What causes anal itching as if there are worms?

Aug 24, 2022 Source: Cainiu Health
Disease description:

I have severe anal itching, especially at night, which affects my sleep. It feels like there are insects in the anus. What could be the cause?

Doctor's answer (1)
Dr. Cheng Yicheng
Anal itching that feels like there are worms may be related to perianal eczema or hemorrhoids. Metabolic disturbances in the body or frequent consumption of foods such as fish and shrimp can easily trigger perianal eczema, leading to itching around the anus, and possibly causing symptoms such as localized skin thickening and skin lesions. When patients have hemorrhoids, they may not only experience anal itching that feels like worms, but also develop rectal bleeding.