Thank you for your message. From your description, it seems you are having recurrent burning and painful lesion near the anal area, which could be due to chronic fissure-in-ano, recurrent fungal infection (intertrigo), or pilonidal sinus. However, an exact diagnosis needs physical examination.
General advice:
Keep the area clean and dry.
Avoid constipation — take high-fiber diet, plenty of water, and use stool softener (like lactulose or Cremaffin at night if required).
Sitz bath: Sit in lukewarm water with a pinch of salt for 10–15 min twice daily.
Apply Lidocaine + Hydrocortisone or diltiazem 2 % ointment locally (if fissure suspected).
If fungal infection suspected (itching, redness, white scaling), use Clotrimazole + Beclomethasone cream twice daily for 7–10 days.
Avoid spicy food, alcohol, and prolonged sitting.
Since this is recurrent for 2 months, I strongly advise you to get examined by a general surgeon or dermatologist. They may need to rule out fissure-in-ano, fistula, or fungal dermatitis and might suggest local antibiotics or minor surgical treatment if needed.
Answered2025-11-01 02:41:10
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