{"id":15116,"date":"2025-04-23T11:53:22","date_gmt":"2025-04-23T11:53:22","guid":{"rendered":"https:\/\/venaziel.de\/proctology-center\/anal-eczema-itching-and-burning-when-should-you-see-a-doctor\/"},"modified":"2026-08-26T10:05:32","modified_gmt":"2026-08-26T10:05:32","slug":"anal-eczema","status":"publish","type":"page","link":"https:\/\/venaziel.de\/en\/proctology\/anal-eczema\/","title":{"rendered":"Anal eczema"},"content":{"rendered":"<p><!-- VenaZiel \u2014 analekzem \u00b7 PUBLIKATIONSFASSUNG, einzeilig f\u00fcr WordPress (wpautop). Lesbare Fassung mit allen Hinweisen: analekzem-content-PROD.html \u00b7 offene Punkte: analekzem-redaktion.md --><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"MedicalProcedure\",\"name\":\"Behandlung des Analekzems\",\"procedureType\":\"Konservativ\",\"bodyLocation\":\"Perianalregion\",\"howPerformed\":\"Abkl\u00e4rung und Behandlung der zugrunde liegenden Ursache, reizarme Hautpflege mit klarem Wasser, Schutz der Haut mit Zink- oder Pflegepasten, kurzfristig entz\u00fcndungshemmende Cremes, gezielte Behandlung nachgewiesener Erreger\",\"preparation\":\"Proktologische Sprechstunde mit Betrachtung, Abstrich und Proktoskopie\",\"followup\":\"Reizarme Pflege, Behandlung des ausl\u00f6senden proktologischen Befundes, Kontrolle bei ausbleibender Abheilung\",\"availableService\":{\"@type\":\"MedicalClinic\",\"name\":\"VenaZiel MVZ \u2014 Proktologie\"}},{\"@type\":\"MedicalClinic\",\"name\":\"VenaZiel MVZ \u2014 Proktologie\",\"medicalSpecialty\":\"Surgical\",\"telephone\":\"+49 30 25299482\",\"email\":\"hallo@venaziel.de\",\"openingHoursSpecification\":[{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":[\"Monday\",\"Tuesday\",\"Wednesday\",\"Thursday\"],\"opens\":\"08:00\",\"closes\":\"16:00\"},{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":\"Friday\",\"opens\":\"08:00\",\"closes\":\"14:00\"}],\"address\":{\"@type\":\"PostalAddress\",\"streetAddress\":\"Charlottenstra\u00dfe 13\",\"postalCode\":\"10969\",\"addressLocality\":\"Berlin\",\"addressRegion\":\"Berlin\",\"addressCountry\":\"DE\"}},{\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Ist das ein Pilz oder ein Ekzem?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Das l\u00e4sst sich mit blo\u00dfem Auge nicht sicher sagen, und geraten wird es nicht. Ein Pilzbefall zeigt oft einen wei\u00dflichen Belag, einen scharf begrenzten Rand und kleine Herde daneben, aber ein gereiztes Ekzem kann genauso aussehen. Klarheit bringt ein Abstrich, der nicht wehtut und wenige Sekunden dauert. Erst danach ist ein Mittel gegen Pilze sinnvoll oder eben nicht.\"}},{\"@type\":\"Question\",\"name\":\"Welche Salbe hilft bei einem Analekzem?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Das h\u00e4ngt davon ab, welche Art von Ekzem vorliegt. Zink- und Pflegepasten sch\u00fctzen die Haut und sind fast immer die Grundlage. Kortisonhaltige Cremes nehmen die Entz\u00fcndung heraus, geh\u00f6ren aber kurz und nach \u00e4rztlicher Anweisung angewendet. Mittel gegen Pilze wirken nur, wenn tats\u00e4chlich ein Pilz nachgewiesen ist. Und Antihistaminika zum Einnehmen d\u00e4mpfen allergisch bedingten Juckreiz, vor allem nachts.\"}},{\"@type\":\"Question\",\"name\":\"Wie lange dauert es, bis ein Analekzem abheilt?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Wenn die Ursache gefunden und behandelt ist, beruhigt sich die Haut oft schon in wenigen Tagen deutlich. Bis sie wirklich wieder tr\u00e4gt, vergehen meist einige Wochen: die Haut in dieser Falte liegt feucht und wird bewegt, sie heilt langsamer als anderswo. Zieht es sich l\u00e4nger hin, liegt das fast nie an der Salbe, sondern daran, dass die Ursache noch besteht.\"}},{\"@type\":\"Question\",\"name\":\"Was kann ich selbst tun?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Vor allem weniger. Reinigung nur mit klarem Wasser, keine Feuchtt\u00fccher, kein Duschgel, kein Intimspray, kein Desinfektionsmittel. Trocken tupfen statt reiben, atmungsaktive W\u00e4sche, nichts Enges. Und nicht kratzen, so schwer das nachts f\u00e4llt. Der h\u00e4ufigste Grund, warum ein Analekzem nicht abheilt, ist zu viel Pflege \u2014 nicht zu wenig.\"}},{\"@type\":\"Question\",\"name\":\"Kann ein Analekzem bluten?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ja. Aufgekratzte oder eingerissene Haut blutet leicht, meist wenig und hellrot am Papier. Trotzdem sollte eine Blutung angesehen werden, denn dieselbe Spur kann von H\u00e4morrhoiden oder einem Riss im Analkanal stammen, und dunkles oder mit dem Stuhl vermischtes Blut geh\u00f6rt ohnehin rasch abgekl\u00e4rt.\"}},{\"@type\":\"Question\",\"name\":\"Kann daraus etwas B\u00f6sartiges werden?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Aus einem Analekzem selbst nicht. Es gibt aber Hauterkrankungen an dieser Stelle, die wie ein Ekzem aussehen und keines sind, und die fallen nur auf, wenn jemand hinsieht. Deshalb gilt: Eine Hautver\u00e4nderung, die trotz richtiger Behandlung nicht abheilt, wird untersucht, notfalls mit einer kleinen Gewebeprobe. In aller Regel folgt darauf Entwarnung.\"}},{\"@type\":\"Question\",\"name\":\"Kommt es wieder?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Wenn nur die Haut behandelt wird und nicht das, was sie n\u00e4ssen l\u00e4sst, dann ja. Genau das erleben viele: Unter der Creme wird es besser, nach dem Absetzen kommt alles zur\u00fcck. Das ist kein R\u00fcckschlag, sondern ein Hinweis \u2014 meistens auf H\u00e4morrhoiden, einen Riss oder eine Fistel, die noch behandelt werden wollen.\"}}]}]}<\/script> <!