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What is the real cause of chronic anal itch and which remedy proves to be best. capsaicin is the compound found in peppers that gives them their infamous hot and spicy kick. Capsaicin cream has been well researched for its potential pain-relieving benefits. Capsaicin cream induces itching and burning and ultimately may stop itch. It is theorzied that capsaicin cream can sooth itching too by overstimulating the nerves so that they switch off all together. Anax cream uses the proven power of hot peppers to relieve topical itching, pain and swelling. Capsaicin, the active ingredient in hot peppers is clinically proven to relieve anal itching known as pruritus ani. Capsaicin is also proven to reduce swelling and relieve pain while promoting topical blood flow and healing. Topical medications topical steroids, such as creams or ointments containing 1 hydrocortisone, may help to relieve itching and irritation. The cream or ointment may be applied two or three times to the affected area each day. Topical capsaicin has been studied as an alternative to steroids for patients with chronic pruritus ani. While both capsaicin and menthol application produced a transient perianal burning sensation only capsaicin relieved the itching. While classical observations on functional desensitisation of nociceptors by capsaicin may explain the beneficial effects, other features and the underlying cause require consideration of recently discovered receptors and their regulators. surgery certain conditions that cause anal itching may need to be treated with surgery. You may also need surgery if other treatments do not work to stop your itching. What are the risks of anal itching? Capsaicin ointment may cause your skin to have a burning feeling. Steroid creams may cause your skin to shrink or thin if you use it for a. What is the real cause of chronic anal itch and which remedy proves to be best.