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How to Stop Itchy Anus at Night: Effective, Research-Backed Solutions

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • Understand the causes of itchy anus at night  
  • Learn about proper hygiene and bathroom habits
  • Know the role of diet in preventing nighttime anal itching
  • Explore different treatment options for relief
  • Recognize when it’s time to see a doctor for help 

Introduction 

We’ve all experienced an itchy bottom at some point. This annoying symptom is even more aggravating at night when you’re trying to sleep. Wondering what makes your behind itch while you’re off to dreamland? Knowing what’s causing it and how to modify your habits can play a big role in getting rid of it. In this piece, we’ll take a look at how to get rid of itchy anus at night and  research-backed measures to tackle this problem so that you don’t have to lose your sleep over the itchy bottom anymore! 

how to stop itchy anus

Did you know?

  • Pruritus ani can have multiple causes, including diarrhea, stool leakage, infections, and skin conditions. source: NCBI
  • Conservative measures, such as good perianal hygiene and dietary changes, can help manage pruritus ani symptoms. source: NCBI
  • Treatments for itchy anus are limited and include topical steroids, antibacterial and antifungal agents, and topical anesthetic/analgesics. source: NCBI
  • Most patients experienced itchy anus symptom improvement within 72 hours of initiating treatment with the lidocaine ointment. source: NCBI

Identifying the Causes of Itchy Anus at Night 

Do you wonder what causes an itchy anus?To get rid of an itchy bottom, figuring out the root cause is crucial. There could be several reasons behind your discomfort—some serious, others not so much. Let’s delve into the possible causes. 

1. Bathroom habits and hygiene 

Cleanliness plays a big role in having an itch-free bottom. Over-cleaning, under-wiping, or the use of harsh soaps may potentially irritate the sensitive skin around your anus, leading to itching. 

2. Hemorrhoids or anal fissures 

Swollen veins (hemorrhoids) and small tears (anal fissures) near the rectum can cause discomfort, such as itching. If you think these conditions may be the reason you are facing itching issues, consult your healthcare provider to guide you to the right treatment. 

3. Diet 

Did you know certain foods and drinks may trigger anal itching? Usual suspects include spicy or acidic food, alcohol, caffeine, and dairy. A balanced diet without trigger foods may bring relief from the itching. 

4. Sweat 

Sweating leads to trapped moisture around your anal area. This may lead to itching, more so at night when there’s no fresh air circulation. 

5. Medications taken before bed 

Certain medications might list itching as a side effect. If you’re taking any medicines before bedtime, ask your healthcare provider if these could be causing your itchiness. 

6. Clothing fabric 

The choice of your underwear fabric affects comfort around your bottom. Tight synthetics can trap moisture and irritate the skin. Loose and breathable cotton underwear can prevent sweat trapping and itching. 

7. Threadworms 

Threadworms are small parasitic worms that infect your gut and lay eggs around your anus. This can cause itching, especially at night.Itchy anus in kids, adults are more common and can get an infection with these worms too. If you feel that your itchy anus is due to worms, consulting a health professional is crucial.

8. Skin conditions 

Skin issues like eczema or psoriasis could be the culprits. If you have one of these long-term skin conditions that affect the skin around your anus, getting it treated by your healthcare provider can soothe the itching at night. 

9. Itchy bum at night during a period 

Women may find that their bottoms itch during menstruation due to extra moisture. Using high-absorbency pads or menstrual cups probably could ease the irritation at night. 

10. Itchy bum in children 

Kids, too can have itchy anuses at night. The main suspects are threadworms, poor cleanliness, and sharing toys. Let’s take a look at the following table detailing causes and their solutions:

Cause 

Solution 

Bathroom habits and hygiene 

Improve wiping technique, avoid harsh soaps 

Hemorrhoids or anal fissures 

Consult a healthcare provider 

Diet 

Avoid trigger foods, maintain a balanced diet, talk to a nutritionist 

Sweat 

Choose breathable clothing, keep the area dry 

Medications 

Discuss with a healthcare provider 

Clothing fabric 

Wear breathable fabrics at night 

Threadworms 

Seek medical treatment 

Skin conditions 

Treat underlying conditions properly 

Menstrual periods 

Use absorbent pads or cups 

Children 

Maintain proper hygiene, monitor activities 

In children especially If much of the itching occurs at night and keeps your child awake, a pinworm infestation is likely the cause. 1 If they have just started wetting the bed, that could also be due to pinworms irritating the urethra.

Dr. M.G. Kartheeka, MBBS, MD

Treatment Options for Itchy Anus at Night 

Now that you know the causes let’s look at treatment options on how to get rid of itchy anus at night. Getting relief depends on what’s causing the itching. A combination of self-care and specific treatments usually fetches the best results. 

1. Topical Remedies 

Quick relief can come from over-the-counter creams that may be recommended by your healthcare provider.  

If itching doesn’t reduce or becomes severe, contact your healthcare provider who may prescribe stronger ointments, and try to find out the specific cause for it and give cause-specific treatment as well. 

2. Wearing breathable fabrics to bed 

Choosing soft, breathable cotton undies and pajamas may ward off sweating and keep annoying irritation at bay. 

3. Keeping cool at night 

Keeping your sleeping area cool may help avoid excessive sweating. Try a cooler room temperature and use light sheets that let your skin breathe. 

4. Employing safer hygiene practices 

Potentially effective ways to keep your anal area clean and irritation-free are at hand. The right wiping techniques, shunning harsh soaps and wipes, and keeping the area cool and dry could all potentially reduce itching. 

5. Proper wiping techniques 

After going to the toilet, clean up softly and thoroughly. You could use unscented tissues, moist wipes, or a bidet for a gentle, thorough clean. Women must be careful and always clean from front to back.  

6. Avoiding harsh soaps and wipes 

Choose gentle soaps, avoid scents or medicinal ones as they can make the itchiness worse. Below is a quick table with treatment options and handy tips: 

Treatment Option 

Tips 

Topical Remedies 

Could use topical applications recommended by a healthcare provider.  

Breathable fabrics 

Wear looser, breathable cotton underwear and pajamas 

Cool sleeping environment 

Maintain a cooler bedroom and use breathable sheets 

Hygiene practices 

Gently and adequately wipe using soft toilet paper, wet wipes, or a bidet; opt for gentle, unscented soaps and wipes 

More than 100 different causes for pruritis ani have been reported, and the condition is 4 times more common in males than in females, females while pregnant have a higher disposition for developing itching in the anal region due to hormonal changes and possible hemorrhoids or fissures which require a thorough examination and management.

Dr. Ashish Bajaj, M.B.B.S., M.D.

When to See a Doctor for Itchy Anus at Night 

It’s critical to see a healthcare provider if self-help does not fix the issue or if you notice other worrying signs: 

  • Unending itch even with self-help measures 
  • Seeing blood or pus 
  • Serious pain or discomfort 

Signs of illness like fever or swelling 

Also Read: What Causes Night Sweats in Men: Insights from Medical Research

Outlook and Prevention 

Managing the issue that’s behind your itchy anus at night is key. You could include some of these precautions in your daily routine to keep your skin comfy. Here are some overall tips: 

  • Develop good hygiene habits 
  • Keep a balanced diet  
  • Wear suitable clothes 
  • Keep the skin clean and dry
     

Handy prevention pointers are here: 

Preventative Measures 

Tips 

Good hygiene practices 

Wipe gently, choose gentle soaps 

Balanced diet 

Avoid trigger foods 

Appropriate clothing 

Wear loose, breathable fabrics 

Clean and dry skin 

Regularly clean the area, avoid moisture 

Conclusion 

In conclusion, fixing an itchy anus at night is about finding the root of the issue and then applying proven solutions. The problem might feel irritating and slightly embarrassing, but taking action can drastically improve your life. When self-care doesn’t help, always contact your healthcare provider. You probably can use this article to potentially stop the troublesome nighttime itchiness satisfactorily.  

Frequently Asked Questions (FAQs) 

How do you get rid of an itchy anus fast?

