See below: For pruritus ani of unknown cause treatment typically begins with measures to reduce irritation and trauma to the perianal area. Stool softeners can help prevent constipation. If this is not effective topical steroids, capsaicin, or injected Methylene Blue may be tried. If the itchiness is secondary to another condition such as infection or psoriasis these are typically treated.
Answered 10/3/2016
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