Conversation: The conversation between human and AI assistant.
[|Human|] I have a bad itching sensation around my anus along with sharp pains. My lower abdomen also has sparatic sharp pains. My tubes have been tied for 6 years now and the cycle time for my periods are off schedule..... can anyone help ,e please? Thank you.
[|AI|]  Thank you very much for contacting Chat Doctor. According to your complaint you have problem of anal itching that is most because of pin worm infection around anal region. Pin worm infection is common at anal region. Anal fissure like condition cause anal itching problem with pain. External hemorrhoid is also caused anal itching problem. Skin infection like psoriasis may cause anal imitation problem. Chronic diarrhea may cause anal itching problem. Some spicy foods cause this type of problems. Anal region traumatized by excessive scratching also. That may cause anal itching problem. Anorectal examination is helpful for further diagnosis. Take care. Thank you very much.