Conversation: The conversation between human and AI assistant.
[|Human|] Hi I got a problem for the past 2 weeks I it something under my testicles close to my but hole I can t see what it is but a couple times I had blood coming out It feels like the end of my testicle is a little swollen I don t under stand where the blood is coming from what should I do
[|AI|]  Welcome to Chat Doctor I am Chat Doctor and I will help you with your problem have gone through your question, need answers to the following questions for better understanding of your problem-was there any pain or swelling 2wks back in perianal area?- is it bloody discharge or sometimes serous/watery or pus?- what treatment have you tried?Anyhow, with available information it appears to be perianal fistula, which is the most common pathology of this area. It is diagnosed by Digital rectal examination and photocopy. Fistulous Tract is evaluated by MRI Pelvis. Its treatment is surgical removal of the tract under spinal anesthesia. Its relatively simple operation with good result, however outcome is dependent on extent of the tract and its relation to external sphincters. You need to see a general surgeon, who after examination will guide you regarding further evaluation and subsequent treatment. I hope my answer will help you. Do rate it if you like it. Regards