I have severe Anal Itch Please Help?

I have severe Anal Itch Please Help?
Hello People I have a severe Anal itch since 2 months now I tried everything possible. I tried all possible treatments after I visited a dermatologist. It just got worse and getting worse day by day. I ahve got a pile / fissure in my anus which is very pricky and painful and its itchy as hell.

I ave controlled my diet, Very high fibre diet but still I have constipation problem. I have lost almost 10 Kgs.

Please suggest me I am just 23. What should I do and where shall I go.

I am currently using Xylocaine 2% anesthetic Jelly which is like a miracle to me and helps me to give atleast 6 hours of night’s sleep.

Please help me for a permanent solution

Nikhil

Mumbai, India