### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have this severe itching in my anus for the last year and my doctor has given me 2 types of itching cream for it and still doesnt get rid of the itch. Im an extremely clean person...whenever I have a bowel movement, I would always use diaper wet wipes after the toilet paper to clean it and have been doing this for years now.... What are some home remedies I could try at home to get rid of the itch? I think someone has put a curse on me!

### output:

**1.  Itching may be a reaction to chemicals in the stool, or there is inflammation of the anal area.PS. Do get examined by a surgeon to rule other anal conditions causing pruritus2. Continuous moisture in the anus [frequent liquid stools/ diarrhea/ incontinence] increases the possibility of infections of the anus, especially yeast, particularly in patients with diabetes mellitus or HIV. [check them as routine examination] .3. Make sure to check with stool examination for worms, since they can be the cause of the same and take antihelmintChatDoctoredication [albendazole] for the same4. Chronic Chat Doctor. 5. Scents, dyes and softening agents in products such as soap and toilet paper [wet diaper wipes] may also trigger irritation and anal itching [check for the same]6. .avoid scratching: which further irritates skin and leads to persistent inflammation, apply a cold compress to the area or take a lukewarm bath for immediate relief. Avoid wearing tight-fitting garments because these can trap moisture, prefer cotton underwear and loose clothing which helps keep the area 