-- \u2550\u2550 Icon sprite (lucide) \u2550\u2550 --> <svg width=\"0\" height=\"0\" style=\"position:absolute\" aria-hidden=\"true\" focusable=\"false\"><defs> <symbol id=\"h-map-pin\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M20 10c0 4.993-5.539 10.193-7.399 11.799a1 1 0 0 1-1.202 0C9.539 20.193 4 14.993 4 10a8 8 0 0 1 16 0\"><\/path><circle cx=\"12\" cy=\"10\" r=\"3\"><\/circle><\/symbol> <symbol id=\"h-phone\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M13.832 16.568a1 1 0 0 0 1.213-.303l.355-.465A2 2 0 0 1 17 15h3a2 2 0 0 1 2 2v3a2 2 0 0 1-2 2A18 18 0 0 1 2 4a2 2 0 0 1 2-2h3a2 2 0 0 1 2 2v3a2 2 0 0 1-.8 1.6l-.468.351a1 1 0 0 0-.292 1.233 14 14 0 0 0 6.392 6.384\"><\/path><\/symbol> <symbol id=\"h-mail\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><rect width=\"20\" height=\"16\" x=\"2\" y=\"4\" rx=\"2\"><\/rect><path d=\"m22 7-8.97 5.7a1.94 1.94 0 0 1-2.06 0L2 7\"><\/path><\/symbol> <symbol id=\"h-clock\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><path d=\"M12 6v6l4 2\"><\/path><\/symbol> <symbol id=\"h-house\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M15 21v-8a1 1 0 0 0-1-1h-4a1 1 0 0 0-1 1v8\"><\/path><path d=\"M3 10a2 2 0 0 1 .709-1.528l7-5.999a2 2 0 0 1 2.582 0l7 5.999A2 2 0 0 1 21 10v9a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2z\"><\/path><\/symbol> <symbol id=\"h-shield-check\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z\"><\/path><path d=\"m9 12 2 2 4-4\"><\/path><\/symbol> <symbol id=\"h-receipt-text\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M13 16H8\"><\/path><path d=\"M14 8H8\"><\/path><path d=\"M16 12H8\"><\/path><path d=\"M4 3a1 1 0 0 1 1-1 1.3 1.3 0 0 1 .7.2l.933.6a1.3 1.3 0 0 0 1.4 0l.934-.6a1.3 1.3 0 0 1 1.4 0l.933.6a1.3 1.3 0 0 0 1.4 0l.933-.6a1.3 1.3 0 0 1 1.4 0l.934.6a1.3 1.3 0 0 0 1.4 0l.933-.6A1.3 1.3 0 0 1 19 2a1 1 0 0 1 1 1v18a1 1 0 0 1-1 1 1.3 1.3 0 0 1-.7-.2l-.933-.6a1.3 1.3 0 0 0-1.4 0l-.934.6a1.3 1.3 0 0 1-1.4 0l-.933-.6a1.3 1.3 0 0 0-1.4 0l-.933.6a1.3 1.3 0 0 1-1.4 0l-.934-.6a1.3 1.3 0 0 0-1.4 0l-.933.6a1.3 1.3 0 0 1-.7.2 1 1 0 0 1-1-1z\"><\/path><\/symbol> <symbol id=\"h-search\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"11\" cy=\"11\" r=\"8\"><\/circle><path d=\"m21 21-4.3-4.3\"><\/path><\/symbol> <symbol id=\"h-alert-circle\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><path d=\"M12 8v4\"><\/path><path d=\"M12 16h.01\"><\/path><\/symbol> <\/defs><\/svg> <\/p>\n<div class=\"venaziel-page vz-prokto vz-hue-violet\"> <!-- \u2550\u2550 1 \u2014 HERO \u2550\u2550 --> <\/p>\n<section class=\"hero\" aria-labelledby=\"hero-title\">\n<div class=\"wrap hero-grid\">\n<div class=\"hero-copy\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Proctology \u00b7 Kreuzberg \u00b7 Mitte<\/span><\/p>\n<h1 id=\"hero-title\">Treating anal eczema in Berlin \u2014 first the cause, then the skin<\/h1>\n<p class=\"lead\">Proctology clinic in Berlin-Kreuzberg, on the border with Mitte. Anal eczema is rarely the whole condition. Most of the time it is the skin\u2019s response to something underneath \u2014 and as long as that remains, the eczema comes back.  <\/p>\n<div class=\"hero-cta\"> <a class=\"btn btn-lg btn-primary\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-lg btn-secondary\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<div class=\"siegel\">\n<div>\n<div class=\"siegel-title\">Four doctors specializing in proctology<\/div>\n<div class=\"siegel-sub\">Including the head of Visceral Surgery and Proctology. Consultation and treatment are handled by the same team. <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"sprech\"> <span class=\"eyebrow-label\">Proctology Consultation Hours<\/span> <\/p>\n<h2 class=\"title\">First, see what\u2019s behind it<\/h2>\n<div class=\"rows\">\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-map-pin\"><\/use><\/svg> <span class=\"v\">Surgery Center Charlottenstra\u00dfe, Kreuzberg\/Mitte<\/span> <\/div>\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-mail\"><\/use><\/svg> <span class=\"v\"><a href=\"mailto:hallo@venaziel.de\">hallo@venaziel.de<\/a><br \/> <span class=\"hint\">The quieter way: no waiting loop, and you have our answer in writing.<\/span><\/span> <\/div>\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-phone\"><\/use><\/svg> <span class=\"v\"><span class=\"tabular\">(030) 2529 9482<\/span><br \/> <span class=\"hint\">For urgent and hard-to-plan matters. Usually staffed <span class=\"tabular\">9:00 AM \u2013 3:00 PM<\/span>, Fridays until <span class=\"tabular\">1:00 PM<\/span>. <\/span><\/span> <\/div>\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-clock\"><\/use><\/svg> <span class=\"v\"><span class=\"tabular\">Open Mon \u2013 Thu 8:00 AM \u2013 4:00 PM <\/span><br \/><span class=\"tabular\">Fri. 8:00 AM\u20132:00 PM <\/span><\/span> <\/div>\n<\/p><\/div>\n<p class=\"note\">The examination is brief and gentle. A swab doesn\u2019t hurt, and it answers the one question you can\u2019t answer from the outside: fungus or eczema. <\/p>\n<p> <a class=\"btn btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <\/div>\n<\/p><\/div>\n<div class=\"wrap stats\">\n<div class=\"stat\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-shield-check\"><\/use><\/svg> <\/p>\n<div>\n<div class=\"h\">Rarely surgery<\/div>\n<div class=\"d\">we treat the cause, not the skin alone<\/div>\n<\/div><\/div>\n<div class=\"stat\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-search\"><\/use><\/svg> <\/p>\n<div>\n<div class=\"h\">A swab clarifies it<\/div>\n<div class=\"d\">Fungus or eczema is not guessed<\/div>\n<\/div><\/div>\n<div class=\"stat\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-house\"><\/use><\/svg> <\/p>\n<div>\n<div class=\"h\">No referral needed<\/div>\n<div class=\"d\">for both statutory and private insurance<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<div class=\"trustband\"> <img decoding=\"async\" class=\"lazyload trustband-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271216%27%20height%3D%27768%27%20viewBox%3D%270%200%201216%20768%27%3E%3Crect%20width%3D%271216%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/01\/VenaZiel.berlin.mvz_.jpg\" width=\"1216\" height=\"768\" alt=\"\" title=\"\"> <\/p>\n<div class=\"wrap trustband-inner\">\n<div class=\"trust-cell\">\n<div class=\"k\">Consultation and Treatment<\/div>\n<div class=\"v\">Charlottenstra\u00dfe 13, 10969 Berlin-Kreuzberg<\/div>\n<\/div>\n<div class=\"trust-cell\">\n<div class=\"k\">Specialization<\/div>\n<div class=\"v\">Proctology in the Visceral Surgery Section<\/div>\n<\/div>\n<div class=\"trust-cell\">\n<div class=\"k\">First appointment<\/div>\n<div class=\"v\">no referral, no preparation<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<\/section>\n<p> <!