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What is the real cause of chronic anal itch and which remedy proves to be best. Pranicura pruritus ani ointment is a highly effective treatment for. Our colorectal surgeon explains how to get an accurate diagnosis and the right relief. Older adults are also prone to anal fissures due to decreased blood flow in the anorectal area. Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. The diagnosis of the cause of pruritis ani requires examination of the anus for. Anal itching may be embarrassing but it is a common problem seen by doctors. Anal fissures tiny cuts or sores (fissures) can open up inside your anus and cause pain and itching. Youre more likely to get these if youre constipated and a hard or large stool tears the. Anal fissures usually heal within a few weeks without the need for treatment. But they can easily come back if theyre caused by constipation that remains untreated. In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures). What is the real cause of chronic anal itch and which remedy proves to be best. Pranicura pruritus ani ointment is a highly effective treatment for.