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However, some children carry the bacteria in the anal and genital area without it causing disease. You are likely to have other symptoms too such as a rash, lump or discharge. A tumour of the anus or lower gut (bowel and rectum) is a rare cause of an itch around the anus. Diaper rash is an inflammation of the skin on a babys bottom, caused by excessive exposure to a soiled diaper. Healthline media does not provide medical advice, diagnosis, or treatment. Perioral dermatitis is a rash that affects the skin around the mouth. The cause is unknown, but research suggests that it is a reaction to the misuse of topical corticosteroids. Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. The diagnosis of the cause of pruritis ani requires examination of the anus for. Causes of anal itching include diet, fecal soilage, medical conditions, antibiotics, dry skin, and profuse sweating. Typically, the skin just next to the lips is not affected, or is affected much less than the skin just a little further away from the lips. So, in some cases, it looks like the rash forms almost a ring around the mouth but sparing a small border of skin next to the lips. Treatment for macerated skin depends on the cause and how serious it is. In mild cases, exposing the affected area to air is usually enough to reverse it.