Conversation: The conversation between human and AI assistant.
[|Human|] Hello, Iam from India. Iam suffering with fishers problem and blood is coming out from the anal.doctor is sayng that it is fishers and it may be piles problem also because blood is floating, but he can t find out now abt piles because they remains inner side. and iam the patient of kidneys from my child hood. Iam suffering with chronic Kidney Desease( CKD ) at present. previousely i went thru steriod treatment(Used wisoline tablets. started from 120 mg and gradually decreased the doage of it. now it was stopped. 3 years ago i used this treatment for my kidney desease).may be because of that only iam suffering with this piles and fishers problem now. plz advise me treatmernt.Thank you. Prashanth Seth
[|AI|]  HelloThanks for your query. Based on the facts that you have posted it appears that you have chronic Kinney disease form childhood and treated with steroids. Now you have problem of bleeding from anus and has been diagnosed to have Fissure in displease consult qualified General surgeon for clinical and digital bronchoscopic examination to rule out presence of Hemorrhoids.(Piles).In the meanwhile Please take diet rich in vegetables and fruits with plenty of fibers to soften the stools. Use topical soothing local anesthetic ointment like Superfine for local application. Take stool softener like Isabel to soften the stools. Further treatment will be decided by a general surgeon. Chat Doctor.