-- \u2550\u2550 3 \u2014 ARTIKEL + SCHIENE \u2550\u2550 --> <\/p>\n<div class=\"wrap body-grid\">\n<aside class=\"rail\">\n<nav class=\"toc\" aria-label=\"Auf dieser Seite\"> <span class=\"eyebrow-label\">On this page<\/span> <\/p>\n<div class=\"toc-links\"> <a href=\"#ursache\">Why it happens<\/a> <a href=\"#unterscheiden\">Eczema, fungus or hemorrhoids?<\/a> <a href=\"#untersuchung\">The appointment<\/a> <a href=\"#behandlung\">What helps<\/a> <a href=\"#salben\">Ointments and creams<\/a> <a href=\"#risiken\">What you should know<\/a> <a href=\"#kosten\">Costs<\/a> <a href=\"#operateure\">Who treats you<\/a> <a href=\"#standort\">Location<\/a> <a href=\"#faq\">Frequently asked questions<\/a> <\/div>\n<\/nav>\n<div class=\"card rail-cta\">\n<div class=\"title\">Any questions left?<\/div>\n<p>We look at the skin and also look for what is irritating it.<\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Enquire by email<\/a> <\/div>\n<\/aside>\n<div class=\"article\">\n<section id=\"ursache\" aria-labelledby=\"ursache-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Why it happens<\/span><\/p>\n<h2 id=\"ursache-title\">The skin is the site, not the cause<\/h2>\n<p class=\"p\">Anal eczema \u2014 technically, perianal dermatitis \u2014 is inflammation of the skin around the anus. It is red and irritated, often scaly or weeping, and it itches. Sometimes so severely that sleep becomes impossible.  <\/p>\n<p class=\"p\">The underlying process is essentially always the same. The skin in this fold is thin, it sits in moisture, and it moves. If its protective barrier breaks down, very little is enough \u2014 moisture, friction, a trace of stool \u2014 to inflame it.   <b>Then it itches, you scratch, and scratching destroys what is left of the protective barrier. The cycle keeps turning until someone breaks it. <\/b><\/p>\n<p class=\"p\">But: <i>why<\/i> the protective barrier breaks down can have very different causes. And that is exactly what the treatment depends on. <\/p>\n<div class=\"vz-cards\">\n<div class=\"vz-card\">\n<h3>Irritant<\/h3>\n<p>The most common form. Constant moisture, stool residue, too much or too little cleaning. Very often there is a proctological finding behind it that causes the weeping.  <\/p>\n<\/p><\/div>\n<div class=\"vz-card\">\n<h3>Allergic<\/h3>\n<p>The skin reacts to something that touches it: wet wipes, preservatives and fragrances, ingredients in ointments. Often, ironically, the very products bought to relieve the itching. <\/p>\n<\/p><\/div>\n<div class=\"vz-card\">\n<h3>Brought along<\/h3>\n<p>Atopic dermatitis, psoriasis or lichen sclerosus can show up here too. Then the anus is not the starting point, but one of several affected areas. <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"p\">In the first and most common form, the eczema is secondary damage. What makes the skin weep is usually located in the anal canal: <\/p>\n<ul class=\"dotlist\">\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b><a href=\"https:\/\/venaziel.de\/en\/proctology\/hemorrhoids\/\">Hemorrhoids<\/a><\/b> \u2014 enlarged tissue no longer seals the anal canal properly. It weeps, and the skin stays permanently moist <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b><a href=\"https:\/\/venaziel.de\/en\/proctology\/anal-fissure\/\">An anal fissure<\/a><\/b> \u2014 the tear and the fear of the next bowel movement change hygiene and bowel habits at the same time<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b><a href=\"https:\/\/venaziel.de\/en\/proctology\/anal-fistula\/\">An anal fistula<\/a><\/b> \u2014 it discharges, and that discharge irritates the skin continuously<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Skin tags<\/b> \u2014 soft folds of skin at the anal margin. Harmless, but they make cleaning harder and retain moisture <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Fecal smearing<\/b> \u2014 when small amounts leave the anal canal without being noticed. Many people are not aware of this until someone says it out loud <\/span><\/li>\n<\/ul>\n<p class=\"p\"><b>That\u2019s why treating anal eczema rarely ends with an ointment.<\/b> The ointment soothes the skin. What is irritating it has to be found alongside that. <\/p>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">Have you been treating yourself for a while?<\/div>\n<p>Then the question is not which cream is still missing \u2014 but what is irritating the skin.<\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Enquire by email<\/a> <\/div>\n<\/section>\n<section id=\"unterscheiden\" aria-labelledby=\"unterscheiden-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Eczema, fungus or hemorrhoids?<\/span><\/p>\n<h2 id=\"unterscheiden-title\">Four findings, one feeling<\/h2>\n<p class=\"p\">Itching and burning at the anus feel very similar, no matter what causes them. From the outside \u2014 and certainly with a hand mirror \u2014 they cannot be reliably told apart. That is why the same pharmacy cream helps some people and makes everything worse for others.  <\/p>\n<div class=\"table-wrap\">\n<table>\n<thead>\n<tr>\n<th scope=\"col\">What it could be<\/th>\n<th scope=\"col\">What stands out<\/th>\n<th scope=\"col\">What brings clarity<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td data-label=\"Was es sein kann\">\n<div class=\"m\">Anal eczema<\/div>\n<div class=\"m-sub\">perianal dermatitis<\/div>\n<\/td>\n<td data-label=\"Was auff\u00e4llt\">Red, scaly or weeping skin, nothing you can feel. Itching is the main symptom, often worst at night <\/td>\n<td data-label=\"Was Klarheit bringt\">Visual inspection, and the search for what is irritating the skin<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Was es sein kann\">\n<div class=\"m\">Fungal infection<\/div>\n<div class=\"m-sub\">usually yeast<\/div>\n<\/td>\n<td data-label=\"Was auff\u00e4llt\">Whitish coating, a sharply defined border, small satellite lesions nearby. More common after antibiotic treatment or with diabetes <\/td>\n<td data-label=\"Was Klarheit bringt\">A swab. Only it reliably distinguishes fungus from eczema <\/td>\n<\/tr>\n<tr>\n<td data-label=\"Was es sein kann\">\n<div class=\"m\">Hemorrhoids<\/div>\n<div class=\"m-sub\">enlarged vascular cushions<\/div>\n<\/td>\n<td data-label=\"Was auff\u00e4llt\">Weeping, foreign-body sensation, bright red blood on the paper. Prolapsed tissue can be felt; internal tissue cannot <\/td>\n<td data-label=\"Was Klarheit bringt\">Proctoscopy \u2014 internal hemorrhoids are invisible from the outside<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Was es sein kann\">\n<div class=\"m\">Anal fissure<\/div>\n<div class=\"m-sub\">Tear in the anal canal<\/div>\n<\/td>\n<td data-label=\"Was auff\u00e4llt\">Sharp pain during a bowel movement that continues to burn afterward. A small amount of bright red blood <\/td>\n<td data-label=\"Was Klarheit bringt\">A careful look; it is often enough<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p class=\"p\"><b>And often it\u2019s not either-or.<\/b> Eczema on the basis of enlarged hemorrhoids, plus a yeast infection in the moist fold \u2014 that is more the rule than the exception. Then everything is treated, but not all at once at random. <\/p>\n<p class=\"p-muted\">If you mainly want to classify the itching and don\u2019t yet have a suspicion: <a href=\"https:\/\/venaziel.de\/en\/analekzem-juckreiz-und-brennen-am-after\/\">Itching and burning at the anus \u2014 an overview of possible causes<\/a><\/p>\n<\/section>\n<section id=\"untersuchung\" aria-labelledby=\"untersuchung-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">The appointment<\/span><\/p>\n<h2 id=\"untersuchung-title\">What happens at the appointment<\/h2>\n<p class=\"p\">The appointment almost everyone puts off. It takes just a few minutes, requires no preparation and no referral, and afterward you know what you\u2019re dealing with. <\/p>\n<div class=\"vz-exam\">\n<p class=\"vz-exam-lead\">You arrive at a normal reception desk. It doesn&#8217;t say why you&#8217;re there, and in the waiting room, there are people with varicose veins, hernias, and abdominal pain. <\/p>\n<figure class=\"vz-figure\"> <img class=\"lazyload\" decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271216%27%20height%3D%27768%27%20viewBox%3D%270%200%201216%20768%27%3E%3Crect%20width%3D%271216%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/01\/VenaZiel.berlin.mvz_.jpg\" width=\"1216\" height=\"768\" loading=\"lazy\" alt=\"Reception of the VenaZiel Medical Center in Charlottenstra\u00dfe with counter and waiting area\" title=\"\"><figcaption>Arriving at Charlottenstra\u00dfe 13.<\/figcaption><\/figure>\n<ol class=\"vz-exam-steps\">\n<li>\n<h3>The Consultation<\/h3>\n<p>First we talk, not examine. Since when has it been itching, when is it worst, what have you already applied, what do you use to clean. <b>The question about care products is not a side issue<\/b> \u2014 it leads to the cause more often than anything else. You sit fully dressed at the desk.  <\/p>\n<\/li>\n<li>\n<h3>The Visual Inspection<\/h3>\n<p>You lie on your left side, knees drawn up, covered. Only the area in question is visible. How the skin is reddened, where it scales or weeps, how sharply the border runs: a large part of the answer already comes from that.  <\/p>\n<\/li>\n<li>\n<h3>The swab<\/h3>\n<p>A cotton swab over the skin \u2014 that\u2019s all it is. It answers what you can\u2019t see: whether fungi or bacteria are involved. Without this result, any ointment against pathogens would be guesswork.  <\/p>\n<\/li>\n<li>\n<h3>The Proctoscopy<\/h3>\n<p>A short tube, about finger-thick, shows the anal canal from the inside. Only then do internal hemorrhoids and fine tears become visible \u2014 exactly the findings that keep an eczema going. Unpleasant, but usually not painful, over after a few minutes. No bowel prep is needed.   <\/p>\n<\/li>\n<li>\n<h3>The Findings<\/h3>\n<p>Still at the same appointment, you\u2019ll learn what we saw, what is driving it, and what the treatment looks like. If a swab is being processed, you\u2019ll receive the result as soon as it is available. <\/p>\n<\/li>\n<\/ol>\n<p class=\"vz-exam-consent\">Let us know at any time if you need a break or would like something explained. The examination will not be continued against your will at any point. <\/p>\n<\/p><\/div>\n<p class=\"p-muted\">Detailed, with all questions about preparation: <a href=\"https:\/\/venaziel.de\/en\/proktologische-untersuchung-vorbereitung\/\">The proctological examination \u2014 procedure and preparation<\/a><\/p>\n<div class=\"card rail-cta rail-cta-inline rail-cta-keep\">\n<div class=\"title\">This is the appointment you postpone<\/div>\n<p>A few minutes, no preparation, no referral \u2014 and afterward you know where you stand.