Pruritus Ani

  • Bradley R. DavisEmail author


Pruritus is a common presenting symptom in patients presenting to the office for proctologic evaluation. The causes are extensive and may be the result of an anatomic abnormality. Treating physicians must be diligent to obtain a thorough history. Itching throughout the day, which awakens patients at night, is more commonly idiopathic and surgical intervention is unnecessary. Topical steroids used sparingly can often break the cycle with subsequent attempts to maintain a dry perineum. Other therapeutic options include the use of topical capsaicin and injection of intradermal methylene blue.


Idiopathic pruritus Secondary pruritus Pruritoceptive itching Scratch-itch cycle Fecal soiling Dietary modification Dermatologic Capsaicin Methylene blue 


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© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Section of Colon and Rectal SurgeryCarolinas Medical CenterCharlotteUSA

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