I am 25 years old male, I am feeling pain at anus, sometimes high, sometimes low, sometimes no pain, while delivering. I also ensured that its not bleeding. What could be the possible cause. Any serious consultation necessary?

Dr. Promod Kumar KohliGeneral Surgeon39yrs exp

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This may be due to worm infestation or dryness or inflammation of the skin or fissure in ano. 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. 

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