Dermatology Questions? Ask an Online Dermatologist.
``Thank you for asking your question. This sounds like a relatively common condition called Pruritus Ani. It is good that you consulted with a urologist to rule out urinary infections or ( if you are a male) chronic prostatitis.
If you are itching in the anus: Pruritus Ani. The only way to tell whether you have prostititis would be a culture after a prostate message. If the culture is positive then you would have prostatitis. Presumably your urologist checked for this. I could not tell whether you have this ( frankly this is in the domain of the urologist. We dermatologist treat Pruritus Ani. As far as treating this: It is important to quiet down the area. Hopefully, you were tested for candidiasis. Candida ( yeast) can cause prolonged anal itching. Do you have a rash any other place?
Test for Candida: culture or a scarping and looking under the microscope for yeast cells. Most cases of Pruritis Ani respond rapidly and completely to proper management. If yeast: a pill called Diflucan 150 mg. once a week and Lotrimin cream twice a day. The latter is over the counter.
Diet: Avoid irritating foods such as chocolate, nuts ( especially hazelnuts), cheese and spicy foods.
Bathing:Do not excessively clean the area. Do nut scrub. This can irritate the area.
I would recommend a dermatologist. We do KOH scrapings all the time, I am not sure about proctologist.
Most dermatologists have treated a large number of patients with this.
You might try over the counter Lotrimin and if that does not work Cortaid 1% cream.
KOH scraping. The area is scraped and then a drop of KOH ( potassium hydroxide) is placed on the slide and examined under a microscope.
Toilet care: Tucks or cotton. Balneol lotion ( over the counter) may help.