<s>[INST] Hello. I ve been unwell now for 5 days. I have an unusual pain in the right side of my anus, the pain however is inside. I ve felt for lumps but have found nothing. When I go to the toilet it is painful just to sit down. I try and go for a poo but it s too painful and end up with a brown jelly like substance. Along with the pain I ve also suffered from a very high temperature, headaches and feeling weak. Is this all connected and what could it be? I can t even make it to the doctors without feeling dizzy or in serious pain [/INST] Hi, You can have the following possibility:- parotitis- infected hemorrhoids- any growth (tumor) - rectal ulcer first of all your radioscopy examination should be done along with general examination If hemorrhoids are present, and then laxative stool softener are prescribed. Also, site anal bath is done. Avoid excess spicy foods. Avoid straining at stool. If CBC shows high count then suitable antibiotic course is given. According to cause, specific management plan is decided. Consult surgeon for examination with keeping all this in mind. Hope I have answered your query. Let me know if I can assist you further.  </s>