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other infections such as scabies, infections with germs (bacteria), herpes infection, anal warts and some other sexually transmitted infections can cause itch around the anus. You are likely to have other symptoms too such as a rash, lump or discharge. anal itching is primarily caused due to some irritating chemicals that may have reached the body through the intake of certain food substances such as spices, sauce and peppers. Chronic pruritus ani may also be caused due to the presence of excess moisture in the anal region due to frequent liquid stools, incontinence or diarrhea. inflammation of the mucosal lining of the rectum is defined as proctitis, whereas anusitis is simply inflammation of the anal canal. Inflammation in these areas can cause symptoms, such as itching, burning, rectal bleeding, pelvic pressure, and foul-smelling discharge. It can be associated with a number of disorders, including dry skin, skin disease, pregnancy, and rarely, cancer. Pruritus ani is defined as intense chronic itching affecting peri-anal skin. It affects 15 of the population, is four times more common in men and is most frequent between the fourth and sixth decades of life. 1, 2 the symptoms range from mild to intense and depression may result when these are severe and persistent. 1 pruritus ani is classified as idiopathic when no cause can be found. Colorectal and anal disorders rectal prolapse, internal or external hemorrhoids, anal fissures (ulcers), or fistulas (abnormal tube-like passages) are associated with pruritus ani. Residual amounts of feces may be difficult to remove with large external hemorrhoids. Internal hemorrhoids may cause bleeding, fecal soiling, or drainage. Experts believe that pruritus can be due to a combination of dermatological, psychological, and systemic causes. To determine which type of pruritus someone has doctors will look for other signs of disease, infection or irritation such as swelling, inflammation, hives, tingling, dryness, bites, bumps, etcthe goal is to determine if a temporary skin diseaseinfection. Anal pruritus is more common in the fourth to sixth decades of life and has a higher prevalence in males. Approximately 75 percent of cases of anal pruritus are secondary to inflammatory, infectious, systemic, neoplastic, and anorectal disorders that contribute to or underlie the development of pruritus.
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