<s>[INST] Hi, may I answer your health queries right now ?  Please type your query here... my rectum itches mainly at night and i have little small hole beside anus that bleed last night for about 6 seconds i squessed it but no more blood would come out of it . is this something 2 be concerned with [/INST] Hi, Thanks for posting in Chat Doctor. I understand your concern. Itching sensation in the rectum with a small hole that bleeds is nothing but anal fistula. You need to consult Surgeon and get a per rectal examination to know the status of it. Accordingly, you need to undergo surgery called fistulectomy to cure your illness. You need to avoid constipation by consuming diet rich in fibers along with consuming good quantity of water and taking laxatives, if necessary. Kindly get it done at the earliest to avoid further complications. Hope the information provided would be helpful. All the best. </s>