I often see patients with a complaint of anal irritation and itching. Anal itching is very bothersome and is usually the reason the person decides to seek medical help. Generally, the patient has already tried many of the over-the-counter anal creams, ointments, and suppositories and they often get no relief from the anal itching. The official medical wording for the diagnosis of anal itching is "pruritus ani." This medical diagnosis is very properly named, because "pruritus ani" is the Latin term for "itchy anus." The medical term "perianal" describes the location as being "around the anal opening."