I've pruritus ani for about 6 years. i'm active & not overweight. daytime i get itchy for 5 mins or so on/off.nightime it wakes me. never drank coffee?

Wipes: Often scrupulous anal hygiene can relieve this condition. After you have bowel movement wipe anal area with wet toilet paper or moist wipe that is flushable, followed by dry toilet paper. Sometimes a little bit of low % cortisone cream (over the counter) can help as well, just don't use every day.

Lotion: Use lotion. Aveeno (oatmeal) is good. There are others. After a bowel movement, use lotion on bathroom paper to clean the skin and also inside. You will discover that dry paper did not always clean the area. In the shower, use only your hands to clean there. Whenever it feels wet or itchy, often after a fart, go immediately to the toilet and clean with your lotion. Carry a small bottle of lotion everywhere.