Conversation: The conversation between human and AI assistant.
[|Human|] I am a 49 year old male. I have a red, zit like, small bump in perinium area. Can be very itchy at times especially at night. Have tried over the counter anti-fungal (jock itch) cream with no effect. No discharge, or pain. Itching is intermittant. What might this be and what is the recommended course of action?
[|AI|]  Hello! Thank you for the query. If this lump comes from the anus or is attached to the verge of it, hemorrhoid is the most possible reason. Itching is quite characteristic for hemorrhoids. It usually appears after a stool. Lump in perineum area can be also a sign of fistula between the skin and the rectum. In such case, lump gets painful, and some discharge can appear. Other benign skin lesions like cyst or hair follicle inflammation are also possible. Please consult your doctor with this lump and the treatment depends on the diagnosis. Hope this will help. Regards.