What are the causes of pruritus ani?
Pruritus ani is a common symptom that can be associated with a wide range of conditions: • Diabetes, liver disease, thyroid disease • Depression, anxiety disorders • Fungal, bacterial and viral infections • Allergic reactions eg, contact dermatitis caused by local anesthetics, such as “-caine” preparations • Antibiotic treatment • Chronic constipation, diarrhea, anal incontinence • Local anal disorders: anal fissures (pruritus ani accompanies anal fissures in 50% of cases),(15,16) hemorrhoids and cryptitis. Only hemorrhoidal tags that are inflamed or associated with poor hygiene produce pruritus.(1) • Ingestion of certain foods, especially spices, coffee, beer, cola and medications • The perianal area can be highly sensitive to perfumes, soaps, clothes, fabrics, excessive sweating and superficial injury • Hygiene, either poor with residual irritating feces or over meticulous with excessive use of soap and rubbing also may be associated with pruritus If you are experiencing an intense c
