Ask The Expert
September 20, 2010
Breaking the itch-scratch-itch cycle can be very challenging. There is no quick and easy treatment. The anal area is sensitive and can easily become irritated and itchy.
Even without realizing it, many people scratch at night. This makes the situation worse. Also, the area tends to be moist from mucous and sweat. During the day, normal rubbing of the buttocks when walking adds to the irritation and urge to itch.
The best way to treat anal itching is to keep the area clean and dry:
Creams and ointments usually don't help, and the chemicals in them sometimes make the problem worse. Zonalon cream contains doxepin, a drug that blocks histamine. It may help a little.
The nystatin is an antifungal agent that treats yeast infections. Yeast will grow on irritated skin, especially when it is warm and moist. But it is unlikely to help with anal itching.
You can try a 1% hydrocortisone ointment or cream. But do not use it for long periods. It causes the skin to become thinner and more fragile, and more susceptible to irritation.