Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I keep getting sudden sharp shooting pains in my anus when standing. It s so bad that I can only describe it as a knife up there! When I sit down I get the same feeling but as though it s in my vagina. My tummy feels swollen & It comes and goes. What could it be?
[|AI|]  Hello, As a physician, as you have sudden sharp shooting pain in the anus, my probable diagnosis is anal fissure or fistula or hemorrhoids or trauma. Can I come to know whether you have blood in stool or complaints of constipation? I will suggest you to consult with surgeon for per rectal examination. That will give a clear-cut diagnosis. I will suggest you to apply An ovate ointment locally and tablet Solo. I will also suggest you to review here with detailed history or consult with the surgeon. Hope I have answered your query. Let me know if I can assist you further.