Q: I am a 56 years old man suffering from pain and burning sensation in the anus for the last 4 weeks. I have taken painkillers and antibiotics too, but it gave no relief. It feels like needles are pricking me. The doctor has ruled out boils, fistula and piles. My blood sugar levels are within range, while cholesterol levels are a little more than the normal range. What should I do now? Please suggest.

A:I am sorry that you suffer from pain in the anal region. Since your doctor has ruled out perianal abscess (boil), fistula and piles, the possible cause could be a fissure. However, a fissure-in-ano is usually much more painful than the burning and pricking sensation that you complain of. It is important that you are examined by a surgeon who will advise you appropriately.