Find out what’s causing the itchiness and treat it. Quick fixes could include topical aids, better hygiene methods, and changes in lifestyle. 

Why is itchy anus worse at night? 

Trapped moisture and no other things to distract can make the itchiness seem worse at night.

What is the best home remedy for itchy anus?

Keeping the area clean, wearing clothes that let your skin breathe, and a balanced diet, can help.

What deficiency causes itchy anus? 

Sometimes, a lack of certain vitamins can lead to itchiness. Check with a healthcare provider if a deficiency might be the reason behind your symptoms. 

Why does my butt itch at night?

Nighttime itching in the buttocks area can be caused by various factors, such as dry skin, irritation from clothing, or the presence of hemorrhoids. It is advisable to maintain proper hygiene, moisturize the skin, and consult a healthcare professional if the itching persists for an accurate diagnosis and appropriate treatment.

Is itchy anus a sign of cancer?

While an itchy anus can have various causes like hemorrhoids or infections, it is rarely a direct sign of cancer. However, persistent symptoms should be evaluated by a healthcare professional to rule out any underlying issues and receive appropriate medical advice.

Is itchy anus a sign of HIV?

Itchy anus is not a specific or conclusive sign of HIV. HIV symptoms are diverse, but an itchy anus is more likely related to other common conditions like hemorrhoids or infections. If concerned about HIV, it’s essential to undergo proper testing and consult with a healthcare professional for accurate information.

Is itchy anus a sign of worms?

Yes, an itchy anus can be a symptom of pinworm infection, a common type of intestinal worm infestation. If persistent itching occurs, consulting a healthcare professional for proper diagnosis and treatment, such as antiparasitic medication, is advisable.

Is itchy anus a sign of pregnancy?

No, an itchy anus during pregnancy is not a typical sign of pregnancy. Pregnancy symptoms usually include nausea, fatigue, and changes in appetite, while anal itching is more likely due to factors like hemorrhoids or infections. If concerned about pregnancy or persistent symptoms, consulting a healthcare professional is recommended.

Is itchy anus a sign of piles?

Yes, an itchy anus is a common symptom of hemorrhoids, also known as piles. Hemorrhoids can cause discomfort, itching, and pain around the anal region. Seeking medical advice is advisable for proper diagnosis and management of this condition.

Is itchy anus a sign of herpes?

While anal itching can occur in herpes infections, it is not typically the primary or most common symptom. Herpes symptoms often involve painful sores or ulcers. If concerned about herpes or experiencing persistent symptoms, it is important to consult with a healthcare professional for accurate diagnosis and appropriate management.

Can itchy anus cause bleeding?


Yes, persistent scratching of an itchy anus can potentially lead to irritation and minor trauma, resulting in bleeding. However, if bleeding continues or is severe, it is crucial to consult with a healthcare professional to determine the underlying cause and appropriate treatment.


Can itchy anus cause UTI?

While an itchy anus itself may not directly cause a urinary tract infection (UTI), excessive scratching can introduce bacteria into the urethral or genital area, potentially increasing the risk of infection. Maintaining good hygiene and seeking medical advice for persistent symptoms is important to prevent complications.


Can itchy anus cause diarrhea?

An itchy anus itself is unlikely to cause diarrhea. However, if the itching is due to an underlying gastrointestinal issue or infection, it might be associated with diarrhea. Consulting a healthcare professional for proper diagnosis and treatment is recommended for persistent symptoms.


Can itchy anus be thrush?

Itchy anus is not typically associated with thrush, which is a yeast infection caused by Candida. An itchy anus may be related to other factors such as hemorrhoids or infections. Consultation with a healthcare professional is advised for an accurate diagnosis and appropriate treatment.

Can amoxicillin cause itchy anus?

Yes, amoxicillin use can sometimes lead to gastrointestinal side effects, including itching around the anus, as a part of an allergic reaction or irritation. If experiencing persistent symptoms, it is crucial to consult with a healthcare professional for proper evaluation and guidance.

Can gas cause itchy anus?

