Health Q&A
Itchy anal rash with pilonidal sinus

I have been diagnosed with a pilonidal sinus, and a general surgeon has examined me and recommended surgery. I also have red, itchy skin around the anal opening and the surrounding area. The itching is still present. I had previously used Castor MF occasionally, but I haven't been applying it recently, and the itching has continued. There is no bleeding or pain during bowel movements. Since I am going to have surgery for the pilonidal sinus, I would like to know: Could the redness and itching be a fungal infection or simple skin irritation? Is it safe to use a simple antifungal cream such as clotrimazole around the anal area, or should I use something else? Should I discuss this specifically with my surgeon before the surgery? Thank you.

Low B12 & Folate level

B12/folate level Serum vitamin B12 226 ng/L Serum folate 2.0 ug/L I have already take folic acid 5mg per day for 50days and for B12 do I need to take shot or go for oral intake. If oral what is the B12 capsule need to be taken ?

Colonoscopy

Any good altetnative to as good as  colonoscopy? Pls advice i want a routine repeat colonoscopy suggest alternative

A Bump Near my Butthole

There is a bump near my asshole, which is painful when pressed/poked with pressure. It has reduced in size over the last 10 days, but is still there. What is it? What should I do, any ointment or oral medicine?

Pelvic floor surgery chronic tension

My muscles & spinchter aren't relaxing. & causing incomplete evacuation & cramps. I've undergone almost 4 anal surgeries. I follow every advise by doc. Still there's pain. I've been taking laxatives daily for 2 years. Cremaffin plus causes diarrhea daily. All night it causes stomach cramps & I end up not sleeping well. I recently realized, I had the habit of half squatting while peeing. Like bending a little & standing. Since 7 years I have never sat down to pee. To avoid UTI. Could that have caused muscle disorientation & tension leading to chronic pain? If yes, will it not become like before? please guide how to relax again like it used to be 7 years ago. Please🙏 😭 I've been hopelessly undergoing surgeries. Again doc has told surgery. I might die if I keep undergoing surgeries so often. I have other surgeries to undergo for other issues too. It got delayed as I've been undergoing this surgery repeatedly. lost too much weight & weakness coz of pain & surgeries.

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