I have been suffering from pruritis ani for about 3-4 years now and I truly thought I would never ever get rid of it! I had tryed every cream, ointment, treatment that I could. I researched new treatments online all the time, I even tried taking an oral treatment that tasted really disgusting, but it did nothing. A doctor that been helping me with this condition the past couple of years even consulted with many other specialists for me, ones that specialized in rectal conditions and they would just come up with the same things. But one thing she did recommend was trying ice treatments which played a huge part in my recovery. So here is what I did. I decided to try an aggressive treatment of hydrocortisone ointment, which they dont really recommend long term. Now ,I used the ointment not the cream. For those of you that suffer from this, we know the worst time is at night. So the first night of treatment, when I was itching really bad, I used an ice pack , it was kind of weird but I was willing to try it, I was desperate to get rid of the itching. You will want to cover your ice pack with a wash cloth. Then do the ice for about 10 -20 minutes. Then apply the hyrocortisone ointment. You will want to do this right before you go to sleep. Don't give in to scratching. Then I took a sleep aid. Tylenol PM will work, but if you have Ambion even better.
That was the first night. It worked really good, I had to really use extreme self control though, because I was still itchy.
Then of course you will want to use wipes, I just used the Charmin ones. Use those after every bowel movement. Then I applied the hydro cortisone ointment 4 times a day for 7-10 days, that was my plan. So the second night, I did the same thing, ice treatment, sleeping aid, ointment. Also, it helps to take a warm shower or bath before going to bed, and never use soap, just water.
So I got through the second day, still feeling itchy but I was determined to not scratch. Also, get some of those finger cots when applying the ointment so you dont use your finger nails at all by accident. I get them at the drug store, in the bandaid section.
Then something amazing started happening the 3rd day. I realized I was not feeling very itchy, the 3rd night , I did not need ice or sleeping aid. I was so relieved and excited . I can't tell you the sense of relief I was feeling. This condition had been torturing me for so long, I did not remember what it felt like to not have to think about scratching and the relentless itch. It was really starting to effect me.
I kept up with the 3-4 times a day ointment for a little beyond a week. Then I started tapering off using it. What I replaced it with was just pure lanolin cream and applied that at night to help heal all the broken skin. That is working really well.You can use it during the day too if needed.
The days that followed were awesome, not itching, relief, I couldnt believe it. It was working! After 7-10 days no itching at all! Amen !
I am still being really diligent with using wipes instead of toilet paper, prob for along time. YOu have to be careful leave any fecal matter to irritate that skin down there. Only blot and dab, no rubbing. I will use the lanolin for awhile too. Because its been going on so long, I figure I need some time to heal. And I will dab a little hydrocortisone if absolutely needed.
I hope this works for alot of you out there that I have been reading about suffering from this ridiculous, relentless, torturous itch!
It has worked for me and I feel like a new person. It has been now almost 2 weeks since I have felt the urge to scratch, the longest in 3 years. And for those of you that have this, that is a big deal.
I will post updates and let you know if this a longterm cure. Its working for me! This is the most normal I have felt in a long time. Its an undescribable relief!!!!