Conversation: The conversation between human and AI assistant.
[|Human|] I have a very very itchy vulva and anus.  I cannot stop scratching!  the crack above my anus is peeling and burning.  my vulva is swollen and tender.  there is also a pea size bump near the hair line about level with my vigina.  I have not had intercoarse in over 2 years.
[|AI|]  Hello, Welcome to Chat Doctor, The history and symptoms are favoring fungal infection. This area are known for fungal infection as yeast are the normal communal of the genitals. Whenever there is change in environment this fungus will activate and produces these symptoms. I would suggest you to follow1. Keep the area clean and Chat Doctor. 2. Topical antifungal cream will help to reduce the symptoms. 3. Single dose of oral Rifleman, 150 mg. Thank you.