### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
2 years ago I had shingles on my buttocks and have suffered with post neuropathic pain over the last two weeks my bottom has started to itch again like when I had shingles I saw a doctor he didn t think it was shingles but gave me tablets just in case the itch is getting worse and it is very itchy around the anal area what could it be

### output:

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-You could be suffering from -Candidiasis /anal Fungal Infection / pin worm infestation with nocturnal burrowing of the perianal skin. Just check up with Physician and dermatologist to rule out above possibilities. Many other problems need to be ruled out, which could occur from-punches in groin region. Dos-Stool Examination-with ova/cyst testing. Trial with antifungal Chat Doctor. Other causes of needs to be ruled out by Consulting Surgeon / dermatologist.Don't be callous to get examined with your doctor. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with Surgeon/ Urologist, if things don't recover.-Other causes need to be verified with your Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from Consulting Surgeon / dermatologist/ physician-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! 