Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr.I am having severe pain in my rectum area. It hurts to walk, sit, go to the bathroom. Hurts to sneeze, cough, bend over. I am also experiencing upper abdominal pain. My everyday life is very painful all day. Its been going on for a little over a month now. If any insight on what it might be please respond. Thank you
[|AI|]  Hi, Thanks for posting your query. Do you have some mass palpable at anus? With the available described details, there could be possibility of thrombosed hemorrhoids or anal fissure. Aggravation of pain due to coughing or sneezing could be due to active wound at anus and persistent injury. You should consult with internal medicine specialist/ general surgeon and should go for thorough check up. You should go for per rectal examination also. Treatment of anal fissure and hemorrhoids differ and treatment depends on exact diagnosis. Meanwhile, you should take plenty of water along with laxative containing Isabella and action. Laxative helps in relieving constipation and cure of local wound. You should also apply lidocaine ointment along with diltiazem. You should also perform hot site bath; put lukewarm water in a tub and sit in it for 15-20 minutes twice in a day. This helps in relaxation of anal sphincters. Take care,