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The skin around the anus easily becomes irritated and inflamed.This is because it is difficult to keep the area around the anus clean and dry; the skin is crinkly and traps tiny faecal particles.They are very common – an estimated 40 million cases in the USA alone.

When it becomes irritated, scratching is a natural reaction, but this damages the skin further – the itch/scratch cycle.

If several people in the family have anal itching, threadworms might be the cause.

If you are anxious about being examined by your doctor, look at the section on seeing your doctor about an anal problem.

At first they help, but then the itching may return because you have become sensitive to one of the ingredients in the cream or ointment and they are keeping the area moist. Fungal infections, similar to thrush or athlete’s foot, are another common cause.

Fungi love warm, damp and damaged skin, so if you have an itchy anus for any reason and then damage the skin by scratching, fungi can take hold and make it worse.

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