I have been facing problem of movement and itching around my anus at night time with lot of irritation. I have taken many medications like courses of albendazole and three days to six days after one week etc. But few days after it starts again. I also have lot of constipation and fecal hammering since last one year some times I am unable to sit so have to remove manually the residual fecal matter from ano. I have some piles also due to my constipation. I have in my reports some excess cholesterol. I have been taking fiber rich diet and taking lot of precautions. I feel lot of fatigue sometimes due to constipation. I aam not in proper constitution. I further feel like going toilet whole day and each time I go to toilet some fecal matter comes out and I am not ever satisfied with the clearance of bowl. I had taken some laxatives and stool softeners after advice from doctor in canada but it further complicated my problem and I stopped taking them 6 months back. Please guide me what to do and what kind of doctor to visit.