Itchy Rectumn

Can anyone help me figure out how to get rid of an itchy rectumn area.  I have tried several different creams, (clotramizole, topical steroids, and some others)  it is always worse in the evening time and no matter what I put on it, it helps the itch (even aquaphor helps the itch!!)  however if I dont use anything the itch gets pretty bad.

Any help is appreciated.

[Bhupinder Kaur, MD]

Hello,
Causes of itchy rash on rectum include moisture(due to sweating or frequent washing), the abrasion caused by clothing, the pressure of sitting, chemical irritants like laundry soaps, colognes and scented toilet paper, infections like STD’s and pinworms, anal abrasions and fissures and skin problems such as fungal infections and eczema. Sometimes hemorrhoids will start off as red rash and anal itching.

Try an over-the-counter (OTC) cream or ointment containing hydrocortisone (Cortaid, Preparation H),but it is to be applied sparingly to the affected area. A protective ointment that contains zinc oxide (Desitin, Balmex) also may help. If your symptoms are worse at night, please take an antihistamine like benadryl to reduce itching until topical treatments take effect. If the symptoms persist then please consult a dermatologist.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.