Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to be suffering from following possibilities- Proctitis with Amebic Enertocolitis leading to IBS. Other causes like-Diverticulitis/ Crohn s disease/Fissure in Ano/TB entero-colitis/LGV with Fissure in ano need to be ruled out by proper investigations with Conults from Surgeon and Physician and dermatologist. Do s suggested- Proper diagnosis to rule out various causes are suggested with Consults from a Team of Surgeon / Gynec / Physician / STD specialist. The would do proper tests to rule out all the above discussed causes. After this proper medications and lifestyle changes with Surgical Corrections if need be would be suggested for to resolve health issues of the painful bowel movements. Do s- Bland veg / high fiber diet Tab Ciplox 0z- 1 x 2 per day x 10 days Anovate cream locally Seitz bath to recover fast Rest / Elevation while sleeping if need be Tab Librex-to take care of IBS accompanied with it. This would resolve your health issues. Discus with doctors in your locality on urgent basis on the above lines and take care as soon as possible. For this to verify Second opinion from another Surgeon/Gynec team,as suggested above,as soon as possible. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS