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What is the real cause of chronic anal itch and which remedy proves to be best. This number is remarkably similar to the pranicura success rate. When a cause can be found, the itching is usually due to irritation of the skin around the anus. A variety of problems can cause anal itching, for example, pinworms, perfumes, diarrhea, hemorrhoids, cancer, and some foods like caffeine and chocolate. Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. The diagnosis of the cause of pruritis ani requires examination of the anus for. how to tell if your child has pinworms if your child is complaining of anal itching, especially at night, check on them in their bed about 2-3 hours after they fall asleep. Pinworm medicine if a pinworm was seen, your childs doctor will suggest a special pinworm medicine. pinworms are the cause of a highly contagious intestinal infection in humans. What is the real cause of chronic anal itch and which remedy proves to be best. This number is remarkably similar to the pranicura success rate.