Around the anus it itches & it seems rash like.mom thinks it's from the cheap toilet paper. i feel like something is crawling inside but nothing there?

Mother may be right: Anus itching could be related to several issues including incomplete cleaning after a bowel movement. This is where the cheap toilet paper comes into play. Other causes include meds, local irritations and rashes and even parasites.

Get evaluated: Both gastroenterologists ; colorectal surgeons can help you. They will first perform a visual inspection ; digital exam after taking your history as to circumstances, duration, quality, timing of symptoms ; your risk factors. They may then determine topical treatment or ask to perform further evaluation of the rectal lining. Problem may be dermatologic, infectious, inflammatory, functional, etc.