<\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Enquire by email<\/a> <\/div>\n<\/section>\n<section id=\"behandlung\" aria-labelledby=\"behandlung-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">What helps<\/span><\/p>\n<h2 id=\"behandlung-title\">Treatment in the order in which it works<\/h2>\n<p class=\"p\">Anal eczema heals well when the order is right. It doesn\u2019t start with an ointment. <\/p>\n<ul class=\"dotlist\">\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Treat what is weeping<\/b> \u2014 hemorrhoids, a tear, a fistula, fecal smearing. As long as the skin lies in moisture, no skin care can keep up <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Do less, not more<\/b> \u2014 plain water, nothing else. No wet wipes, no shower gel, no intimate spray, no disinfectant. Pat dry instead of rubbing  <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Cover the skin<\/b> \u2014 a low-irritant zinc paste or barrier care paste forms a protective layer until your own barrier holds again<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Break the itch<\/b> \u2014 briefly and targeted, so the scratching stops. Scratching is not a side issue; it is the engine of the whole thing <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Treat pathogens only with proof<\/b> \u2014 an antifungal helps against fungi and irritates skin that doesn\u2019t have them. That\u2019s why: swab first, prescription second <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Air and cotton<\/b> \u2014 breathable underwear, nothing tight, nothing synthetic. Sounds minor and often decides the last few weeks <\/span><\/li>\n<\/ul>\n<p class=\"p\"><b>The most common reason anal eczema doesn\u2019t heal is too much care \u2014 not too little.<\/b> Wet wipes, daily soap, changing pharmacy creams: every product brings new substances to skin that is already irritated. Those who radically shorten the list often see a difference within a few days. <\/p>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">What applies to you<\/div>\n<p>The order depends on what the findings show. We clarify that at the first appointment. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<\/section>\n<section id=\"salben\" aria-labelledby=\"salben-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Ointments and creams<\/span><\/p>\n<h2 id=\"salben-title\">Which ointment for what \u2014 and for how long<\/h2>\n<p class=\"p\">There isn\u2019t one single ointment for anal eczema. There are four groups that do four different things, and the wrong one at the wrong time prolongs symptoms instead of ending them. <\/p>\n<div class=\"table-wrap\">\n<table>\n<thead>\n<tr>\n<th scope=\"col\">Group<\/th>\n<th scope=\"col\">What it\u2019s for<\/th>\n<th scope=\"col\">How long<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td data-label=\"Gruppe\">\n<div class=\"m\">Zinc and barrier care pastes<\/div>\n<div class=\"m-sub\">Protection<\/div>\n<\/td>\n<td data-label=\"Wof\u00fcr sie gedacht ist\">Protect the skin from moisture and friction instead of interfering with it. The foundation everything else builds on <\/td>\n<td data-label=\"Wie lange\">As long as the skin needs them<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Gruppe\">\n<div class=\"m\">Cortisone-containing creams<\/div>\n<div class=\"m-sub\">Inflammation<\/div>\n<\/td>\n<td data-label=\"Wof\u00fcr sie gedacht ist\">Reduce inflammation and with it the itching. Their real purpose is to break the cycle of itching and scratching <\/td>\n<td data-label=\"Wie lange\">Short-term and as directed by a doctor, not long-term<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Gruppe\">\n<div class=\"m\">Antifungal agents<\/div>\n<div class=\"m-sub\">Antimycotics<\/div>\n<\/td>\n<td data-label=\"Wof\u00fcr sie gedacht ist\">Work against yeast. Useful if the swab shows fungus \u2014 and only then <\/td>\n<td data-label=\"Wie lange\">Until the finding has healed<\/td>\n<\/tr>\n<tr>\n<td data-label=\"Gruppe\">\n<div class=\"m\">Antihistamines<\/div>\n<div class=\"m-sub\">to take by mouth<\/div>\n<\/td>\n<td data-label=\"Wof\u00fcr sie gedacht ist\">Dampen allergy-related itching, especially at night when it costs you sleep<\/td>\n<td data-label=\"Wie lange\">Temporary and supportive<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p class=\"p\"><b>Cortisone is effective \u2014 and that is exactly why it can be misleading.<\/b> The itching eases quickly, which creates the impression the problem is solved. But used over a longer period, cortisone makes the skin in this area thinner and more sensitive \u2014 more prone to exactly the eczema it helped. That\u2019s why: short, targeted, and with a plan for how it will be tapered off again.  <\/p>\n<p class=\"p\"><b>And the sentence that explains most relapses:<\/b> An ointment soothes the skin; it does not remove what is irritating the skin. If everything comes back after stopping, that is not the ointment failing \u2014 it is the sign that the cause is still there. <\/p>\n<div class=\"card rail-cta rail-cta-inline rail-cta-keep\">\n<div class=\"title\">Which group fits your findings<\/div>\n<p>That is decided by the swab \u2014 not the pharmacy shelf.<\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Enquire by email<\/a> <\/div>\n<\/section>\n<section id=\"risiken\" aria-labelledby=\"risiken-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">What you should know<\/span><\/p>\n<h2 id=\"risiken-title\">Where treatment can go wrong<\/h2>\n<p class=\"p\">None of this is dramatic. But these are the points where a harmless eczema turns into a months-long one. <\/p>\n<ul class=\"dotlist\">\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Cortisone for weeks<\/b> \u2014 the skin becomes thinner and reacts more sensitively afterward than before. The most common treatment mistake with this finding <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Antifungals without a swab<\/b> \u2014 they don\u2019t work if there is no fungus, but they still irritate and blur the picture for later examination<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Wet wipes and intimate sprays<\/b> \u2014 the most common triggers of contact allergy in this area. Bitter, because they are almost always bought to relieve itching <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Scratching<\/b> \u2014 understandable, especially at night, and the most reliable way to keep the cycle going<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Relapse<\/b> \u2014 as long as what makes the skin weep remains untreated, the eczema comes back. That\u2019s not a setback; it\u2019s a finding <\/span><\/li>\n<\/ul>\n<p class=\"p\"><b>A skin change that does not heal despite correct treatment is looked at and, if necessary, examined.