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Pruritus ani

  • Ddx

    • pinworm in children
    • hemorrhoids
    • fissure
    • prolapse
  • Labs

    • scotch tape test in kids
    • rectal exam
    • if inconclusive, try anoscope
  • Tx

    • sitz baths
    • antihistamines
    • zinc oxide ointment or 1% hydrocortisone cream
    • if pinworm: albendazole 400 mg (or mebendazole 100 mg) PO once; repeat in 2 weeks
    • diet changes if constipation
    • proctology or dermatology referral if refractory

  • Print | Citations

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