Medical Coding Insights On Anal Itching

m 1+ points - Newb

As uncomfortable as the topic of ‘anal itching’ might be for most people, the condition is quite common. Irritated skin around the anus and an accompanying urge to scratch can result from a myriad of factors related to environment, diet, and personal hygiene. However, many cases of anal itching are symptoms of conditions that, if untreated, can lead to serious health complications. Thankfully, diagnostics are often able to pinpoint the source of conditions like anal itching—and thereby determine the severity of each case.

MD Guidelines reports that one to five percent of the American population suffers from anal itching (or Pruritus Ani, to physicians). The condition may be caused by the following: sexually transmitted diseases, such as gonorrhea, syphilis or HIV/AIDS; systemic conditions like anemia, thyroid disease, Crohn’s disease, psoriasis, and certain kinds of cancer; and rectal yeast infection (also known as candidiasis), a bacterial growth that thrives on rectal moisture. However, anal itching can also easily be caused by a night of drinking or an exceptionally spicy meal. Most experts agree that the all-important first step to the treatment of anal itching is identification of its source.

During the initial diagnostic examination, the infected area should be thoroughly inspected for hemorrhoids and fistula, as well as any trauma resulting from the irritation. Stool incontinence will be observed, and a gynecological exam may be performed for female patients. The doctor may also order tests for the patient’s blood glucose and nitrogen levels and liver (hepatic) functions, and a skin biopsy may be performed. Fecal analysis may also be conducted over a specific period and can be recorded by the patient at home. If the physician is still unable to reach a specific diagnosis, then he or she may conduct a proctocolonoscopy, during which a small tube is inserted into the anus. The condition is typically treated with topical medication, such as lotion or skin cream.

For patients who do not suffer from chronic diseases, rectal yeast infection is often determined to be the cause of anal itching. Most patients are women, but men who receive anal sex have also been treated for the condition. reports five chief causes of rectal yeast infection. Antibiotics, birth control and other medications can reduce levels of ‘good’ bacteria in an individual, which increases his or her risk for infection. Sexual transmission can also create rectal yeast as fluids are exchanged; spermicidal liquids found on condoms are often found to be the culprit. Other known causes of rectal yeast infection include pregnancy, diabetes and sensitivity to soap. The latter can result after prolonged exposure to materials such as bubble bath.

The symptoms of rectal yeast infection vary by individual case, though many will initially experience dryness, burning, or itching near the anus. The skin will become red and irritated, and the infected area could potentially spread if the skin is exposed to excess moisture (such as unwashed soap and diarrhea). Bloody stool and irritated bowels often follow. In some cases, the infected area will begin to produce a gray discharge with a fishy odor. Female patients may experience itchiness in the vaginal area, accompanied by a white discharge similar to cottage cheese. If these symptoms persist, the individual is encouraged to seek a physician; the doctor will normally order the patient to quit any current antibiotic medications, but the patient should continue taking the pills until his or her appointment. A trip to the emergency room is recommended in cases of severe pain.

In order to determine if anal itching is caused by a rectal yeast infection, individuals should consider many factors: Health history, medication regimen, sexual activity and the products used at home can all lead to this sort of infection. Since the symptoms of anal itching usually increase as a rectal yeast infection develops, the patient is often able to determine whether the initial discomfort is a temporary irritation—or the symptom of a more serious condition.

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10 Comments on "Medical Coding Insights On Anal Itching"

MSG's picture
Comment Quality Moderatori 2000+ points

Anal fissures can also cause itching (and greater pain if they get large). If your bowel movement is sticky, it may be difficult to wipe well, especially if the movement occurs away from home. Such an imperfect wipe may bring on itching, scratching, and eventually slight damage to anal skin. By the time of the next b.m., the wipe itself can be somewhat painful, so it may not be as complete as it should be. I have found that, away from home, certain types of toilet paper are the problem: they are scratchy, or they fragment with use, leaving tiny shards of poopy paper around the anus. In any case, an incomplete wipe can leave you with an anal itch, which can lead to a fissure and further itching.

the thin brown line's picture
j 1000+ points

I believe you left out the most obvious symptom: pain in the ass. Being one has far reaching implications. Oh, and always wash hands thouroughly after handling hot peppers. A peppered finger scratching anus is quite painful..or so I have (ahem!) been told.

Somethin' mysterious made an exit from the gift shop.

the thin brown line's picture
j 1000+ points

"leaving tiny shards of poopy paper around the anus"...and thou shall call those dingleberries...

Somethin' mysterious made an exit from the gift shop.

runninggrrl2's picture
Comment Quality Moderatork 500+ points

You can get yeast infections anywhere that you have two skin surfaces rubbing against each other. Add some moisture and--voila, yeasties. I could see getting a yeast infection between your cheeks if you for whatever reason have a lot of moisture down there. It sounds insanely uncomfortable, that's for sure.

An apple a day keeps the ExLax away!

Deja Poo's picture
Comment Quality Moderatorj 1000+ points

I know I'm going to get kicked out of the Man club for this, but we're not scratching our asses so much as we're massaging our prostates.

By the same token, we're not really scratching our balls either.

Yo quiero Taco Bell.

Poop John the First's picture
l 100+ points

We're just trying to get in touch with our inner self. Are you a shameful ass scratcher or a shameless ass scratcher? Snatch scratch fever!

Spreading the turd one poop at a time.

prarie doggin's picture
PoopReport of the Year AwardComment Quality Moderatorg 4000+ points

I think a lot of perceived ass scratchers are actually just digging their underwear out of their crack. At least that's what I tell everyone.

Bilgepump's picture
Comment Quality Moderatorh 3000+ points

its just that time of year when cats are shedding their winter coats, its really not all that complicated.

"One of the founding members of the Front Page Hyena Pack, and runs as its alpha male when the urge strikes him, which is often." Daphne (one perceptive chick)

turd turdgutson's picture
l 100+ points

Careful application of a belt sander running at maximum output is an excellent cure for anal itching. Just be mindful not to let your dangling bits get too close to the belt 'o doom lest you end up like that one guy on

"You will spray oil when you fart. You will have diarrhea. You will be shitting constantly and you will lose control of your bowels." - Mr. Angry on alli

prarie doggin's picture
PoopReport of the Year AwardComment Quality Moderatorg 4000+ points

Turd, don't forget to splash the area liberally with aftershave when done sanding. You'll have that fresh feeling......once you land.

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