<s>[INST] Hi doctor, I have external hammoroides. However also I get a small boil near my anal region. It is very small not containing puss but I feel its from inside. It pokes n pains sometimes. Can u advice some home remedy? Also I want to know is it fitsula? I do take sitz bath and do use ice pack for my hammoroides....plz advice... [/INST] Hello Dear, You have external hemorrhoids, which might be painful to you, I advise you to take hot site bath twice a day morning and evening and also use anesthetic + anti hemorrhoid cream after taking hot site bath every time and in combination you can use metronidazole and ciprofloxacin course along with this.Also, I advise to take roughage diet to improve your constipation, which is the actual cause behind these hemorrhoids. Hope you will have relief by this in your state of disease. Good luck and take care. </s>