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We’ve studied this problem exclusively for 5+ years now (since 2010) and we sincerely believe no one else knows more about the sore, burning, chronic itchy anus than we do. (There is a reason this website is www.pruritusani.org.) This website and our ongoing research is dedicated to finding a cure for the chronically afflicted severe pruritus ani sufferer. (**If you have a mild case of anal itching and are just looking for quick relief with a product you can buy from your drug store, skip towards the bottom of this article by scrolling down and read the paragraph that starts with “What can I do NOW to get relief…” )
If you are a serious sufferer here is what we found... You will see that we’re definitely opinionated on this subject, but for good reason. We’ve tested so many different theories, ointments and advice, that we’ve come to believe most of the information out there is just plain wrong. It’s a bold (some may say arrogant) statement. But if any of the advice out there has worked for you, why are you here? That advice didn’t work for us either. You can believe those other websites (and even the pamphlet that your doctor may have given you,) most of which we see just regurgitates and spits out the same data from inconclusive old studies and unverified speculation. Or, you can believe the results of our 5+ years of recent work since 2010 communicating and healing hundreds of people who were diagnosed by a doctor (or many doctors) with pruritus ani. Pruritus Ani is a medical term for “we don’t know what is causing the usually sore, rashy, burning, and in most cases extremely chronically itchy anal area”. And if the doctor is unable to help these people, what is a person to do? You scour the world for information, try things and hopefully find a cure. That’s what we did...the Pranicure Group, www.pruritusani.org… and that’s why you are here today, because the doctor didn’t have an answer for you. And if that’s not true, if you haven’t been to the doctor, then you need to go see one. We are not anti-doctor, quite to the contrary…They have answers and cures for most anal and skin conditions. You need to see your doctor until he/she tells you that they don’t know what is causing your anal itching and irritation, and they have ruled out anything serious. But once they hand you a pamphlet or give you the diagnosis “pruritus ani”, (“we have no idea what to do for you”) that’s when you are ready to follow our advice. We are a serious site looking to help those who suffer from severe pruritus ani and chronic anal itching and who have been unable to find relief. You can learn right here, right now, from our 5+ years of experience in just a few minutes reading the following synopsis of our work, instead of spending years looking for an answer on your own repeating the same work we have already done.
It seems natural that you need to know the cause before you can find the cure... and we want to know... but the specific answer to that question is: “no one really knows.” As of right now there is no definitive answer that points to one specific cause. And that’s why you MUST see your doctor first…but let’s assume the pruritus ani diagnosis…quite frankly our research is leading us to believe the cause is internal. Something appears to be going wrong temporarily or permanently in the stomach/intestines which produces something in your stool or rectum that when it comes into contact with your anal/perianal skin it causes itching. Then you scratch and scratch and damage the skin, sometimes creating a rash-like oozing skin problem or sores or fissures. Damaged or burned skin produces moisture to heal itself. (A scab is dried wound moisture.) But down there it never scabs over and keeps producing moisture and the itching gets worse. You get stuck in a never ending itch/scratch cycle. Your bottom, whether you know it or not, has damaged skin and needs to heal and it won’t heal if you keep scratching…and not scratching is ridiculous advice that cannot be followed, it just itches too much, you have to scratch! It’s a horrible cycle to be in. It’s a life changing cycle to severe sufferers…many of who wake themselves up at night scratching. We’ve managed to achieve success in overcoming and breaking this cycle with an anti-itch, anti-bacterial, skin healing, skin barrier ointment we invented in 2013 called Pranicure. Once we were able to break the cycle and heal the bottoms of severe sufferers the problem was suppose to vanish, they were supposed to be cured. But in the strictest definition of “cured”, (If “cured” means to “never come back”) they were not. BUT… by the definition of “cured” being one that allows a sufferer to have a normal life and sleep through the night, and only have to apply an ointment once in a while to live life without itching, then YES they were cured by Pranicure. This result and data actually adds additional proof to our theory that pruritus ani is NOT a skin problem caused by aggressive wiping after bowel movements, or washing with soaps you are allergic to, or any of the other hundreds of things that are reported to have caused it.
