Your health care provider may be able to diagnose the cause of your itching by asking about your symptoms, medical history and personal habits. You may need a physical exam, including a rectal exam. You might have a test for pinworms if a pinworm infection is suspected. If the cause of your itching isn't obvious or your itching doesn't respond to treatment, your health care provider may refer you to a specialist in skin conditions.
This type of doctor is called a dermatologist. In many cases, the cause of the itching isn't known, but the symptoms can be treated. Treatment of anal itching depends on the cause of the problem. It may include taking self-care measures such as using an anti-itch cream or treating an infection or fecal incontinence.
If symptoms are worse at night, an oral antihistamine might be prescribed. This is medicine that you take by mouth. It can help give relief until an anti-itch cream takes effect. With proper care most people get relief from anal itching. See your health care provider if the itching lasts.
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