Conversation: The conversation between human and AI assistant.
[|Human|] i am having a lot of pain in my rear end im on dialysis, but i have had this pain for about 3 months.. sometimes when i use the restroom(#2) its kind of hard for me to go but when i do it has some blood to it... do you have any ideas on what could be going on
[|AI|]  Hi thanks for posting in Chat Doctor I have understood your concern most probable reason for your problem is 1.hemorrhoids or 2.anal fissure you need evaluation for that like1.per rectal evaluation 2.proctoscopy3.sigmoidoscopy (SOS)meanwhile you can try with1.nobles ointment 2.site bath relieves pain 3.syrup. Looz 20 ml at night. Depending upon the findings on evaluation you may need minor surgery if it is a haemorrhoid hope this helps you any further questions please let me know thanks