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What is the real cause of chronic anal itch and which remedy proves to be best. 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. If the anal itching is associated with any type of rash, lump, discharge, bleeding, or fever, call your doctor. You may need prescription medicine to make the problem go away. If small children are having trouble sleeping at night because of intense itching, this could be a sign of pinworms and will require medical attention. Anal itching, medically known as pruritus ani, is a common dermatological problem affecting both men and women, although it is more common in men. It can occur at any age but seems to be most prevalent among people in the age bracket of 30 to 50 years. Medicines anal itching may be a side effect of some medicines used to treat gout, arthritis, or infections. Creams, ointments, or medicines used to treat other anal problems may also cause anal itching. Mental or emotional problems certain psychological conditions may increase your desire to scratch your anal area. What is the real cause of chronic anal itch and which remedy proves to be best.