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title: "Pruritus Ani in Curitiba — Femi Saúde"
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Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized Clinical Treatment
# Pruritus Ani
Persistent anal itching and its causes
Consulta
Acompanhamento periódico
## What it is
Pruritus ani is intense, persistent itching in the skin around the anus, which tends to worsen at night and after bowel movements, creating a cycle of scratching and irritation that's hard to break. It can be secondary to hemorrhoids, fissures, fistulas, fungal or parasitic infections, dermatitis, allergies to hygiene products, moisture or even excessive cleaning; in many cases, though, no specific cause is found and the problem is called idiopathic pruritus ani. At Femi Saúde, the coloproctology team calmly investigates the possible causes, examines the area with anoscopy when necessary, and proposes a plan of skin care, lifestyle adjustments and treatment of the underlying cause, without embarrassment.
## Most common symptoms
- Intense itching around the anus
- Worsens at night and after bowel movements
- Burning and redness of the skin
- Thickened or cracked skin from scratching
- Moisture or minor stool leakage
- Difficulty sleeping because of the itching
## Causes and risk factors
- Moisture and stool residue on the skin
- Excessive hygiene or irritating products
- Hemorrhoids, fissures or fistulas
- Fungal infections, pinworms or HPV
- Dermatitis, psoriasis and allergies
- Irritating foods and caffeine
## How it is diagnosed
The visit begins with a detailed conversation about hygiene habits, products used, diet, medications and associated symptoms. The coloproctologist examines the perianal skin for signs of dermatitis, infection or lesions, and performs a digital rectal exam and anoscopy to identify hemorrhoids, fissures or fistulas that might be keeping the area moist. In selected cases, a stool test, a skin scraping for fungi, or a biopsy is requested when the skin shows persistent or atypical changes.
## How we treat it at Femi Saúde
The foundation of treatment is breaking the itch cycle: cleaning with water instead of paper, patting dry without rubbing, avoiding scented soaps and wet wipes, wearing cotton underwear, and keeping stools well formed with fiber and water. Barrier creams or, for a short period, topical corticosteroids help soothe the skin. Alongside this, the coloproctology team at Femi Saúde treats the identified cause, whether an infection, a hemorrhoid or a fissure, and monitors the response, adjusting the plan until the itching is under control.
## When to see a gynecologist
See a coloproctologist if anal itching lasts more than two weeks, disrupts sleep, or comes back whenever self-directed treatment is stopped. It is especially important to be evaluated when there is bleeding, discharge, pain, visible lesions or involuntary stool leakage, as these signs point to a cause that needs specific treatment, not just skin care.
## What we offer
1
Careful investigation of the causes
2
Relief from the itch-irritation cycle
3
Practical hygiene guidance
4
Treatment of the cause, not just the symptom
5
Discreet, welcoming care
## Coloproctology specialists
[Dra. Juliana Ferreira
Coloproctologist](https://femisaude.com.br/en/doctors/dra-juliana-ferreira) [Dra. Roberta Boscardin
Surgeon and Coloproctologist](https://femisaude.com.br/en/doctors/dra-roberta-boscardin)
## Coloproctology treatments at Femi Saúde
[Anoscopy
An in-office exam of the anal canal](https://femisaude.com.br/en/treatment/anuscopia) [Rubber Band Ligation for Hemorrhoids
Office-based treatment for internal hemorrhoids](https://femisaude.com.br/en/treatment/ligadura-elastica-hemorroidas) [Laser Treatment for Hemorrhoids
In-office laser hemorrhoidoplasty](https://femisaude.com.br/en/treatment/laser-hemorroidas) [Laser Removal of Anal Skin Tags
Removal of anal skin folds](https://femisaude.com.br/en/treatment/remocao-plicomas-laser) [Botulinum Toxin for Anal Fissure
Relaxes the sphincter and promotes healing](https://femisaude.com.br/en/treatment/toxina-botulinica-fissura-anal) [Hemorrhoidectomy
Surgery for advanced hemorrhoids](https://femisaude.com.br/en/treatment/hemorroidectomia)
[See all Coloproctology treatments ](https://femisaude.com.br/en/specialties/coloproctologia)
## Ready to schedule?
Schedule your consultation and discover how this procedure can transform your quality of life.
[Schedule via WhatsApp]()
## Sitemap
See the full [sitemap](/sitemap.md) for all pages.