A couple months back I tested positive for Chlamydia. When they were testing me they stuck their finger in my vagina and anus with the same glove (which I thought was a little unsanitary and don't know if this has to do with it) but ever since that day when I have a bowel movement it tingles and itches for a max of 20 minutes after. This has been going off and on for about 4 months now. Its nothing serious, the pain is very mild and thought it will go away but it hasn't yet.
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Itching on anus
It is possible that your physician though you have hemorrhoids. In that case doing a rectal exam and itching make sense. You should ask him so you know your diagnosis
I am not sure why the provider felt it necessary to do a rectal exam on a 20 year old in the first place, but I do not think the exam would cause your symptoms. I would call your provider and ask them for a prescription strength hemorrhoidal cream. If after using the cream for 10-14 days you still have the same issues then I think an exam would be indicated. Good luck