<\/b> This is the rare but real reason not to keep treating a stubborn eczema on your own for months: there are skin diseases in this area that look like eczema but are not. A small tissue sample clarifies that \u2014 and in most cases, it is followed by the all-clear. <\/p>\n<div class=\"vz-akut\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-alert-circle\"><\/use><\/svg> <\/p>\n<div class=\"vz-akut-body\">\n<h3>When you should not wait for an appointment<\/h3>\n<p>A swelling at the anus that increases rapidly and is very painful \u00b7 fever with chills \u00b7 bleeding that won\u2019t stop.<\/p>\n<p class=\"vz-akut-tel\">Please call us: <span class=\"tabular\">(030) 2529 9482<\/span>, usually staffed <span class=\"tabular\">9:00 AM \u2013 3:00 PM<\/span>, Fridays until <span class=\"tabular\">1:00 PM<\/span>. Outside these hours: medical on-call service <span class=\"tabular\">116 117<\/span>, for severe bleeding, emergency services <span class=\"tabular\">112<\/span>. <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<section id=\"kosten\" aria-labelledby=\"kosten-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Costs<\/span><\/p>\n<h2 id=\"kosten-title\">What the treatment costs<\/h2>\n<p class=\"p\">Examination and treatment of anal eczema are covered by health insurance \u2014 statutory and private. You do not need a referral. <\/p>\n<div class=\"kosten-grid\">\n<div class=\"card kosten-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-shield-check\"><\/use><\/svg> <\/p>\n<h3>Statutory health insurance<\/h3>\n<p>Consultation, swab and proctoscopy are covered by statutory health insurance. Prescribed ointments are provided via prescription; the usual co-payment applies. <\/p>\n<div class=\"preise\">\n<div class=\"k\">This is included<\/div>\n<div class=\"preise-row\"><span class=\"n\">Proctology Consultation Hours<\/span><\/div>\n<div class=\"preise-rule\"><\/div>\n<div class=\"preise-row\"><span class=\"n\">Swab and discussion of findings<\/span><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"card kosten-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-receipt-text\"><\/use><\/svg> <\/p>\n<h3>Privately insured<\/h3>\n<p>Reimbursable service, billed according to the German Medical Fee Schedule. You will receive the documents for your insurance from us. <\/p>\n<div class=\"preise\">\n<div class=\"k\">What you receive from us<\/div>\n<div class=\"preise-row\"><span class=\"n\">Invoice according to GO\u00c4<\/span><\/div>\n<div class=\"preise-rule\"><\/div>\n<div class=\"preise-row\"><span class=\"n\">Cost estimate if a procedure is added<\/span><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"kosten-note\">\n<div class=\"k\">Without insurance coverage<\/div>\n<div class=\"kosten-note-cols\">\n<p>Are you self-paying or not insured in Germany? Then we discuss the costs at the first examination, and you will receive a written cost estimate before anything is decided. <\/p>\n<p>Giving a number in advance would be guesswork: with anal eczema, costs mainly depend on what is behind it. Eczema that heals with skin care and stool regulation is one thing; eczema on the basis of hemorrhoids that also need treatment is another. <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<section id=\"operateure\" aria-labelledby=\"operateure-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Who treats you<\/span><\/p>\n<h2 id=\"operateure-title\">Four doctors, one specialization<\/h2>\n<p class=\"p\">The doctor who examines you during the consultation will also treat you. For a topic that requires so much overcoming, this is not an organizational matter \u2014 you shouldn&#8217;t have to tell your story twice. <\/p>\n<div class=\"arzt-grid\">\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/dr-med-d-macho-hernienchirurge-berlin-mitte-400.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Dr. med. David Mach\u00f3<\/h3>\n<div class=\"role\">Specialist in visceral surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Section Head of Visceral Surgery and Proctology<\/span><\/div>\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Second specialist title: Thoracic Surgery<\/span><\/div>\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Additional qualification in Emergency Medicine<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/viszeralchirurg\/berlin\/david-macho\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Dr. med. David Mach\u00f3\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/01\/ahmed-sultan-400x400.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Ahmed Sultan<\/h3>\n<div class=\"role\">Specialist for general surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology specialization<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180&#038;pid=practice-654180\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Ahmed Sultan\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Phlebologe-Viszeralchirurge-A-parkhomenko-400.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Aleksandr Parkhomenko<\/h3>\n<div class=\"role\">Specialist in visceral surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology specialization<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180&#038;pid=practice-654180\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Aleksandr Parkhomenko\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Viszeralchirurgie-berlin-Clarissa-Asmussen-proktologin.