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These measures may only help the symptoms but not address the underlying problem.Dry paper or excess washing may tear the skin and make it worse.We do not recommend the use of steroids by themselves as it will only provide minimal temporary improvement and can make the underlying skin infection worse.Over the counter anti-fungal creams are not approved by the FDA for rectal usage.Repeated wiping, cleaning, scratching, and the use of harsh cleaners make the itching worse. There are many other possible causes of rectal itching.It may be due to poor hygiene, leakage of stool and mucous, diarrhea, over cleaning, prolapsed hemorrhoids, inflamed internal hemorrhoids, skin tags, anal fissure, anal fistula, age related dry skin, Crohn’s disease, rectal warts, pinworms, rectal fistula, psoriasis, eczema, seborrhea, lichen planus, scabies, STDs, anal cancer, viral warts (HPV), sweating, erythrasma, contact dermatitis, neurodermatitis, amebiasis, or proctitis. Decrease the yeast in your diet by decreasing refined carbohydrates.

Mupirocin may be used if a bacterial infection is suspected.It is important to be sure of the diagnosis and avoid missing other conditions that may cause itching and a rash.If the anal itching is not better after one week, it is time to see a specialist.Buttock folliculitis is a common skin condition that looks like multiple red pimples on the butt cheeks.It is made worse by sitting, hot damp weather, tight underwear, or exposure to bacteria such as found in a poorly maintained hot tub.

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