I believe I have Pruritus ani, which started 2.5 years ago with very severe, unbearable itching, especially at night when it started. Being from a small town, I couldn't consult a proper doctor and felt hesitant to discuss it. It improved little but returned around Aug-Sept. As a JEE aspirant, I sit 10-12 hours daily on chair, which may contribute to it. I tried Jatyadi tel for 4-5 months, but felt no relief and increased it inserted. from January, consulted a homeopathic doctor and did sitz baths for 2 months baths reduced symptoms by ~30-40%, but itching still persists. it's unbearable, from all my knowledge I can conclude it's not piles, fissures (as no pain/bleed), not worms since nowadays from few months it doesn't itch at night, maybe some kind of skin disease. &it only happens after bowel movements, all day i wear warm clothes and undergarments and doesn't itch. but whenever I expose the area to air it itches. it feels like some mosquito bites in anus scratching make it worse