The anamnesis (medical history) represents an important component in the diagnosis of pruritus ani (anal itching).
Family history
- What is the general health of your relatives?
- Are there any diseases in your family that are common?
Social history
- What is your profession?
Current medical history/systemic history (somatic and psychological complaints).
- How long has the itching been present?
- Is the itching continuous or intermittent?
- When does the itching occur? Rather during the day or at night?
- Does the itching exist exclusively in the area of the anus?
- Are there any other symptoms such as swelling of the anal region or rectal discharge?
- Have you noticed any bleeding from the anus?
- Was there a triggering moment?
- Spicy food?
- After using lubricant?
- Foreign body?
- Sexual practices (anal intercourse)?
- Do you practice adequate personal and intimate hygiene?
Vegetative anamnesis including nutritional anamnesis.
- Do you have regular bowel movements? Has this changed in shape, color, frequency, etc.?
- What is the consistency of the stool?
- Is the bowel movement painful?
Self history including medication history.