Getting to the actual cause, in Seattle, Washington
Anal Itching
Persistent anal itching, also called pruritus ani, has a real, identifiable cause more often than not. Finding it is the difference between short-term relief and it coming back.


What causes Anal itching
- Hemorrhoids or skin tags that make the area harder to keep clean
- Excess moisture or minor stool leakage
- Skin conditions such as eczema or psoriasis
- Irritation from soaps, wipes, or certain foods
- Fungal or other skin infections
- Less commonly, HPV-related skin changes
Itching is a symptom, not a diagnosis. Treating it well means identifying which of these is actually happening.
How chronic itching is treated
- Identifying and treating an underlying cause, such as hemorrhoids or a skin tag
- Targeted topical treatment once the cause is known
- Hygiene and skin care changes that reduce irritation
- Biopsy, in select cases, to rule out a skin condition or HPV-related change
Treatment starts with an exam, not a generic cream.



Your visit
- A private exam to look for a specific, treatable cause
- A plan built around what's actually found, not a one-size-fits-all cream
Most patients leave with a clear next step rather than another product to try at home.
What it costs
Evaluation and treatment for chronic itching can be covered by insurance, depending on your plan. Our billing team confirms your benefits before your visit.

Performed by Dr. Kratz, in our Seattle office
Every exam and treatment is with Dr. Kratz directly.

Common questions
Is this something to be embarrassed about?
Will a cream from the pharmacy fix it?
Could this be something serious?
Is it related to hemorrhoids?


Connected to your care
Chronic itching is frequently connected to hemorrhoids or to HPV-related skin changes.
You don't have to keep living with this.
Call or text for a private consultation and a clear plan.