While gas alone may not directly cause an itchy anus, increased flatulence can potentially contribute to irritation in the anal region. Persistent itching warrants consideration of other factors like hemorrhoids or skin conditions, and consulting with a healthcare professional is recommended for a proper evaluation.

Can BV cause itchy anus?

Bacterial vaginosis (BV) typically affects the vaginal area and is not a direct cause of an itchy anus. If itching persists in the anal region, it may be due to other factors like hemorrhoids or skin irritation. Consulting with a healthcare professional is advised for an accurate diagnosis and appropriate treatment.

Does itchy anus means parasites?

Yes, an itchy anus can be a symptom of certain parasitic infections, such as pinworms. However, other factors like hemorrhoids or skin conditions can also cause anal itching. Consulting with a healthcare professional for proper diagnosis and treatment is recommended if the itching persists.

Does itchy anus means hemorrhoids?

Yes, an itchy anus can be a common symptom of hemorrhoids, which are swollen blood vessels in the rectal area. However, other conditions or factors may also cause anal itching, so it’s essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

Does itchy anus mean HPV?

Itchy anus is not typically a direct symptom of HPV (human papillomavirus). HPV often presents with genital warts or may be asymptomatic. If concerned about HPV or experiencing persistent symptoms, consulting with a healthcare professional is crucial for proper evaluation and guidance.

Does itchy anus go away?

The resolution of an itchy anus depends on the underlying cause. If it’s due to a temporary irritation, good hygiene practices and over-the-counter creams may help it go away. However, persistent or worsening itching may require medical evaluation and treatment.

How long can an itchy anus last?

The duration of an itchy anus varies depending on its cause. Temporary irritation may resolve in a few days with proper care, but persistent itching could indicate an underlying issue, requiring medical evaluation and treatment.

Can toilet paper cause itchy anus?


Yes, toilet paper can potentially cause an itchy anus, particularly if it contains harsh chemicals or fragrances that irritate the skin. Using softer, fragrance-free toilet paper and ensuring thorough cleaning can help alleviate discomfort.

Can thongs cause itchy anus?

Yes, wearing thongs can sometimes contribute to an itchy anus due to friction and moisture buildup, especially if made from non-breathable materials. Opting for breathable fabrics and proper h.ygiene practices can mitigate this discomfort.

Can H pylori cause itchy anus?


While H. pylori is primarily associated with stomach issues like ulcers, some studies suggest it could be linked to anal itching in rare cases. However, further research is needed to establish a direct causal relationship. Consulting a healthcare professional is advised for proper diagnosis and treatment.

Can constipation cause itchy anus?

Yes, constipation can lead to itchy anus due to increased pressure and irritation on the anal area from hardened stools. Ensuring an adequate intake of fiber, staying hydrated, and maintaining regular bowel movements can help alleviate this discomfort.

Why does my anus itch at night?

An itchy anus at night could stem from several factors, including irritation from sweat or clothing, hemorrhoids, or skin conditions like eczema. Identifying the underlying cause with a healthcare provider can guide effective treatment and relief.

What causes an itchy anus in diabetes?

An itchy anus in diabetes can result from factors like poor blood sugar control leading to yeast infections, nerve damage affecting sensation, or skin conditions exacerbated by high blood sugar levels. Treatment for itchy anus in diabetes may  include managing blood sugar levels effectively, topical creams for itching, and addressing any underlying infections or skin conditions through medication or lifestyle adjustments.

References: 

  1. PubMed. Why does sweat lead to the development of itch in atopic dermatitis? [Internet]. [cited 2023 Aug 19]. Available from: https://pubmed.ncbi.nlm.nih.gov/31152459/ 
  2. National Health Service (NHS). Itchy bottom [Internet]. [cited 2023 Aug 19]. Available from: https://www.nhs.uk/conditions/itchy-anus 
  3. National Center for Biotechnology Information (NCBI). Pruritus Ani [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647235 
  4. National Center for Biotechnology Information (NCBI). Topical capsaicin—a novel and effective treatment for idiopathic intractable pruritus ani: a randomized, placebo-controlled, crossover study [Internet]. [cited 2023 Aug 19]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1773800 
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