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Typically, anal itching, pruritus ani, or itching around the opening of the rectum, is very treatable and often doesn’t even require a trip to the doctor. It just requires that the patient take better care of the body. Simply cleaning better around the anal area will usually offer a fair amount of relief. Jun 19, · Skin allergies can cause anal itching. An autoimmune skin disorder can make your body's immune system attack its own cells. Medicines: Anal itching may be a side effect of some medicines used to treat gout, arthritis, or infections. Creams, ointments, or medicines used to treat other anal problems may also cause anal itching. The intensity of anal itching and the amount of inflammation increases from the direct trauma of scratching and the presence of moisture. At its most intense, anal itching causes intolerable discomfort that often is described as burning and soreness, especially during and after bowel movements. There also may be small amounts of bleeding.