Last Updated on January 13, 2020
Some people have very severe anal itching. I have had clients from around the world with this very serious problem that can drive people crazy. Imagine how embarrassing it is to have an itchy anus, particularly if you’re out in public.
Everybody gets anal itching from time to time. We’ve all had that feeling that something is not quite right there. However, when the itching becomes constant, intractable, and persistent, then people suffer terribly. Some people have had anal itching 24/7 for years.
When I see clients with anal itching, the first thing I sort out is whether they had any digestive problems before the anal itching began Are there hemorrhoids, anal fissures, or tears? Are diabetes or thyroid disease an issue? Many different conditions can lead up to anal itching.
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Many people with anal itching have got a digestive problem which they haven’t understood or investigated. They could have long-term constipation or diarrhea. It could be a Candida problem, a parasite, or a bacterial infection, like strep or staph. A viral infection could be the problem. Some people with type 2 herpes simplex have rectal involvement leading to an itchy anus.
One of the most common things I see with anal itching is a history of Candida albicans. I have stopped counting how many hundreds of stool test results I’ve seen with very high Candida load when anal itching was present. Unfortunately, these patients were never tested for fungus or bacteria. Instead, they were given some rectal cream. Rectal cream is not a good enough answer for someone with severe anal itching.
If you have anal itching, go to your doctor and ask for some investigations. If your doctor doesn’t want to help you, go to a gastroenterologist and get their expert opinion. That information combined with a comprehensive stool analysis is your best shot for identifying what is causing the anal itching. While you’re waiting for the results, you can assume you have Candida and treat it appropriately. Once you get the results back of your testing, you can modify your treatment plan as needed. Thankfully, in my experience, nine out of ten cases of anal itching can be treated successfully.