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A 29-year-old female asked:

my anus itches, burns, and sometimes feels like their is glass in it. this has been going on for a year, it is very uncomfortab no problem using the bathroom...just severe discomfort, especially when sweating.

2 doctor answers3 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
Possible : Possible reasons for anal itching / burning: pinworms, hemorrhoids, skin tags, psoriasis, chemicals in foods (hot or spicy food), yeast infection (just to mention a few). If you had an anal fissure it would probably be painful when you defecated. If you had loose stools irritating the skin, you probably would have mentioned it. It you had a severe illness like crohn’s disease causing a fistula, you would have a lot more symptoms. Recommendation: see your doctor, who can obtain a good history and examine you to determine the cause. Once the cause is determined, appropriate options for addressing this issue can be made. Good luck.
Dr. Eric Kaplan
Colon and Rectal Surgery 42 years experience
Most common : Causes of pruritus ani are caffeine and excess moisture. There is no correct amount of caffeine, so best to totally eliminate it for several weeks and allow area to heal, then reintroduce caffeine slowly to find your threshold. Also corn starch powder to bottom frequently and liberally helps with the excess moisture. Avoid chronic use of steroid creams!

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Last updated Nov 9, 2020

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