Anal itching (pruritus ani)

To support a 10% rating, your records need to show that the itching is accompanied by bleeding or excoriation. Medical records from a primary care provider, gastroenterologist, or dermatologist that document visible excoriation, skin breakdown, or bleeding in the anal area are directly relevant. A VA examination report that describes the physical condition of the skin at the time of the exam can also reflect these findings. If bleeding or excoriation has occurred between appointments, statements from you describing those episodes — including how often they happen and how they affect your daily activities — can help fill gaps left by clinical records. For a 0% rating, no additional findings beyond the itching itself need to be documented.