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Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms ( enterobius vermicularis ), spicy foods, and medications. an anal or bowel infection may cause your bowel to swell and itch. Skin conditions anal itching may occur if you do not clean your anal area properly. An autoimmune skin disorder can make your bodys immune system attack its own cells. Anal itching can refer to the continued urge to scratch the skin around your anus. This annoying itchy can be felt on the bum cheek or inside the anus. For most people, it is often intense at night and could lead to difficult when sleeping. the causes of anal itching are often related to skin or internal medical issues. Skin-related causes of an itchy anus include atopic dermatitis, a form of eczema excess friction to the anal area,. Anal itching (and perianal itching) occurs around and near the anus, which is the opening for the bowels. Anal itching occurs more often in men, and, most of the time, no cause can be identified. Treatment for anal itching includes home remedies and some medications. Slacking on your hygiene can irritate the skin and cause itching due to flecks of fecal matter remaining on your anus. Side effect of steroid creams, some gels and ointments for anal fissure, and peppermint oil its unusual for an itchy bottom on its own to be related to something more serious. But rarely, it may be a sign of something like anal or bowel cancer, so its important to get it checked by a gp. in lichen sclerosus of anus, there is the presence of white spots on the anus that usually do not ulcerate and bleed. These spots may cause itching (most common symptom) and sometimes, pain. Anal itching, or pruritus ani, is a common condition that is typically worse at night. Accompanied by a strong urge to scratch the skin around the anus, this condition is caused by a variety of skin disorders, infections and an adverse environment that irritates the skin, according to the new york university langone medical center 1.