Hi. Thanks for your query. Noted the history of getting sores around the rectum- anus which bleed on passing motion, makes cleaning difficult, get infected easily and have applied hydrogen peroxide , feeling reduced muscle strength around rectum/anus. The commonest causes of multiple sores around the anus as explained by you are: Tuberculosis. Crohn s disease This can be diagnosed by: Biopsy of the tissues alone can give the proper diagnosis. If a specific cause is found the complete course of treatment can be curative. If there is presence of multiple fistulae, you may need medical as well as surgical management to get a cure. Additional supportive treatment is by means of multivitamins, therapeutic dosages of vitamin A and D. Local application of solution povidone iodine and hydrogen peroxide is definitely helpful. Have proper diet which is nutritive and does not cause constipation.