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Hygiene: Keeping skin clean and dry helps relieve anal itching. Make sure you wear loose, cotton underwear to prevent overheating and sweating, which make itching worse.

Hands: Especially with children, keep fingernails short to avoid scratching the skin, and wash hands regularly.

Skin creams: Itching may be caused – or aggravated – by dry skin. Keep your skin well moisturized, but avoid strong soaps or toiletries that irritate or dry your skin out. For delicate skin near the anus, only use unperfumed moisturizers. Olive oil is a good natural choice.

Ayurvedic medicine: The nut Anacardium orientale produces a bitter black juice that can help itchy skin, especially if it’s caused by haemorrhoids. People who like dairy products are normally said to respond well to this treatment.

Herbal help: It is claimed that devil’s claw relieves itchy skin that has no clear cause, and aloe vera (gel, applied locally) and chamomile (applied as a compress, or in a cream) also offer relief.