Elderly women with perianal itching may be caused by perianal inflammation or perianal eczema, etc., which can be relieved by general treatment or medication according to different causes. 1. General treatment: Including keeping the perianal area clean and hygienic, you can use saline to clean it and wipe it with soft towel, pay attention to light diet, avoid scratching, try to wear breathable and soft underwear. 2. Medication: (1) perianal inflammation: under the guidance of the doctor can use glycerine lotion, local injection of lidocaine and other anesthetic drugs to relieve the symptoms, but also can use mupirocin ointment, erythromycin ointment and other medications. (2) perianal eczema: can be prescribed local use of zinc oxide ointment, budesonide cream, tacrolimus ointment and other drugs, but also oral loratadine, cetirizine and other drugs for treatment. It is recommended to go to the anorectal department or dermatology department of the hospital in time, to clarify the diagnosis and give the appropriate treatment to avoid delaying the condition.