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Anal Itching / Burning

Persistent itching and burning around the anus (pruritus ani) is one of the most tormenting rectal problems. The itch is a symptom: about half the time it comes from something local (hemorrhoids, skin tags) or systemic (diet, diabetes, medications).

Hands reaching back from anal itching and burning
Plate 7Anal itching / burning

You may notice

  • Itching that keeps coming back
  • Burning and irritation
  • Worse after bowel movements
Person scratching from anal itching (pruritus ani)

What Dr. Cranford does

Dr. Cranford treats the cause: any rectal condition first, then diet changes, removing known allergens, and clearing infections (fungus, yeast, condyloma, herpes type 2) that keep the itch going, with anti-inflammatory creams when needed. Treated at the cause, most patients get permanent relief.

Common questions

Why won’t my anal itching go away?

Itching (pruritus ani) is a symptom, not a disease. Unless its cause is found and removed, it tends to continue and get worse.

What causes it?

In about half of cases no clinical explanation is found. The other half relate to local conditions (hemorrhoids, skin tags and others) or systemic ones (diet, diabetes, medications).

Can it be cured?

When the cause is fully remedied there is usually permanent relief. Dr. Cranford treats any rectal condition first, then diet, allergens and infections.

Anal itching / burning: the full entryDr. Cranford’s complete clinical notes, in his own words. 258 words, about 1 min.Read the notes

Pruritus ani is an annoying chronic condition characterized by persistent perianal itching / burning and irritation. It is one of the most tormenting of all rectal diseases and at the same time, it can be difficult to successfully treat. Once pruritus gains a foothold, there is little, if any, relief from the agonizing itching / burning. As the affliction continues, it becomes more complicated and more severe. The itching is really a symptom complex, and the cause must be removed if the itching is to be stopped.

The causes of pruritus ani generally fall within two main groups. The first group, which accounts for 50% of all cases, has no know clinic explanation. The second group, which accounts for the remaining half, relates to a variety of conditions which can be local (hemorrhoids, skin tags, etc.) or systemic (dietary, diabetes, medications, etc.). In the majority of cases, the primary cause has some pathologic (disease) condition of the rectum or anal canal. When these causes are fully remedied, there is usually permanent relief of the itching / burning.

Dr. Cranford’s treatment of pruritus begins with treating whatever anorectal condition (hemorrhoids, fissures, etc) is present, dietary changes, removing contact with known allergens (foods, medications, etc.), and then clearing various infections that can create an allergic response (fungus, yeast, condyloma, herpes type 2). Topical anti-inflammatories are prescribed when appropriate.

Dr. Cranford’s success with this condition is remarkable. By basing his treatment upon these fundamental causes, he has been able to obtain permanent and gratifying relief in the vast majority of cases.

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Same-day and telemedicine appointments, Mon–Fri and Saturday morning.

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The Sandy Rectal Clinic office building on NE Hood Ave in Gresham, Oregon

501 NE Hood Ave, Suite #140
Gresham, OR 97030 · Directions

Mon · Wed · Fri 9 am – 4 pm
Saturday 9 am – noon

  1. 1910Founded by Charles Dean DC, MD
  2. 1954Continued by Drs. Beal and Oliver
  3. 1975Dr. Cranford joins the clinic