Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I was given Warticon cream to use on a genital wart near the opening to my anus.  I have used the cream for the first week (3 days use the 4 days no use) and am onto the 1st day use of the 2nd week.  I noticed after the first 3 or 4 applications that there was a really awful smell coming from the area (kind of like a fungal infection smell maybe?)and the skin of the warrt appears broken, it is a little bit painful but isnt unbearable.  The smell has continued throughout the no use days and is still apparent now.  I have really good personal hygiene anyway and have been washing the area before each application also, so I am a little bit worried.
[|AI|]  Hi, Thanks for posting in Chat Doctor. Getting bad odor from the skin of the wart which appears broken with a bit of pain around your anus suggests you could be having anal fistula. Since it is not a superficial lesion, you need to kindly get yourself examined clinically by consulting Surgeon. In case it is detected, you need to be treated by undergoing surgery called fistulectomy to be completely relieved of the problem. Hope the information provided would be helpful. All the best.