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itchy spot on anal area

i have had an itchy spot on my anal area for a few months. it really is itchy at night and after a bowel movement. What could cause this...could anxiety??
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when i was 10 my anal itched and my dr said it could be ameobas which can corrolate with the bowel movements
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MEDICAL PROFESSIONAL
Hi,

Pruritus ani is the irritation of the skin at the anal region causing intense itching. It is most noticeable at night or after a bowel movement. This could be due to prolonged exposure to moisture from vaginal discharge, perspiration, mucus discharge or loose stools. Certain foods ( those with caffeine, spicy foods, dairy products, citrus fruits, tomatoes and nuts) can produce enzymes that are irritating to the skin when stool is passed. Other causes of irritation include  pinworms, fungal infections, dyed or scented toilet paper, soaps, and laundry detergents. This condition is usually diagnosed by an examination of the skin around the anal area. Treatment depends on the underlying cause. Try to avoid scratching and always keep the area clean and dry. Many over-the-counter products are sold for the treatment of anal itching. However, it is best that you have this evaluated further for proper management.  Adjustments in diet, treatment of infections, or surgical procedures to correct the underlying cause may be required.

Take care and keep us posted.
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