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They occur when the normal balance of bacteria and yeast in your genital area or anus is disrupted. Hemorrhoids internal or external. Pruritus vulvae idiopathic — General measures include avoidance of exacerbating factors such as sweat, occlusion, anal and scalp itching cleaning habits and wiping should be always from front to back. Gabapentin and SSRIs for resistant cases. Itching of the anus the opening at the end of the digestive tract where stool leaves the body and the skin around the anus perianal skin is anal and scalp itching anal itching or pruritus ani. It is one of the common, extremely annoying symptom for which patients attend the Dermatology Outpatient Department OPD. Malays J Med Sci.