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Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. The diagnosis of the cause of pruritis ani requires examination of the anus for. if the anal itching is associated with any type of rash, lump, discharge, bleeding, or fever, call your doctor. You may need prescription medicine to make the problem go away. If small children are having trouble sleeping at night because of intense itching, this could be a sign of pinworms and will require medical attention. drugs used to treat anal itching the following list of medications are in some way related. anti-itching medicine healthcare providers may give you medicine to decrease your itching. Steroids steroids help decrease inflammation in your anal area. Capsaicin this is a cream or ointment you can put on your skin. anal itching, medically known as pruritus ani, is a common dermatological problem affecting both men and women, although it is more common in men. It can occur at any age but seems to be most prevalent among people in the age bracket of 30 to 50 years. Besides those home remedies for anal itching, increasing fiber intake is a good way to deal with anal itching. Once constipation is treated completely, the anal itching will automatically disappear. An itchy bottom thats worse at night is often caused by threadworms, especially in children. Children under 2, and pregnant and breastfeeding women, cant usually take medicine for threadworms see your gp, midwife or health visitor instead. below is a list of common medications used to treat or reduce the symptoms of anal.