Conversation: The conversation between human and AI assistant.
[|Human|] Hello. Right, my anal area has been itchy for a quite some time (but not limited to that area. Also the area my genitals and anus. Most recently I ve felt a bit constipated and I ve noticed a brown-ish gooey substance also exiting my anus...I suspect hemorrhoids? Or perhaps a bacterial infection? I have a condition known as achalasia, this may be related to it (lack of nutrients?)
[|AI|]  Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having a fungal infection, but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis. The fungus is the normal commensalism of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason this fungus will multiply and produces the symptoms. I would suggest you to follow1. Keep the area Chat Doctor. 2. Topical antifungal cream should be applied.3. Tab Rifleman, 150 mg single dose will help to control the symptoms.4. For itching, you can take anti histamines. Thank you.