Hi, Internal anal itching can be a symptom of various conditions, such as hemorrhoids, anal fissures, and certain skin conditions. Since you have tried hydrocortisone cream and anti-fungal medications without relief, it s important to have a thorough evaluation by a healthcare provider to identify the underlying cause of your symptoms. One possibility is that you may have a chronic inflammatory condition such as inflammatory bowel disease (IBD) or proctitis, which can cause anal itching and the sensation of incomplete bowel emptying. These conditions require specific treatment and management by a healthcare provider. It s also important to make sure you are maintaining good hygiene practices, such as cleaning the area thoroughly after bowel movements and wearing breathable underwear, as this can help prevent irritation and itching. I recommend scheduling an appointment with a healthcare provider, such as a gastroenterologist or proctologist, to further evaluate your symptoms and determine the best course of treatment. They may recommend additional testing, such as a colonoscopy or stool sample analysis, to help diagnose the underlying cause of your symptoms. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Diwashish Biswas, Internal Medicine Specialist