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Without a proper evaluation and diagnosis, I can't say. But normally, suggested treatments for perical pigmentation include topical medications and laser treatments and I do not recommend flutivate cream for pigmentation. However, based on your individual condition, the doctor will recommend the best treatment for you. 

In most cases, these lymph nodes are connected with the infections of the rectal region such as perianal abscess or a hemorrhoid. Symptoms comprise inflammation, aches, painful tingling, and pus if the glandular development becomes infected recently. The most essential actions are hygiene and heat compress usage. Likewise, examining these lumps would help to understand the situation, so if there is no improvement or worsening of this disease, you are advised to hurry to the medical center.

Eczema se­ems like your skin issue. It itche­s and has bumps full of fluid on red areas. Eczema ofte­n targets toes, fingers, and thighs. Cause­s include allergies, dryne­ss, and genes. Using mild soap, moisturizing daily, and avoiding harsh chemicals may he­lp manage eczema's symptoms.

It could be for many reasons, including hormones, stress, genetics and skin care products that can cause acne. It is recommended that you consult with dermatologist to assess your skin and determine the best treatment for your specific needs. In the meantime, maintain a gentle and consistent skincare routine, including cleansing your face twice daily with a mild cleanser and moisturizing with a non-comedogenic moisturizer. Avoid irritating ingredients such as alcohol and fragrances.

Hair fall, or losing hair from your head, is a common issue. It can happen for several reasons such as stress, bad nutrition, hereditary factors, and hormonal changes. The signs of this include finding more hairs on your comb or pillow, or getting a receding hairline. To help, try managing stress, eating well-balanced meals rich in vitamins, and using gentle hair care products.