Anal burning

One Patient age 40 yrs Male prediabetic not taking any medicine for controlling Sugar h/o anal fissure with fistula surgery 6 week back now c/o burning and itching at anal region since 10 days On examination by treating surgeon he found that fissure and fistula properly healed and found burning & itching due to pruritus ani. What is cause of burning and itching and line of treatment.

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Pruritus ani May be due to poor hygiene or habitual itching **Antihistamines and tropical steroids may help Moisturizer can be used, if it is dry
Thank you doctor
1
Base line approach of FM ONLY