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Clarissa Asmussen<\/h3>\n<div class=\"role\">Specialist for visceral surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology specialization<\/span><\/div>\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology Consultation Hours<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/proktologie\/berlin\/clarissa-asmussen\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Clarissa Asmussen\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">These four conduct the consultation hours<\/div>\n<p>No rotating team, no handover. You tell your story once. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<\/section>\n<p> <!-- \u2500\u2500 Standort \u2500\u2500 --> <\/p>\n<section id=\"standort\" aria-labelledby=\"standort-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Location \u00b7 Kreuzberg \u00b7 Mitte<\/span><\/p>\n<h2 id=\"standort-title\">Where we treat<\/h2>\n<p class=\"p\">Consultation and treatment take place at the same location, on Charlottenstra\u00dfe \u2014 directly at Checkpoint Charlie, on the border between Berlin-Kreuzberg and Mitte.<\/p>\n<div class=\"gallery\">\n<div class=\"gallery-frame\" role=\"radiogroup\" aria-label=\"Aufnahmen aus der Praxis\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-1\" aria-label=\"Aufnahme 1: Empfang und Wartebereich\" checked> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-2\" aria-label=\"Aufnahme 2: Aufwachbereich\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-3\" aria-label=\"Aufnahme 3: Eingriffsraum\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-4\" aria-label=\"Aufnahme 4: Au\u00dfenansicht\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-5\" aria-label=\"Aufnahme 5: Anmeldung\"> <\/p>\n<div class=\"gallery-track\">\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271216%27%20height%3D%27768%27%20viewBox%3D%270%200%201216%20768%27%3E%3Crect%20width%3D%271216%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/01\/VenaZiel.berlin.mvz_.jpg\" width=\"1216\" height=\"768\" loading=\"lazy\" alt=\"Reception area of the VenaZiel MVZ with counter and waiting area\" title=\"\"><span class=\"gallery-label\">Reception<\/span><\/div>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27675%27%20viewBox%3D%270%200%201200%20675%27%3E%3Crect%20width%3D%271200%27%20height%3D%27675%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Venaziel-hernienzentrum-proktologie-berlin-mitte.jpg\" width=\"1200\" height=\"675\" loading=\"lazy\" alt=\"Treatment beds with partitions and monitoring screen\" title=\"\"><span class=\"gallery-label\">Recovery area<\/span><\/div>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27675%27%20viewBox%3D%270%200%201200%20675%27%3E%3Crect%20width%3D%271200%27%20height%3D%27675%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Venaziel-hernienzentrum-proktologie-berlin-mitte-opzentrum.jpg\" width=\"1200\" height=\"675\" loading=\"lazy\" alt=\"Procedure room in the surgery center with operating table and monitoring screens\" title=\"\"><span class=\"gallery-label\">Procedure room<\/span><\/div>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27700%27%20height%3D%27700%27%20viewBox%3D%270%200%20700%20700%27%3E%3Crect%20width%3D%27700%27%20height%3D%27700%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2025\/03\/venaziel-MVZ-charlottenstr-13-proktologi-phlebologi-berlin-1.jpg\" width=\"700\" height=\"700\" loading=\"lazy\" alt=\"The building at Charlottenstra\u00dfe 13 in Berlin-Kreuzberg at dusk\" title=\"\"><span class=\"gallery-label\">Exterior view<\/span><\/div>\n<p> <!-- PLATZHALTER: bis ein eigenes Motiv nachgereicht wird. Echtes Praxisfoto, kein Stock \u2014 aber es zeigt den Empfangstresen, den Aufnahme 01 schon zeigt. Siehe haemorrhoiden-redaktion.md, Bildbedarf. --> <\/p>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271248%27%20height%3D%27832%27%20viewBox%3D%270%200%201248%20832%27%3E%3Crect%20width%3D%271248%27%20height%3D%27832%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2025\/09\/VenaZiel-berlin-MVZ-team.jpg\" width=\"1248\" height=\"832\" loading=\"lazy\" alt=\"Employee at the reception desk of the VenaZiel Medical Center on the phone\" title=\"\"><span class=\"gallery-label\">Registration<\/span><\/div>\n<\/p><\/div>\n<div class=\"gallery-pager tabular\"> <label for=\"ort-1\">01<\/label> <label for=\"ort-2\">02<\/label> <label for=\"ort-3\">03<\/label> <label for=\"ort-4\">04<\/label> <label for=\"ort-5\">05<\/label> <\/div>\n<\/p><\/div>\n<p class=\"caption\">Real photos of our premises \u2014 no stock photography.<\/p>\n<\/p><\/div>\n<div class=\"card kontakt\" id=\"kontakt\">\n<div>\n<h3 class=\"name\">VenaZiel MVZ<\/h3>\n<div class=\"kontakt-row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-map-pin\"><\/use><\/svg> <span class=\"v\">Charlottenstra\u00dfe 13<br \/>10969 Berlin<\/span> <\/div>\n<div class=\"kontakt-row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-mail\"><\/use><\/svg> <span class=\"v\"><a href=\"mailto:hallo@venaziel.de\">hallo@venaziel.de<\/a><br \/> <span class=\"hint\">Write to us whenever it suits you \u2014 no waiting on hold, no lost lunch break. Our team will reply as quickly as possible, and you&#8217;ll have the answer in writing for your reference. <\/span><\/span> <\/div>\n<div class=\"kontakt-row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-phone\"><\/use><\/svg> <span class=\"v\"><span class=\"tabular\">(030) 2529 9482<\/span><br \/> <span class=\"hint\">For urgent matters and anything that&#8217;s difficult to plan.<\/span><br \/><span class=\"tabular\">Usually 9:00 AM \u2013 3:00 PM \u00b7 Fri until 1:00 PM <\/span><\/span> <\/div>\n<\/p><\/div>\n<div>\n<div class=\"k\">Getting here<\/div>\n<div class=\"anfahrt\">\n<div class=\"anfahrt-row\"> <span class=\"linie linie-u6\">U6<\/span> <span class=\"v\">Kochstra\u00dfe\/Checkpoint Charlie<\/span> <\/div>\n<div class=\"anfahrt-row\"> <span class=\"linie linie-m29\">M29<\/span> <span class=\"v\">Charlottenstr., 1 minute walk<\/span> <\/div>\n<div class=\"anfahrt-row\"> <span class=\"linie linie-p\" role=\"img\" aria-label=\"Parken\">P<\/span> <span class=\"v\">Paid parking in the neighborhood. On Zimmerstra\u00dfe, you can usually find a space even at lunchtime. <\/span> <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p> <!