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Q. How can I overcome pruritus ani? Please help.

Answered by
Dr. Vinay Kumar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 26, 2015 and last reviewed on: Feb 07, 2019

Hi doctor,

I have a skin condition. As per my research, it could be pruritus ani. But I am sure I would get a proper and accurate diagnosis from your end. I have a severe itchy bum and have been suffering from the same for almost eight years. I have never had the courage to consult a dermatologist in person because of the reason for a physical examination. All I am looking forward is a cure to it as it has been really disturbing lately. I would highly appreciate your suggestions.

Dr. Vinay Kumar

Cosmetology Dermatology Microbiology Venereology


Welcome to can understand your concerns as I have analyzed each detail that you have provided. I have managed lots of cases with matching condition and feel that you too will make good use of the information and suggestions.

  1. First please get your stool tests done on three consecutive days.
  2. Need to wear loose undergarments made of thin cotton and dry up skin after every bath and whenever there is moisture.
  3. Use antibiotic and antifungal creams mixed in equal quantities to take care of any germs inhabiting the area.
  4. For now, no steroid creams need to be used. If you are using one, taper that off slowly till you are comfortable without one. This might lead to a temporary increase in discomfort but it is an absolute requirement.
  5. Have sufficient antiallergics like Levocetirizine once or twice a day to neutralize itching completely.
  6. The affected area need not be touched and for that above medication helps a lot plus there is a good contribution from one's determination too.
  7. Deworm your GI system with Albendazole or another suitable agent about which you can get advice from your physician.

I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch-scratch which is bound to have resulted in thickening of the affected skin.

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Thank you doctor,

I ensure that I will get the tests done and share the results with you.

Dr. Vinay Kumar

Cosmetology Dermatology Microbiology Venereology


Welcome back to

Please go ahead with the tests and maintain a positive attitude. You can manage the problem with hard work and guidance. Best wishes.

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