Severe itching that leads to scratching and blood marks can stem from various causes, including dry skin, allergies, or even parasitic infections. It is advised to avoid scratching, as it can exacerbate the condition. To alleviate the itch, applying an ice pack can provide a numbing effect. While anti-itch creams like hydrocortisone are common, they are not recommended if there is bleeding; instead, a benzocaine antiseptic spray may be more suitable. If the itching persists, especially if it occurs at night or after showering, consulting a physician is strongly recommended for proper diagnosis and treatment.