Consult online Need proper history and evaluation for further suggestions If enterobias complete cute is necessary Contact will guide you

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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Could be fluid leaking from anal canal irritating the skin .or pin worms which are more at night Proper hygiene and keep the area dry.do stool re for worms can be due to piles also

You can visit general surgeon for proper treatment Get your LFT done Tab bandyplus (od hs) For 1 day Practice  proper good hygiene .

U need general surgeon. Already answered

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

Hi If you currently don't have piles , Could be worm infestation.( Most likely). Good thing is it's treatable There is a chance of internal pile which could be causing occasional bleeding. Needs further details to come to a conclusion

A proper consultation is needed to assess and guide treatment.

Its infection. Visit nearby hospital.

Chronic itching around Anus can be any of the causes like fissure with residual skin tag, fungal infection, piles which need complete clinical evaluation by a general surgeon or gastroenterologist.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

The pin-prick pain while passing stool with occasional bleeding points to a chronic anal fissure, and the itching is from moisture and irritation around it - pinworms usually itch only at night and would not give that pain. Two years is long enough that it will not settle with more Ayurvedic or over-the-counter creams. What actually works: keep stools soft (isabgol at night, 3 litres water, plenty of fibre), sitz bath in warm water for 10 minutes twice a day, and a local anaesthetic-nitrate/diltiazem ointment for 6-8 weeks. Wash and pat dry, never scratch or use soap inside.

Consult a general surgeon/proctologist or dermatologist for local examination; anoscopy may be required if bleeding persists. * If pinworm there then albendazole 400 mg daily for three days can be taken. * Keep the area clean and dry; wash gently with water and avoid soaps, antiseptics, wet wipes and vigorous scrubbing. * Wear loose cotton underwear and change it daily. * Avoid scratching; keep fingernails short. * Maintain soft stools with adequate fluids and fibre, * Avoid using steroid-containing or combination “pile/fungal” creams for prolonged periods without medical advice.

Maintain proper hygeine Take sitz bath in leukwarn water

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Sitz bath with povidine iodine in luke warm water 3 times a day for 15-20 min. For medications and further treatment consult me

Need a few more details please consult for further evaluation and treatment