Conversation: The conversation between human and AI assistant.
[|Human|] I habe problems going to the bathroom to poop. i have pain in my anus and lower belly. i have went to my dr but she just gaved me fibers. i also feel dizziness and lots of tiredness in my eyes like they are heavy or like when you are really really sleepy.
[|AI|]  Hello! Thank you for the query. Pain in the anus is usually caused by rectal fissure. It's a kind of wound in the rectum which gives lots of pain when passing the stool. However, it is not characteristic to have lower abdominal pain with this issue. As fissure is usually caused by constipation, this seems your main problem. Constipation can be caused by bad diet, hypothyroidism, medicines (ca-blockers, antidepressants) or colon cancer. Tiredness, heavy eyes feeling can be also caused by hypothyroidism. Dizziness and tiredness are also present with low hemoglobin due to colon cancer. That is why, I suggest you to visit your doctor once again. Blood work, thyroid tests and abdominal ultrasound should be done at first. If you are older than 50, colonoscopy is strongly advisable. If you are young person, please consult general surgeon and have rectal examination. To improve fissure condition and make it go away please follow this steps:- increase fiber rich products and mineral water intake-start probiotic supplementation- do not push hard on stool-wash your rectum after every stool-have sat baths with Oak Bark twice a day-ask you doctor about Nitroglycerin cream Hope this will help. Regards.