How is anal itching treated?

How is anal itching treated?

Treatment for an itchy anus usually first focuses on establishing good anal hygiene. Thoroughly clean your anus after pooping, dry the area and apply nonmedicated talcum powder.

If you have secondary pruritis ani, your treatment depends on the specific cause.

Treatments may include:

Creams and ointments

Over-the-counter (OTC) hydrocortisone is a corticosteroid combined with an anesthetic pain reliever that you rub on your affected area two to three times each day.

Studies suggest capsaicin topical cream is a good alternative to corticosteroids if you have chronic (long-lasting) anal itching.

Antibiotics and antifungal medications

Your healthcare provider may prescribe antibiotics or antifungal medications if they suspect an infection is causing your itchy anus.

Methylene blue injection (anal tattooing)

If your body doesn’t respond to other treatments, your healthcare provider may treat your itchy anus with a methylene blue injection. Your healthcare provider will inject methylene blue under the skin in your perianal area. Methylene blue relieves pain and itching by deadening the nerve endings in the injected areas.