Keep the area clean with gentle, fragrance-free soap and lukewarm water; pat dry thoroughly
After bowel movements, use unscented wipes or rinse with water; avoid rubbing
Wear loose, breathable cotton underwear; change daily (or more if sweaty)
Avoid tight pants, synthetic underwear, and prolonged moisture
Keep the area dry; use a thin barrier like zinc oxide or petroleum jelly if skin is irritated
Avoid scratching; keep nails short and consider covering the area with clothing to reduce irritation
Apply a cold compress for 5–10 minutes to calm itching
Use a hemorrhoid or anti-itch product only if it matches the likely cause (follow label directions)
If irritation is from frequent wiping, switch to water rinsing and barrier protection
Identify and avoid triggers such as spicy foods, alcohol, caffeine, acidic foods, and large amounts of dairy
Avoid scented toilet paper, deodorant sprays, bubble baths, and fragranced laundry detergents
Wash underwear and towels in fragrance-free detergent and rinse well
If you suspect pinworms (itching worse at night, especially in children), check with a clinician for appropriate treatment for you/household
If symptoms persist, see a clinician or dermatologist for evaluation of hemorrhoids, fissures, dermatitis, infection, or other causes
Seek urgent care if there is severe pain, bleeding, pus, fever, rapidly worsening redness/swelling, or spreading rash
