Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your symptoms is due to frequent loose stool. Loose stool could be due to worm infestation like giardiasis, tapeworm, and pinworm. The factors that aggravate itching are excessive moisture, sweat, pressure on sitting, rubbing, diabetes. In food, excessive chocolate and spicy food aggravate the problem. I would suggest to consult the primary care physician and undergo stool tests to confirm the cause. Following treatment will help you: 1. Maintain hygiene after defecation, first wipe with simple plain tissue paper and wash properly with gentle warm water 2. Do not keep wet, dry the anal part with pure cotton towel 3. Change the inner wear after exercise and work out 4. Wear pure cotton loose inner wear 5. Eat healthy diet with lots of fiber 6. Avoid constant sitting to minimize pressure 7. Drugs like metronidazole, albendazole, paziquantel according to stool test reports You can apply steroid ointment: 1 % hydrocortisone for short term. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar