[25M] With itchy anus and sensation of something inside

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Pinworms: These are small, white worms that can cause intense itching around the anus, especially at night. While you haven't seen any worms, they can sometimes be difficult to spot. Pinworms are more common in children but can affect adults as well.

  • Treatment: Pinworms are typically treated with over-the-counter or prescription medications. It's important to treat all household members and to maintain good hygiene to prevent reinfection.

• Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause itching, discomfort, and sometimes mucus discharge.

  • Treatment: Over-the-counter creams and ointments can help relieve symptoms. Increasing fiber intake and staying hydrated can also help prevent constipation, which can exacerbate hemorrhoids.

• Anal Fissures: Small tears in the lining of the anus can cause itching and discomfort, especially during bowel movements.

  • Treatment: Topical ointments, warm baths, and increasing fiber intake can help heal fissures and relieve symptoms.

• Contact Dermatitis: This is a skin reaction caused by exposure to an irritant or allergen. It can cause redness, itching, and dryness.

  • Treatment: Identifying and avoiding the irritant or allergen is key. Topical creams and ointments can help relieve symptoms.

• Infections: Bacterial or fungal infections can cause itching, redness, and sometimes mucus discharge.

  • Treatment: Antibacterial or antifungal medications, either over-the-counter or prescription, can help treat infections.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

1. Maintain Good Hygiene: Keep the area clean and dry. Use gentle, unscented soaps and avoid harsh scrubbing.
2. Use Over-the-Counter Treatments: Anti-itch creams or ointments like Aquafor can provide temporary relief.
3. Increase Fiber Intake: Eating a diet rich in fiber can help prevent constipation and reduce strain during bowel movements.
4. Stay Hydrated: Drink plenty of water to help keep your stools soft.
5. Avoid Irritants: Be mindful of any new products or substances that may be causing irritation.
6. Warm Baths: Soaking in a warm bath can help soothe itching and discomfort.
7. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better insights.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or persistent pain
• Noticeable blood in your stool
• Fever or chills
• Symptoms that do not improve with over-the-counter treatments
• Any new or worsening symptoms

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.