There are NOT multiple causes of chronic anal itching (pruritus ani), just ONE!
Posted by Pete Peterson on 26th Nov 2018
Forget everything you’ve read about what potentially causes chronic anal itching (pruritus ani).The true cause has now been found. From observational research covering 8+ years and over 20,000 sufferers we have finally identified the culprit and developed an almost 100% successful treatment. While it’s not a cure, it brings relief to almost all who follow it for 6 weeks. A survey of over 17,000 users from 2013 through 2017 (with over 2000 respondents) confirm a 90% success rate. The majority of the 10% who said it didn’t work either quit before the 6 weeks required healing time or else they were misdiagnosed and actually had secondary pruritus ani (treatable by physicians) such as a yeast/fungal infection.
If pruritus ani really has multiple causes there is no way that one single treatment, made for one single cause, could provide a success rate so near perfect. A single treatment with a documented success rate of 9 out of 10 users should be all the proof anyone needs to accept this new reality that there is only ONE main cause and that chronic anal itching is now universally treatable.
Over 100 different causes of pruritus ani have been reported.It’s no wonder that people are confused and misled into a time consuming, fruitless, try this, try that, and hope approach to solving this condition. Myself, along with thousands of my fellow sufferers, went through all of that… failure after failure…as the suffering continued. This approach no longer needs to be followed.It is misguided at best and in my opinion just totally wrong. There is ONE cause. Why go through years of failure with trial and error trying to find the “cure” when it’s just not available, yet.
While over 100 potential causes have been reported, I just want to go over the most common reported culprits of primary, idiopathic (of unknown cause) pruritus ani. Secondary pruritus ani can be treated by doctors as the itching is of a known cause that they can treat. Most cases, however, are primary and until now, were of unknown cause. I’m here to tell doctors and all sufferers that idiopathic pruritus ani no longer exists. All cases of pruritus ani now have a known cause.
Following are the most commonly reported originating factors of chronic anal itching and how our observational research refutes the possibility of any of them being a major causal contributor.
By far and away, food intolerances are said to be the cause. Eliminate certain foods from your diet and you’ll be itch free. The fact that there are NO definitive studies showing eliminating certain foods or drink will cure you from pruritus ani should be enough proof. Certainly, if a particular diet could cure this affliction it would be documented by the medical community by now. To the contrary, our observations show that diets or food elimination won’t work. Again, thousands of our users had previously tried every diet imaginable with only minor (if any) reduction in itching. Hundreds reported going through a full battery of food allergy testing without being able to cure this problem.
Allergies to fabrics, soaps or powders are so minimal that they can’t be considered a primary cause and again through communication with sufferers who changed everything including sheets and underwear and got no relief. We can easily conclude that this is not a major cause at all.
Keeping the anal area clean and dry is good advice but we found it’s not enough for sufferers to get relief. Having cotton balls between your buttocks 24/7 is no way to live, and it doesn’t work either. Excessive moisture alone isn’t a primary cause, there are millions of people who sweat excessively and don’t have pruritus ani. Constant moisture in the anal area in fact usually turned out to be another symptom of pruritus ani from oozing damaged skin. Also, using common sense, poor anal hygiene is not the cause of the problem or else there would be hundreds of millions of pruritus ani cases in the world.Statistically, it is a very small minority of us suffering from this condition.
Then there are those that say you bring it on yourself (including some doctors) by aggressive cleaning and scratching…so their impossible advice is to just stop scratching, don’t clean your bottom too often or too hard and you’ll be fine. We found that while overcleaning and dry scratching will make things worse, it isn’t the cause of the problem. It’s because the itch is there, to begin with that people scratch and overcleaning is just another way to scratch.
And finally, some sufferers have been told that the problem is a mental or stress issue. I’ve got over 20,000 sufferers on file that will assure you that the itch is very real. A doctor telling a patient that this is a mental issue is absolutely wrong. This itch is very, physically real!
The above are the most commonly blamed causal factors of pruritus ani, and yet all of these usual suspects appear innocent. None of them prove to be a significant cause of pruritus ani.
After going through all of the 100+ reported causes, we had to go in a different direction. After healing lots of bottoms temporarily, we found that the itch always came back via the anus first. We basically traced the problem back as far as we could through observation. Here is the theory we surmised: Something has gone wrong somewhere in the intestines or colon creating “a substance” that causes itching, burning, and irritation when it comes into contact with the anal and perianal skin through fecal matter, leakage, flatulence, and discharge. It should be noted that a small portion of our “pruritus ani” sufferers experiences burning, not itching. While we haven’t “scientifically” proven this “one cause theory”, our remarkable treatment results infer that we are absolutely correct.
If this “substance” is the problem, shouldn’t just removing this irritant be enough? We observed that sometimes it IS, but other times it isn’t. The problem varies in intensity from person to person and the longer the substance is left touching the skin, the more damage it seems to inflict. The Pranicura treatment for pruritus ani takes care of this dilemma with its simple 5-step process. Basically, every time the itch presents itself and after every BM, you clean with a baby wipe (a necessity), pat dry and apply our unique anti-itch ointment to soothe the skin if cleaning isn’t enough. (Petrolatum ointments exacerbate pruritus ani. Zinc oxide ointments may work for those with minor afflictions.) After the initial 1-6 week healing process, most people only need to apply ointment once every 1-3 WEEKS. Some severe sufferers still need it once every 2-3 DAYS. But everyone follows the easy cleaning protocol on a daily basis indefinitely, and they only apply ointment when cleaning off the irritant isn’t enough .
Our results provide the evidence to conclude that the decades-long assumption that there are multiple causes of idiopathic pruritus ani should be considered inaccurate. Based on the success of our treatment assuming this one cause, it is extremely likely that our theory is correct and that there is indeed just ONE cause of the vast majority of “idiopathic” pruritus ani cases. All that is left is for science to find this substance, eradicate it, and we’ll have a cure.