Hi, Itching and irritation around the anus can have various causes, including infections, skin conditions, allergies, and other underlying medical conditions. Fungal infections such as thrush are a common cause of anal itching, and it can be treated with antifungal creams. However, if your symptoms are not improving after treatment, it is advisable to consult your doctor again for further evaluation and management. It is possible that your symptoms could be caused by something more serious, such as inflammatory bowel disease or cancer. These conditions can also cause persistent anal itching and require specific diagnostic tests and treatments. Therefore, it is important to seek medical attention if you have ongoing symptoms or if your symptoms worsen despite treatment. Your doctor may need to perform a physical examination and run some tests to determine the underlying cause of your symptoms. Based on the findings, they can recommend appropriate treatment or refer you to a specialist if necessary. In the meantime, you may find relief from symptoms by practicing good hygiene, avoiding irritating substances, and using over-the-counter creams or ointments to soothe the skin. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Diwashish Biswas, Internal Medicine Specialist