I’ve heard that over-zealous cleansing and using soaps down there are the cause pruritus ani?? NO…it’s NOT YOUR fault. If it didn’t itch in the first place you wouldn’t be over zealous in your cleansing. It’s the crazy intense itch causing you to be crazy intense cleaning or scratching which damages the skin and puts you into the itch/scratch cycle. Listen to us here…It’s not YOUR fault. For some reason, there are medical people blaming the sufferers. It’s our own that fault we messed up our bottoms. Don’t scratch, don’t use soaps, don’t use toilet paper, don’t clean your bottom. Deal with it. Don’t scratch though is our favorite. Great advice. Thank you. We have proven with Pranicure that YOU did NOT cause your own pruritus ani through abusing your bottom. We heal everyone’s bottom and yet…from time to time…the itch comes back. And in every instance, ground zero is the anus and spreads from there. It seems to be that pruritus ani is kind of like Psoriasis in that there is something going on internally and as of yet there is no permanent cure…you just use ointments when flare ups occur to keep it under control. That’s exactly where we are now with pruritus ani. We can heal the bottom and keep the itch away with Pranicure. And just like psoriasis some people need to apply ointment more frequently than others. We’ve had users who only need to apply Pranicure once every few months after the bottom is healed and others that need to apply it once every day or two after a bowel movement. If pruritus ani was just a skin condition caused by you being over aggressive with cleaning down there, then 100% of people would be itch free when their bottoms were finally healed. But since that’s not the case, there is no question that the itch/scratch cycle is not the only problem going on down there. AND… there is no question, it was the itch that caused you to go crazy down there not the other way around. You didn’t cause the itch. It’s not your fault. We speculate with a very high degree of probability that the culprit is coming from the rectum. People flatulate and the older you get anal leakage can be a problem, and we all defecate so there are many opportunities for rectal discharge to come into contact with your anus and perianal skin… the reaction of your skin to something from the rectum appears to be the culprit.
If we assume then that the “culprit” is in the rectum/digestive system, then a different diet or supplements or probiotics should be the answer. BUT…we’ve had nothing but failure over the long term. 5+ years looking at diet and every combination of hundreds of products and ingredients to NO AVAIL. You can change your diet, take any supplement imaginable, take every probiotic out there all you want and it seems to do very little and absolutely NOTHING long term to relieve anal itching or any symptom of pruritus ani. Some people say go gluten free, stop eating this or that, quit coffee and beer. But we find that none of it works. It’s a waste of your time. We’ve tried everything and are continuing to try more things but still no success. You can read all the supposed success stories on medical forums about how the answer to pruritus ani is in the diet…but we’ve come to believe that diet is not to blame. We have found zero proof that diets work. Almost every one of the hundreds of people who came to us and now use Pranicure, have tried several different diets and food eliminations and nothing worked. That’s hundreds of people each trying dozens of diets and/or food eliminations and zero long term results. Do the math and that’s thousands of diets and different food elimination combinations. So you can continue down that path, trying to re-invent the wheel, but we’re saying it won’t work. Forget it. Don’t change your diet thinking it will help your itchy anus because it won’t.
So if diets, probiotics, digestive enzymes, and supplements don’t work, how can the cause be internal? We believe the answer may be along the same line as the cause of the stomach ulcer. If you are old enough you may remember that for decades, people and doctors believed stomach ulcers were caused by certain foods or stress…(sound familiar…the same things are now being said about pruritus ani). Well, as it turns out, they found in the 1990’s that most stomach ulcers are caused by bacteria, the h-pylori bacteria. It’s a type of bacteria that is very difficult to kill. Normal antibiotics won’t touch it. Our speculation is that someday a currently unknown or out of control bacteria in the digestive system will be found to be the cause of pruritus ani. A little circumstantial proof to this bacteria theory comes with the fact that at least one antibiotic we know of eliminates anal itching in chronic sufferers. Gone…for as long as you are on it. (The itch comes back a few days after you stop taking it unfortunately.) It’s an antibiotic primarily used when you have problems in your gums (needing a root canal for instance), however it causes diarrhea indicating it has a real effect in the digestive tract and is seldom used. A bacterial cause of pruritus ani in the body seems to fit the overall evidence and may be the reason why changing your diet doesn’t help… diets, supplements, and probiotics can’t kill invasive or out of control bacteria . All of this leads us to believe that until the next “h-pylori” type bacteria is found to be the culprit that is causing chronic pruritus ani…and until an antibiotic or treatment is found to kill or contol it…the best treatment for chronic anal itching and severe pruritus ani is to break the itch/scratch cycle with Pranicure ointment and the Clean, Dry and Apply method described below…
How about surgery or methylene blue injections? We found NO positive long term lasting effect on eliminating or reducing the symptoms of pruritus ani.
Can I use soap? Toilet Paper? I’m confused with so much information…what should I do? And what should I NOT do? Read this and the 4 steps below: First of all, don’t waste your time going on special diets or eliminating certain foods and trying to find the culprit…you won’t find any diet or food elimination that will work long term. (We had zero success with that over 5+years.) NEVER apply any ointment down there that contains petrolatum/Vaseline (which is most of them). It WILL exacerbate the problem. To relieve a “scratching fit” (when the itch is very intense and you’re going crazy), ice will kill that itch and numb your bottom. Apply an ice cube directly to your bottom and pat dry with tissue…then apply the appropriate ointment. Baths with Epsom salts will bring temporary relief. Then pat your bottom dry or blow dry your bottom with a hair dryer on the cold setting and then apply the appropriate ointment. And Never scratch through clothing or at any other time than when you are applying the appropriate ointment! “Dry scratching” rips up the perianal and anal skin and sets your healing time back. You need to break the scratch/itch cycle if you are going to heal and get rid of the itch. And we understand…you HAVE to scratch sometimes. Not scratching is not an option, we get it.…but do it at the right time… If your bottom itches…every time it itches…you need to go to the bathroom and use the Clean, Dry and Apply method below:
1) You CLEAN thoroughly, anus too, and without scratching, using a baby wipe. Yes, contrary to what you might have heard… a baby wipe. No Balneol, no soap, no washcloth, a bidet or hand sprayer is fine but not necessary and not good enough…you still need the baby wipe to remove all stool and feces that have stuck to your anus and perianal skin. (If you have just had a bowel movement, yes you can use toilet tissue first wiping gently no scratching yet. Then finish with the baby wipe.) There are all kinds of advice out there telling you to not over cleanse…but we find that you DO need to thoroughly clean prior to every application of the appropriate ointment. Feces/stool/rectal discharge touching the skin is what we believe is the main cause of anal itching and pruritus ani. So you MUST remove it. Be as gentle as you can and make sure the baby wipe is moist to reduce friction while cleaning.
