Pruritis is the sensation of itchiness or needing to scratch the skin around the anus. It is a very common symptom reported by our patients. There are many causes for pruritis and therefore many treatment options. Many anal conditions (hemorrhoids, fissures, fistulae, etc.) can cause some anal itching and treatment will be aimed at these underlying conditions. In other circumstances there are dietary and/or skin care issues that contribute to the itching. While the cause of the itching is usually benign, pruritis can be very disruptive to one’s quality of life. Our providers can diagnose the cause of the pruritis and assist the patient in generating a treatment plan.