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The other thing that I have found that may also be helpful is eating a healthy diet with lots of leafy greens so that your feces are soft and pass through your anus easily without much irritation.
Our speculation is that someday a currently unknown or out-of-control bacteria in the digestive system will be found to be the cause of Pruritus Ani.
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Could an inadequate calorie opening be the root cause of your health problems?