These are a group of conditions that affect the rectum and anus the end of the bowel where it meets the skin at the bottom and the skin surrounding the anus. They can be broadly grouped into four different categories based on symptoms:. Although sometimes socially embarrassing, itchy bottom also known as pruritus ani is very common and usually has a simple cause and remedy which can be self-managed. However, if the measures outlined below do not work your doctor should be consulted as antifungal or other creams may be indicated or other diagnoses considered. Itchy bottom is usually related to too much moisture such as sweat, irritation through scratching or chemical soaps which leads to further scratching or infection such as worms.
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Skin tags are raised areas or bumps on the outer surface of the skin. Anal skin tags are common and while they might be sensitive, itchy, cause some discomfort, and make keeping clean more challenging, they are not usually painful. It can be distressing to find a lump or a bump in the perianal area or to have symptoms such as itching, but skin tags are benign not cancerous and typically small sometimes only a few millimeters. Skin tags may be caused by blood vessels in the anal area swelling under the skin and then reducing again.
Despite the fact that countless patients suffer from anal problems, there tends to be a lack of understanding of anal health care. Unfortunately, this leads to incorrect diagnoses and treatments. When treating a patient with an anal complaint, the primary goals are to first diagnose the etiology of the symptoms correctly, then to provide an effective and appropriate treatment strategy. The first step in this process is to take an accurate history and physical examination.
An anal fissure fissure-in-ano is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. Fissures are quite common in the general population, but are often confused with other causes of pain and bleeding, such as hemorrhoids. Anal fissures can occur at any age and have equal gender distribution. A small number of patients may actually have fissures in both the front and the back locations.