I have been having issues for actually, a matter of years now. In typical Male fashion I've been living with it without getting a mdeical opinion but I've had enough now.
I'm still trying to build up courage to get this seen by my doctor (embarrasment more than anything), but in the mean time...
After bowel movements (which are generally very regular, normal consistancy and not painful) I can sometimes find it difficult to get clean. If I have a shower immediately afterwards, then this seems to help but later in the day I can find myself dirty again which no end of wiping will solve. Walking for long periods can make things a lot worse and this will also increase the chance of my anus becoming very itchy. I cycle a lot and in a weird way, this seems to help. After a long ride, although it can still be itchy, the dirtiness goes.
There appears to be no link as to when this happens. Sometimes I can go days with no issues.
Any help or advice as to what the issue might be would be greatfully recieved.
I've had the same issue. I would advise you to see a proctologist, not just a regular doctor.
A proctologist has experience with the butt problems, so the issue of embarasement should not be there.
He'll make you feel comfortable to talk about it and comfortable during the exam.
The issue of being dirty and itchy even after you clean up is because your internal hemorrhoid veins swell up and your butthole will not hold the fluids inside properly. The mucus and feceis will leak out and irritate the nerve endings. It's why you feel itchy. So the solution is to prevent your hemorrhoid veins from swelling up.
You should make sure that you clean up yourself a few times a day, maybe take a quick shower if possible.
DO NOT USE TOILET PAPER! Use medicated wipes, get them at your local pharmacy. Drink plenty of fluid and take some fiber. Try Calmovil, it's a herbal remedy that helped me, see it here: Calmovil Hemorrhoid Treatment
Just a bit of feedback regarding the creams for itchy piles. The cream Scheriproct didn't work well neither did the Ultraproct which was a doctor's alternative for the Synalar Rectal cream. I applied them them daily externally but the itching continued with both creams. I am not sure if they had any effect at all.
So I obtained Synalar Rectal Simple from the Internet and after one application externally there has been no itching for several days. That is how I remember it working, just one infrequent application is enough for days or even a week or more.
Not sure what the difference is but the Synalar main ingredient listed in big letters on the tube is Fluocinolone acetonide which is not present in either the Ultraproct alternative nor the Scheriproct.