2) Your bottom needs to be dry prior to applying the appropriate ointment. You must PAT your bottom dry with toilet tissue. Do not rub or scratch with the tissue. PAT dry. If you apply the appropriate ointment over wet skin, you will trap the water against the skin which will cause soggy skin and more itching.
3) Finally, you get to satisfy the itch…rub the ointment in until the itch is satisfied. No fingernails! Cut them short or use a latex glove. Fingernails are the worst offender of tearing up perianal skin. You RUB in the ointment (it’s a “lubricated scratch” instead of a dry scratch to minimize skin damage) with a fingertip until the itch is gone. Relief without doing damage!
4) What is the “appropriate ointment”? Again, never use anything that contains a lot of petrolatum/Vaseline. Unfortunately that ingredient is in almost every ointment! Here are a couple of OK ointments you can buy at your local drug store to get the healing started today…Use a zinc oxide based ointment like Original Desiten diaper rash ointment or Sudocrem (more common outside the US). Or ask your pharmacist to recommend a high zinc oxide and low petrolatum/vaseline ointment. BUT…None of the ointments you can buy at the store or anything else on line will work long term if you have a serious case of pruritus ani. (If you have a mild case of anal itching this procedure and products mentioned will do the trick if only needed sporadically for occasional anal itching issues.) We’ve tried every over the counter, non-prescription product and nothing works long term on the serious sufferer. But the couple products mentioned above will do some good initially and get the healing started as well as provide some quick relief. But over time they are just “too soggy”. They contain too much moisture (and zero anti-itch ingredients) and if applied continually with no breaks they will eventually stop working. You will find yourself applying them 6-8 times a day after a couple of weeks and eventually they won’t work at all. BUT use them only until the Pranicure arrives. Pranicure contains skin drying ingredients, antibacterial ingredients, healing ingredients and anti-itch ingredients. It has the right amount of moisture and is the best skin barrier available. It was invented by serious chronic anal itching pruritus ani sufferers. We know it works. It’s proven to work. It’s healed people who have suffered for decades. There is nothing better. We KNOW anal itching and pruritus ani like no one else. Read the product reviews here and search us on the web. Our reputation is impeccable and your purchase is guaranteed by us and the Norton Shopping guarantee (See bottom left of your screen).
We are continuing to look for the “magic pill” and the cure for everyone. Until then, you can save yourself a lot of time and anguish by following our advice. (Or, you can keep trying all the diets and products and everything else our Pranicure users have already tried with no success for the last 5+ years.) In addition, we are here for you. (We WANT to hear from you, communicating with sufferers is a huge part of our research)…You can always ask us questions or for advice by using the contact us tab above. We sincerely are here to help those suffering with this awful affliction. We know what you are going through and we’ll help you through the healing process. We’ve helped people who have suffered an unimaginable 10, 20 and even 40+ years. The above information has hopefully helped you by clearing a path through the crazy amount of sometimes ridiculous advice out there. (Have you heard about the “using a banana peel down there” advice?) Start the healing process using the Clean, Dry and Apply method and other suggestions above while you wait for the Pranicure to arrive in the mail (no matter where you are in world ,we ship via the postal service so it can be shipped anywhere)… and then watch Pranicure will give you your life back.
We wish you well!
The Pranicure Group
*Disclaimer: Results with Pranicure vary. While almost all users get relief from their pruritus ani symptoms using Pranicure, there is no way to guarantee specific results or guarantee that 100% of users will be cured. Currently, there is no known drug, ointment, diet, or system that can guarantee a cure for everyone with pruritus ani. However, we won't stop trying... our research goes on...5 years running...working solely on the issue of pruritus ani. Please note that under our terms/privacy/contact tab above, we promise you the very best customer service. You can always reach us to rectify any issues, make a comment or ask any questions. (All of our customer representatives were long term sufferers and know first hand what you are going through.) We are sincerely here to help you beat this awful condition and will do everything we can to accomplish that. Email us anytime at email@example.com. Please see the terms/privacy/contact page of our website for all contact info, refund policy, and privacy information.