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My little brother's anus itches at night, what could it be?

Asked by Earthflag (549points) December 21st, 2011

My brother has been complaining that inside of his anus itches at night before he goes to bed and makes it hard for him to sleep. I’ve heard of pinwarms, but I know that they would probably be obvious and appear at the toilet… He said he looked and there were no warms in the toilet after he poops. So, what could this be? Any help?

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