A type of inflammation of the adjacent areas of the skin ('body folds'). Results in rash in the buttock crack. Blockage of sweat glands of the skin covering the buttocks can result in 'heat rash'. Usually resolves on its own without any medical intervention. Patient: I am a 32 yr old male, The top of my butt crack (top 3 inches) is really itchy. I see no visible rash and I clean myself well every time I use the restroom with baby wipes and follow by using baby powder. ![]() What is pruritus ani? Pruritus ani is the medical term for a persistent (chronic) itchy feeling around the anus. The main symptom is an urge to scratch your anus, which is difficult to resist. The urge to scratch may occur at any time. However, it tends to be more common after you have been to the toilet to pass a bowel motion and at night (particularly just before falling asleep). The itch may be made worse by: • Heat. • Moisture or wetness around the anus. This may be caused by sweating, or by incomplete drying of that area after washing. It may also be caused by leaking urine (incontinence). • Stools (faeces) being in contact with the skin around the anus. This can be due to leaking of stools out of the anus, or due to incomplete cleaning after opening your bowels. • Stress and anxiety. Persistent scratching of the anal skin can damage the skin and make it more likely to develop a skin infection in that area. Also, chronic itching of the anal area may lead to feelings of embarrassment. Both your mood and sleep can be affected. Who develops an itchy bottom? An itchy bottom (pruritus ani) is a common problem but the exact number of people who develop an itchy bottom is unknown. Some sources suggest around 1 to 5 out of every 100 people have an itchy bottom. It seems to be more common in men than in women. It most commonly affects people between the ages of 40-60. However, it can affect people of any age, including children. What causes an itchy bottom? An itchy bottom (pruritus ani) is a symptom, not a final diagnosis. Various conditions may cause an itchy bottom. When the cause is another condition which has been identified, this is known as secondary pruritus ani. However, in many cases the cause is not clear. This is called 'idiopathic pruritus ani' which means 'itchy anus of unknown cause'. Known causes of an itchy bottom There are lots of possible causes. See the separate leaflets linked to each condition below for more detail. These are just some of the possible causes: Skin conditions There are a number of skin conditions which may affect the skin around the anus and cause itch. For example: •. Dermatitis means inflammation of the skin. Red Rash On Butt CrackThis may be caused by: • Excess sweat and moisture around the anus. Young children who may not wipe themselves properly, adults with sweaty jobs and adults with a lot of hair round their anus may be especially prone to this. • Excess cleaning of the anal area. • Some soaps, perfumes, creams, ointments, or the dye in some toilet tissue may irritate (sensitise) the skin around the anus in some people. You may be 'allergic' to one or more of the ingredients in these products. Skin conditions cause about half of all cases of secondary pruritus ani. Persistent scratching of the anal skin can damage the skin. Infections • and are caused by germs that thrive in moist, warm, airless areas, such as around the anus. Thrush is more common in people with diabetes. • are a very common cause in children. Itchy Rash On Buttocks CrackUp to 4 in 10 children in the UK have threadworms at some stage. Threadworms live in the gut and lay eggs around the anus which cause itch. Children may pass them on to adults in the same home. Consider this cause particularly if there is more than one person in the home with an itchy bottom. Also, with threadworms, the itch is mainly at night. • Other infections such as, infections with germs (bacteria),, and some other can cause itch around the anus. You are likely to have other symptoms too such as a rash, lump or discharge. Conditions affecting the anus These include: •. This is a small crack in the anal skin. It is usually painful as well as itchy. • • is a rare cause of an itch around the anus. Some diseases Generalised itch, which may seem more intense around the anus at times, may be caused by some diseases. For example: • • Certain liver diseases • • • With these conditions you are likely to be unwell with other symptoms. Some foods When certain foods are not fully digested, they may irritate the skin around the anus after you have gone to the toilet to pass stools. These include: • Citrus fruits. • Spices and chilli peppers. • Large amounts of beer. • Caffeine - in coffee, tea or cola. Some medicines • Some can lead to. Passing lots of diarrhoea can irritate the anal skin and cause an itchy bottom. • If you are taking or other medicines that can weaken your immune system, you are at increased risk of developing skin infections which may affect the skin around the anus. • Other medicines such as (for ) and (for wind and bloating) may cause an itchy bottom as a side-effect. • Medicines that are put on to the skin near the anus to treat problems such as haemorrhoids may irritate the anal skin and cause a type of dermatitis. Unknown causes of an itchy bottom (idiopathic pruritus ani) In many cases, the cause is not clear. In some people, it may be that something is irritating your skin. This may be an ointment that you are using, or your sweat, or the toilet tissue that you use but you cannot pinpoint the cause exactly. In other people, it is thought to be caused by a small amount of stool leaking from the anus and irritating the nearby skin, causing itching. Also, an itchy bottom may affect some people with problems such as depression. However, the cause can sometimes remain a complete mystery. An itchy bottom and a vicious circle A 'vicious circle' (itch-scratch cycle) sometimes develops. The more you scratch, the more irritated the skin becomes and the more it itches. Itchy Upper Butt CrackVarious factors can keep this cycle going. For example, you may have a mild itch around your anus. You may then clean your anus with a scented soap. This may contain an ingredient which irritates your skin. You then develop a worse itch. You may think the itch means the anus needs more cleaning. Therefore, you clean it even more with the scented soap - which makes things worse and so on. Itchy Rash On Bum Crack Girl FaceAnother example of a 'vicious circle' is: you may buy an ointment if you have a small pile (haemorrhoid). This may contain an ingredient that your skin is sensitive to, particularly if your skin is already a little inflamed. It may sensitise the skin even more and the itch becomes worse. You may think that the haemorrhoid has become worse, so you put on more ointment. But, in fact it is the ointment itself making the itch worse and so on. Most creams and ointments do not irritate the skin in most people.
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