A member asked:

Have had an itchy anus for long now. my gp examined it and prescribed schiriproct ointment for a fissure, which helps temporarily when applied, but not solving it. also sometimes i may get slight leakage like the sphincter isnt closing right ?

3 doctors weighed in across 2 answers

Proctologist: In my experience a proctologist is best qualified to evaluate and treat most anorectal disorders. Your problem may be a perianal dermatitis or lichen sclerosis and atrophicus,for example. Occasionally the problem is simply being overaggressive in cleaning up after a bm as toilet paper can be very abrasive. It's better to avoid harsh rubbling and instead use a cream like balneol after wiping twice.

Answered 11/28/2017

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Dr. Deborah Josefson answered

Specializes in Internal Medicine

Pruritis ani: An itchy anus is a vexing problem. Certainly fecal leakage and local irritation can play a large role so try making sure the area is dry and clean and keeping tissue/toilet paper up the anus may help a bit here. Also avoid caffeine which can also contribute to anal itching. Importantly you may need to rule out a parasite and have stool sent to exclude this Hemmorhoids can also cause anal itching.

Answered 11/28/2017

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