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What is the real cause of chronic anal itch and which remedy proves to be best. Anal itching, or pruritus ani, is a common condition that is typically worse at night. Accompanied by a strong urge to scratch the skin around the anus, this condition is caused by a variety of skin disorders, infections and an adverse environment that irritates the skin, according to the new york university langone medical center 1. If you want to know why your anus becomes itchy at night you have to keep in mind that there are many causes that can promote this situation and, among all of them, developing excess moisture in the area is a common cause of this itchiness. Building up too much moisture in the anal area can be due to perspiration or because the area has not been properly dried after rinsing or showering. The itching will often flare more at night if you had sexual intercourse. Other symptoms pain with walking and sex, lump near vaginal opening, fever (if infected), swelling and redness, odorless discharge. Pruritus ani is a dermatological condition that causes itching in the anal area, which may become worse at night or after a bowel movement. It started in the anal area and was prettu mild, but after an year itching became severe and was mostly at nght. Now i have extreme itching in labia majora and the anus, mostly at night and after washroom wiping. Also, chronic itching of the anal area may lead to feelings of embarrassment. Particularly if there is more than one person in the home with an itchy bottom. my friend had a similar itching problem that occurred mainly at night but it was so bad it kept him awake! He changed his diet and that helped ease some of the problems and eventually found a spray for anal itching by fire in the hole. If the anal itching is associated with any type of rash, lump, discharge, bleeding, or fever, call your doctor. You may need prescription medicine to make the problem go away. If small children are having trouble sleeping at night because of intense itching, this could be a sign of pinworms and will require medical attention. What is the real cause of chronic anal itch and which remedy proves to be best.