Itching and soreness particularly worse at night is very common. It can relate to other skin conditions such as eczema or psoriasis, particularly if other members of the family are suffering as well it might relate to thread worm but often particularly in men it is caused by a condition called ‘pruritus ani’ which translates simply as, itchy bottom. Pruritus ani can equally be caused by conditions in the anal canal and rectum such as haemorrhoids or colitis (inflammation) which lead to the loss of mucus through the anal canal which is intensely irritating to this again thus causing the itching and soreness. Treatment for pruritus ani first and foremost relies on treating any underlying condition. If no underlying condition is found it is treated very much like an adult nappy rash.
Avoidance perfumed soaps, powders and over-the-counter haemorrhoid preparations will settle the skin. Regular use of traditional nappy rash preparations such as sudacrem, wet wipes an occasional hydrocortisone creams usually control the symptoms. Unfortunately, the condition is often relapsing and therefore lifestyle changes such as avoiding caffeine, wearing cotton underclothes and keeping cool and well ventilated at night, in addition to persisting with the nappy rash preparations often provides more lasting relief. Whilst the condition of pruritus ani does not cause any lasting harm it’s simple measures failed to improve the condition referral through the GP two specialists such is our surgeons will assist in diagnosis and correct treatment of any underlying cause. In addition, to assisting with symptom control if no other cause is found.