I feel it would be safe to say you have hemmroids,, you get them from heavy lifting, sitting for long periods of time, straining during bowel movements endless reasons. and the itching may just be from not cleaning well enough after b.m.'s and the hemmroids make this more difficult,, I personally use baby wipes and if that doesn't help, ask your dr. for a perscription for Lidocaine HCI 3% and Hydrocortisone Acetate 2.5% Gel.