I lived in a humid climate and did not take proper care of myself. I allowed myself to drink too much coffee. I initially thought I had hemmorhoids, and was laser treated for them. Still, my anus continued to itch and burn. I saw a vascular surgeon and he told me I didn't have hemmorhoids, but pruritus ani. He gave me a list of things not to eat and hygiene measures to take and said I should be better in 4-6 weeks.
I now live in a drier climate, and have been sticking to the diet for 2.5 weeks now. (Although I just found out that mustard could be irritating me as well, shucks, my only condiment). I practice excellent hygiene. Most sites say relief after a week and full recovery after 4-6, but it just doesn't seem like it's ever going to go away.
Anyone have tips on how to beat this, homeopathy, things to avoid, things to try? Any help would be great, I'm going crazy.
I have anusitis plus an anal fissure. I went to a specialist who recommended the following diet: NO whole grains (white bread and white rice only). This means no bran, barley, brown rice, oatmeal, etc. Stick to Rice Krispies, Corn Flakes, Special K (non-whole grain type). No coffee, chocolate, nuts, mustard, ginger, garlic, tomato sauce (fresh tomatoes are OK), popcorn, hot peppers, black pepper, spicy foods, curry. No colas or sugar-free substitutes. Also reduce most vegetables. Potatoes, squash, lettuce, celery, mushrooms are fine. He recommended Metamucil (coarse type) - I take 3 tablespoons morning and night. My extreme pain went away after 3-4 days exactly as the specialist said. It is a lifetime diet (very boring). I think pruritis is similar to anusitis so this diet may help. Basically you don't want to get constipated, but whole grains will just irritate your problem. You need the Metamucil for the physslium.
I thought originally that certain foods caused the anusitis pain. Went to a local doctor who suggested 1 spoonfull of metamucil in a glass of milk before bed. Use vaseline in the anus prior to a bowel movement. Clean with 'wet ones' or similar and Tucks. After showering, dry well using a hair dryer. Very occasionally have a flare-up with slight bleeding, but no pain as I had in the past.