Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor,I had an itching problem in and around anus . After 3 days suspecting it as a case of piles I consulted a surgeon . He after examination with proctoscope found nothing of piles. problem of pinworms and fungal infection. He prescribed  Allworm one tob taken at night and Flucose150 one tablet to be taken for a day.along with Tribenplus skin cream to be aplied in the area.aafte 2 days of application since i didnt get much relief I tried Zole F  , which gives some better relief but not completely cured. My question is should i continue Zole F alone or should I take Flucose 150. If so how many more  doses i should take to get rid of the fungal infection completely ?Kindly advise me.
[|AI|]  Taking tablets without proper diagnosis is like throwing arrows in dark. My advice that as you have consulted the surgeon & surgical cause is ruled out, you must take a proper dermatologist consultation as many dermatological problems can not be diagnosed unless and until visual impression is made. The causes of itching in said region may be fungal infection or any worm infestation most common of which is round worm. Considering round worm infestation as you have already taken all worm tablet my advice would be wait for days or two as the clearing of worm may require few days after having tablets. If there is relief in few days You should repeat the same tablet (albendazole chewable Would be better choice) after one week. If the itching is not relieved in a day or two you must consult a dermatologist he would prescribe you proper antifungal for oral as well as topical use.