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At any time, persons may use antihistamine treatments orally, to control the itching. Apply such a cream as directed by your medical professional but usually twice a day for one to two weeks. Another cause is yeast infection or candidiasis. Continue until no longer needed. Treatment with antibiotics can bring about a disturbance of the natural balance of intestinal flora, and lead to perianal thrush , a yeast infection affecting the anus. In case of long-lasting symptoms, above all in patients over 50 years of age, a colonoscopy is useful to rule out a colonic polyp or tumor, that can show pruritus ani as first symptom. The person is instructed to follow this procedure every time the urge to scratch occurs. If the itchiness is secondary to another condition such as infection or psoriasis these are typically treated.

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