For several months I have suffered from severe itching and discomfort in the anal and perineal area. It started with reoccurring hemorrhoids acting up, then I noticed a fissure like thing in the anal fold (crack) right at the base which was ridiculously itchy. That progressed to a full blown inflammation, which includes severe itching, scaly dry skin that sloughs off, and a few red pimples on my butt cheeks that are itchy. I have tried treating it with otc creams like ones for jock itch, I tried balneol, I tried sitz baths, hydrocortisone, tea tree oil, etc.. to no avail. I also tried Diflucan 2 weeks ago, again symptoms seemed to get better but they came back. I just took another Diflucan yesterday and no improvement yet.I get some temporary relief and at one point I thought it was curing and going away, but it is back in full force and I don't know what it is! I am a VERY clean person down there and in fact, I think it may have started from over cleaning the area but I am not sure. This has been going on since August, so that is about 5 months now. I should also note that I have had diarrhea now for about a month straight with NO NORMAL stools, I am not sure if that is related or not. I am at the end of my rope, but too embarrassed to go to the dr's office! I have a pic that I can send.