Lifestyle and home remedies

Prevention of anal itching mainly involves a careful washing routine that keeps the area clean, cool and dry, while avoiding further irritating the skin.

If you already have anal itching, try these self-care measures:

• Cleanse gently. Clean the area around the anus with plain water or mild soap and a soft (nonterry) washcloth once daily. Avoid scrubbing. Pat dry or use a hair dryer set on low.

  If you have fecal incontinence or diarrhea, clean the area around the anus with moist cotton balls or a squirt bottle of plain water. It may also help to apply a moistened or dry cotton ball to the outside of the anus.

• Don't scratch. Scratching further irritates your skin. You may find some relief by applying a moist, room-temperature compress to the area or taking a lukewarm oatmeal bath. Trim your nails short and wear cotton gloves while you're sleeping to help prevent scratching.
• Wear white cotton underwear that don't bind. This helps keep the area dry. Avoid wearing pantyhose and other tightfitting garments because these can trap moisture
• Avoid irritants. Avoid bubble baths, genital deodorants, harsh or perfumed soaps, and moist wipes. Use white, unscented toilet paper.
• Change your diet. Cut back on or avoid coffee, cola, alcohol, citrus fruits, chocolate, spicy foods, tomatoes and foods that may cause diarrhea. Avoid overuse of laxatives.
• Apply ointments or gels. Protect the affected skin from moisture by applying a thin layer of a zinc oxide ointment (Desitin, Balmex) or petroleum jelly (Vaseline). If needed, apply hydrocortisone 1 percent cream two to three times a day for a brief period to relieve symptoms.
• Maintain regular, firm bowel movements. If soft stools or frequent bowel movements are a problem, gradually adding fiber to your diet may help. Fiber supplements such as psyllium (Metamucil) and methylcellulose (Citrucel) also may help.