Why it might not feel clean
Itching, burning, or the sensation of general dirtiness in your anal area isn’t a comfy feeling.
If you experience significant anal itching or have a hard time feeling clean, you may have hemorrhoids. Hemorrhoids are swollen veins in the rectum that may be around the anal opening, called external hemorrhoids, or inside the anal opening, called internal hemorrhoids.
While hemorrhoids are often painless, some can bleed or make it hard to clean stool. Unless they’re very large, hemorrhoids are usually more an inconvenience than severe problem.
If you notice tenderness or even pain after a stool that was hard to pass, the cause may be an anal fissure. Anal fissures are tears in the anal canal, usually due to hard, dry stool passing through. Treatments include adding fiber and water to your diet so your stool is easier to pass and your skin can heal.
If you experience acute sudden pain around the anal area, accompanied by redness or feelings of fullness, you could have an anal abscess or fistula. This can indicate an infection of the skin or anal gland.