instruction: hello doctor I have had an issue with my anus area for a while now the area is always red and there is always an unpleasant smell fish I do not notice any drainage I have a history of pilonidal sinus and abscess I was tested for a few sad but not all I think it may have something to do with the pilonidal sinus as the two issues were consecutive I will attach an image that will hopefully help
output: hi if possible provide me photographs of affected areas that will help me for a better understanding of your skin problem and proper treatment plan photographs required for more accurate diagnosis purpose because treatment given without proper diagnosis can be less helpful