Conversation: The conversation between human and AI assistant.
[|Human|] I had what appeared to be hemroids to begin with that continue to grow and become very painful. Today I noticed a painful rashleasing up to my vagina but stoping just before with a large bump like the ones protruding from my anus. They dont look lime any stds I can find on the web. My chances of gettysts are low as well.
[|AI|]  Hi.it is best if you consult with a general surgeon in regard to your hemorrhoids, especially if there's pain, and you noticed that it is enlarging in size. A complete physical examination done by your doctor would confirm if your vaginal rash is just an inflammatory reaction or needs further gynecologic evaluation. A photocopy may also be done by your surgeon to determine the severity of your hemorrhoids and to look if there are other lesions present in your perianal and rectal area. Hope this helps. Good day!!~ Chat Doctor.