-- \u2500\u2500 FAQ \u2500\u2500 --> <\/p>\n<section id=\"faq\" aria-labelledby=\"faq-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Frequently Asked Questions<\/span><\/p>\n<h2 id=\"faq-title\">Frequently asked questions about anal eczema<\/h2>\n<div class=\"faq\">\n<details class=\"faq-item\">\n<summary>\n<h3>Is it a fungus or eczema?<\/h3>\n<\/summary>\n<p>You can\u2019t say that reliably with the naked eye \u2014 and we don\u2019t guess. A fungal infection often shows a whitish coating, a sharply defined border and small lesions nearby, but an irritated eczema can look the same. A swab brings clarity; it doesn\u2019t hurt and takes a few seconds. Only then does an antifungal make sense \u2014 or not.   <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Which ointment helps with anal eczema?<\/h3>\n<\/summary>\n<p>That depends on what type of eczema it is. Zinc and barrier care pastes protect the skin and are almost always the foundation. Cortisone-containing creams reduce inflammation, but should be used short-term and as directed by a doctor. Antifungals work only if fungus has actually been proven. And antihistamines taken by mouth dampen allergy-related itching, especially at night.    <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>How long does it take for anal eczema to heal?<\/h3>\n<\/summary>\n<p>Once the cause has been found and treated, the skin often calms down noticeably within a few days. Until it truly holds again usually takes a few weeks: the skin in this fold lies in moisture and is moved, so it heals more slowly than elsewhere. If it drags on longer, it is almost never because of the ointment, but because the cause is still there.  <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>What can I do myself?<\/h3>\n<\/summary>\n<p>Above all: less. Clean only with plain water; no wet wipes, no shower gel, no intimate spray, no disinfectant. Pat dry instead of rubbing, breathable underwear, nothing tight. And don\u2019t scratch \u2014 as hard as that is at night. The most common reason anal eczema doesn\u2019t heal is too much care \u2014 not too little.    <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Can anal eczema bleed?<\/h3>\n<\/summary>\n<p>Yes. Scratched-open or torn skin bleeds easily, usually a small amount and bright red on the paper. Still, bleeding should be looked at, because the same trace can come from hemorrhoids or a tear in the anal canal \u2014 and dark blood or blood mixed with stool should be clarified promptly in any case.  <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Can it turn into something malignant?<\/h3>\n<\/summary>\n<p>Not from anal eczema itself. But there are skin diseases in this area that look like eczema and are not \u2014 and they are only noticed if someone looks. That\u2019s why: a skin change that does not heal despite correct treatment is examined, if necessary with a small tissue sample. In most cases, it is followed by the all-clear.   <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Will it come back?<\/h3>\n<\/summary>\n<p>If only the skin is treated and not what makes it weep, then yes. That is exactly what many experience: under the cream it gets better, after stopping everything comes back. That\u2019s not a setback, but a sign \u2014 usually of hemorrhoids, a tear or a fistula that still need treatment.  <\/p>\n<\/details><\/div>\n<\/section><\/div>\n<\/p><\/div>\n<section class=\"cta\" aria-labelledby=\"cta-title\">\n<div class=\"wrap cta-grid\">\n<div>\n<div class=\"k\">Proctology Consultation Hours Berlin<\/div>\n<h2 id=\"cta-title\">As long as the cause remains, the eczema comes back<\/h2>\n<p>Most anal eczemas heal well once it\u2019s clear what the skin is reacting to. That\u2019s a matter of one appointment \u2014 not the next tube. <\/p>\n<\/p><\/div>\n<div class=\"cta-action\"> <a class=\"btn btn-lg btn-inverse\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <\/p>\n<p class=\"cta-hours\">Prefer to write? <a href=\"mailto:hallo@venaziel.de\">hallo@venaziel.de<\/a><br \/> By phone at <span class=\"tabular\">(030) 2529 9482<\/span>, usually staffed <span class=\"tabular\">9:00 AM \u2013 3:00 PM<\/span>, Fridays until <span class=\"tabular\">1:00 PM<\/span><br \/> <span class=\"hint\">Open  <span class=\"tabular\">Mon.\u2013Thu. 8:00 AM\u20134:00 PM <\/span>  \u00b7  <span class=\"tabular\">Fri. 8:00 AM\u20132:00 PM <\/span><\/span><\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Anal Eczema \u2013 An Underestimated Problem: Itching, burning, or redness in the anal area are unpleasant but widespread. Almost one in three adults suffers from these complaints at least once in their lives. However, what many do not know is that anal eczema can not only be harmless but also a sign of a serious illness.<\/p>\n<p> Is it a fungus? Hemorrhoids? A skin disease or a bacterial infection?<\/p>\n<p>Many people do not take itching or burning in the anus seriously &#8211; but if anal eczema is left untreated, it can become chronic and lead to painful inflammation or infections.<\/p>\n","protected":false},"author":13,"featured_media":7575,"parent":6299,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-15116","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/15116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/comments?post=15116"}],"version-history":[{"count":1,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/15116\/revisions"}],"predecessor-version":[{"id":100911,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/15116\/revisions\/100911"}],"up":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/6299"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media\/7575"}],"wp:attachment":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media?parent=15116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}