Causes Of Itchy Bottom

Pruritus ani, or an itchy bottom, is common. Perianal excoriation results from scratching. Usually the condition results from seepage from haemorrhoids or overactivity of sweat glands. Treatment consists of salt baths, keeping the area dry with powder; the use of all creams should be avoided. Secondary causes include threadworm (Enterobius vermicularis) infestation, fungal infections ( e.g. candidiasis) and perianal eczema, which should be treated appropriately.

Haemorrhoids (Piles) can cause itching in the anus:

Haemorrhoids (primary, internal, second degree, prolapsing, third degree prolapsed) usually cause rectal bleeding, discomfort and pruritus ani. Patients may notice red blood on their toilet paper and blood on the outside of their stools. They are the most common cause of rectal bleeding. Diagnosis is made by inspection, rectal examination and proctoscopy. If symptoms are minor no treatment is required; depending on severity of symptoms, treatment is with injection of sclerosant, rubber band ligation or surgery.