How to treat anal pruritis

Difficult problem: This can be very difficult to treat. Working through possible causes is critical as a first step. Local infections or irritations, or itching as a sign of a systemic problem like crohn's should be addressed directly. If no clear cause, a very short course of topical steroids can help, but caution with too strong or too long. Some rx meds can help (elavil). Omt & acupuncture have helped my patients.

Itchy Butt; Caffeine: Is the most common cause of anal itching not hemorrhoids as stated win the ads. Pinworms can be another cause usually in children after playing in the dirt. But cokes, coffee, tea, chocolate, and energy drinks like red bull have lots of caffeine leading to severe itching and bleeding, even waking you from your sleep at night clawing at your bottom. Stop the caffeine!