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What is the real cause of chronic anal itch and which remedy proves to be best. Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. Causes of anal itching include diet, fecal soilage, medical conditions, antibiotics, dry skin, and profuse sweating. An itchy bottom may be from too much or too little washing, or it may be a sign of a more serious issue that needs a clear medical diagnosis. An anal or bowel infection may cause your bowel to swell and itch. Skin conditions anal itching may occur if you do not clean your anal area properly. If you have recurring incidences of anal jock itch, chances are that you have a systemic overgrowth of candida (fungus). An overuse of antibiotics, corticosteroids, stress or food allergies can cause candida overgrowth. You might also have pinworms, parasites that congregate in the colon around fecal impactions. What is the real cause of chronic anal itch and which remedy proves to be best.