[18M] Experiencing severe anal itching with red and raw spots

What might be happening

Based on your symptoms, the most likely causes of your anal itching include:

• Hemorrhoids: These are swollen veins in your lower rectum. Internal hemorrhoids are usually painless, but tend to bleed. External hemorrhoids can cause pain, itching, and sometimes bleeding.

  • Treatment often involves over-the-counter creams or suppositories, keeping the anal area clean and dry, and avoiding straining during bowel movements.

• Anal fissures: These are small tears in the thin, moist tissue that lines the anus. They can cause itching, pain and bleeding during bowel movements.

  • Treatment often involves increasing fiber intake to soften stools and make them easier to pass, and using topical pain relievers.

• Perianal abscess: This is an infection in the anal gland that causes a painful collection of pus near the anus. The area can be red, swollen, and tender, and there may be pus drainage.

  • Treatment usually involves draining the abscess, which should be done by a healthcare professional.

• Pinworms: These are small, thin, white worms that can live in the colon and rectum of humans. They are most common in children. They can cause severe itching in the anal area, especially at night.

  • Treatment usually involves medication to kill the worms.

• Contact dermatitis: This is a skin reaction to an allergen or irritant. It can cause itching, redness, and a rash.

  • Treatment involves avoiding the allergen or irritant, and using creams to reduce inflammation and itching.

What you can do

You should consult a healthcare professional to get a proper diagnosis and treatment. In the meantime, you can try the following to alleviate your symptoms:

1. Keep the anal area clean and dry. Avoid using soap, as it can dry out the skin and make itching worse. Instead, clean the area with warm water and a soft cloth.
2. Apply a cold compress to the area to reduce swelling and itching.
3. Avoid scratching the area, as this can make the itching worse and can lead to infection.
4. Wear loose, cotton underwear to allow the area to breathe and reduce sweating.
5. Avoid foods and drinks that can irritate your anus, such as spicy foods, citrus fruits, coffee, and alcohol.

What you should look out for

You should seek immediate medical attention if:

• The itching becomes unbearable or significantly interferes with your daily activities.
• You notice blood in your stool or on your toilet paper after wiping.
• You develop a fever or severe pain in the area.
• The area becomes more swollen or the pus increases.
• You notice worms in your stool.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.