I am 24 year female and I have small thread like structure on my anal opening may be it is half inch or more and I think it is fistula a pinkish thread. There is no pain in that but when I suffer from constipation or dehydration then I feel some pain after that in normal days there is no pain. So what should I do now please suggest me I am hesitating to go to a doctor and I also have a picture of that if a lady doctor want to see then I will send to her. Help me to get rid of.

Dr. Promod Kumar KohliGeneral Surgeon39yrs exp

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This may be due to worm infestation or piles or fissure in ano with a skin tag. I would suggest some general measures like 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Antiworm tablets (eg zentel) once a week for 4-6 weeks 8. Apply some oil or cream on the skin around the anal verge with gentle massage, once or twice a day 9. Atleast once get it examined by a general surgeon to rule out specific conditions. Doctors are professional people. Should have no hesitation on being examined by a male or female surgeon. You have the liberty to have your female attendant supervising the check up. 

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