your anal area and sometimes, by a digital rectal examination. If you have a history of skin symptoms involving other parts of your body, your doctor will want to examine these skin areas as well.
If your anal itch is due to a local irritation in the anal area, the doctor usually can diagnose the problem based on your history, diet and personal hygiene routine, and the results of your physical examination. Sometimes, the doctor will request a stool sample if he or she suspects a worm or parasite infection. Rarely, your doctor may need to examine the area by inserting a special viewing instrument called an anoscope into your anus.
This can help your doctor determine whether the itch is being caused by a problem inside your rectum. How long an anal itch lasts depends on its cause. If the itch is due to a simple skin irritation, the problem usually goes away quickly once you identify the source of irritation and avoid it. In most cases, simple treatment measures provide some relief within one week and cure the problem totally within one month.
If treating anal itch yourself doesn't relieve the itch after three to four weeks, call your doctor. The outlook is excellent, since most people who have itching in the anal area don't have an illness involving the anus or rectum.
Overall, about 90 percent of patients find relief by avoiding scratching and other simple therapies. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Instead, the itchy sensation is a sign that one or more of the following has irritated the skin in the area: Stool on the skin around the anal opening — If the anal area isn't cleaned properly after a bowel movement, a small amount of stool may be left behind on the skin, causing the area to itch.
Less often, watery stools may leak out of the anal opening and cause itching. This sometimes happens in otherwise healthy people whose diets include very large amounts of liquids. A diet containing foods or beverages that irritate the anus — A number of foods and drinks can irritate the anus, including spices and spicy foods, coffee both caffeinated and decaffeinated , tea, cola, milk, alcoholic beverages especially beer and wine , chocolate, citrus fruits, vitamin C tablets and tomatoes.
Once a person eats or drinks something that can irritate the anus, it usually takes 24 to 36 hours before anal itching begins. That's the time it takes the food to travel through the digestive tract. Treatment with antibiotics — Some powerful antibiotics that work against many different bacterial species can trigger anal itch by disturbing the normal ecology of the intestines. These drugs are called broad-spectrum antibiotics, and include tetracyclines and erythromycin both sold under several brand names.
A local chemical irritation or skin allergy in the anal area — In sensitive people, chemicals and medications that are applied to the anal area can cause local irritation or allergic reactions. Some major culprits include dyes and perfumes used in toilet paper especially scented toilet paper , feminine hygiene sprays and other deodorants for the area around the anus or genitals, medicated talcum powders, and medicated skin cleansers and soaps, especially perfumed soaps.
Anal itch also can be triggered by over-the-counter medications suppositories, creams, ointments intended to treat anal problems. Intense cleaning after a bowel movement — Although the anal area should be cleaned after every bowel movement, this cleaning must be gentle. Aggressive rubbing and scrubbing, especially with soaps or other skin cleansers, can irritate the skin and trigger anal itch.
Some examples include: Local diseases and conditions involving lower portions of the digestive tract — These include hemorrhoids, skin tags, rectal fistulas, rectal fissures and, rarely, anorectal cancer. Infections and parasites — These include pinworms especially in children , scabies, pediculosis, condyloma acuminata and skin infections due to Candida or tinea fungi. Skin problems — These include psoriasis, eczema and seborrhea.
In many cases, these conditions cause symptoms in several different areas of the skin surface, not only around the anus. Symptoms Anal itch is an irritating sensation around the anus that is relieved temporarily by scratching or rubbing.
Diagnosis To help identify the cause of your anal itch, the doctor may ask you to describe your current diet and medications, your bowel habits, and the way you routinely clean your anal area after a bowel movement. Expected Duration How long an anal itch lasts depends on its cause. Prevention In many cases, you can prevent anal itch by taking the following steps: Practice good anal hygiene — When possible, gently cleanse the anal area after every bowel movement by using wet toilet paper unscented and dye-free or a wet washcloth.
Wipe gently or blot the area. Never rub or scrub. If you are in a public toilet, use dry toilet paper temporarily, then finish your cleansing regimen when you return home. Use only water to clean the anal area, never soap.
Avoid using medicated powders, perfumed sprays or deodorants on the anal area. Eat a sensible diet that is low in the foods and beverages known to cause anal irritation. Wear cotton underwear that is not too tight. If you are taking oral antibiotics, eat yogurt to help restore the normal ecology of your colon. Treatment In most cases, anal itch can be treated by: Thoroughly but gently drying the anal area after every bowel movement, using unscented toilet paper, a clean cloth towel or a hair dryer if necessary.
Dusting the anal area with nonmedicated talcum powder between bowel movements, or laying a clean square of cotton gauze against the anus to absorb any excess moisture. Resisting the urge to scratch, no matter how itchy the area becomes.
The itch will pass, or at least decrease in intensity, over a short time, but the more you scratch, the longer it will take for the itching to go away. Applying topical remedies such as zinc oxide or hydrocortisone ointment 1 percent on a regular schedule, or as needed, to help you avoid scratching.
Wearing soft cotton gloves while in bed if you scratch at night or in your sleep. When To Call A Professional If treating anal itch yourself doesn't relieve the itch after three to four weeks, call your doctor. Prognosis The outlook is excellent, since most people who have itching in the anal area don't have an illness involving the anus or rectum. Care Notes 1 related article.