Is it possible that anal itching sometimes indicates hemorrhoids?

Anal Itching: Causes and Treatments

Occasional anal itching may be indicative of hemorrhoids, but other causes cannot be ruled out, such as perianal eczema and anal fissures. It is recommended that patients seek medical attention promptly for examination and targeted treatment after identifying the underlying cause.

1. Hemorrhoids

Hemorrhoids are a common anorectal disease primarily caused by congestion and enlargement of veins in the lower rectum. Constipation can increase abdominal pressure, leading to anal itching. Patients can use medications like Compound Carrageenan Ester Cream or Mayinglong Musk Hemorrhoid Ointment under medical guidance. For severe cases, surgical intervention may be necessary.

2. Perianal Eczema

Perianal eczema is an allergic skin condition affecting the skin around the anus, often triggered by stress, insomnia, or consumption of spicy and irritating foods. It manifests as red patches, papules, and intense itching. Treatment involves the use of Calamine Lotion or Desonide Cream as prescribed. Maintaining personal hygiene and frequently changing underwear is also crucial.

3. Anal Fissures

Anal fissures are small tears in the full thickness of the anal canal skin below the dentate line, commonly caused by chronic constipation or diarrhea. Symptoms include pain, bleeding, and itching during bowel movements. Nitroglycerin Ointment or Lidocaine Hydrochloride Gel can be prescribed for treatment. Surgical intervention may be considered if necessary.

Other potential causes include condyloma acuminata and bacterial vaginosis. If symptoms are severe, patients are advised to seek treatment from the Gastroenterology Department of a reputable hospital.