Conversation: The conversation between human and AI assistant.
[|Human|] Hi Ive had severe anal itching for years. I have always noticed a tiny, very hard black object in or around my anus when it itches at night (the only time it itches). The things look like tiny kidney beans, kind of like an undigested herb or seed, but i can ascribe it to anything ive eaten...any ideas?
[|AI|]  Hello, The anal itching that too during the night with small lumps around your anal area is due to parasite named Entertains vernaculars or pin worms. The itch at night is due to the female parasite laying eggs there. My advice is you take antibiotic tablet Albendazole one tablet, take tablet levocetirizine twice daily for five days to reduce the itch. It will kill all the pin worms. Wash all your inner garments and bedsheets under warm water. Keep your anal area clean and Chat Doctor.  Do hot water fomentation as the eggs die in the high temperature. Hope I have answered your query. Let me know if I can assist you further.