<s>[INST] Hi I ve suffered for years with diarrhea, blood and mucus in stools, severe left abdominal pain, vomiting, fatigue, dizziness, and pick up every infection/virus going! I m currently under investigation for Crohn s disease, Ulcerative Colitis and bowel cancer (still undiagnosed after 15years) lately my anus has been very painful, itchy, burning, and now has lots of tiny yellow dots accompanied by red dots like pin pricks. What could it be? I m very worried and in alot of discomfort [/INST] HIT hanks for posting your query to Chat Doctor.  It seems like you are having small boils over your Anal region.  You require an Antibiotic therapy (Either Tablets or local Cream) for the treatment of this problem. Also, there is a possibility of having Anal fissure (minor tear near Anus) which requires an Anesthetic jet application.  So I advise you to consult a Surgeon for this and get treated. Also ask for a prescription of Laxatives if your bowels are not soft. Hope you find this information useful. Any clarifications or Queries feel free to ask </s>