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Hello, I Am 25. I Had Reoccurring Anal Abscesses That

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Posted on Tue, 25 Aug 2020
Question: Hello,
I am 25. I had reoccurring anal abscesses that I had to have drained over the course of the last 7 years. 6 months ago I went to the hospital because I thought I had developed another one close to where one was previously drained. They did a CT scan and said I had subtle soft tissue asymmetry in the right perineum with a small gas pocket to the right of the mid line with no drain-able fluid seen. They diagnosed me with cellulitis and gave me antibiotics. This cleared up most of it but after the 10 days of antibiotics it was still there, I went back and they just said it was an abscess and to heat pack it twice a day. I did that and in a few days it was gone. Now 6 months later I do not feel or see any abscess, however sometimes I do develop little pimple like things on the outside of my rectum and recently sometimes when I wipe after pooping there is a little bit of blood coming from one spot on the outside of my rectum that seems to be stemming from where my previous abscess was drained. There is no blood in my poop or in the toilet, and by looking in the mirror I can tell the blood is coming out a sort of pimple like thing on the side of my rectum and not actually coming from inside my rectum. I also checked my poop multiple days to make sure and there was no poop. I should also note there is usually only blood after eating foods that hurt my stomach and I find myself pushing to get the poop out. Still, I am very scared that I could have something serious like cancer but because of corona virus I am terrified to go to an ER and I do not have health insurance. Can you please help me.
doctor
Answered by Dr. Hari Charan Perigela (56 minutes later)
Brief Answer:
It looks like FISTULA IN ANO

Detailed Answer:
Hi
As per your description,it could be FISTULA IN ANO.
It usually occurs after Rupture/Drainage of Perianal abscess.There will be external opening which will communicating into Inside of Rectum/Anal Canal.It is a track from inside to outside.
There are no Medicines for FISTULA IN ANO.The entire fistulous tract should be removed by Surgery.
I will get a Fistulogram to know the level of Internal opening.
As there is communication from.inside Blood/pus will be coming from the external peri anal opening.
Please consult a Surgeon and proceed further.
Nothing to worry.
Hope I answered your query.If you have any questions,I will clarify further.
Wish you good health.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Hari Charan Perigela (31 minutes later)
okay thank you! So my life is not in any danger?
doctor
Answered by Dr. Hari Charan Perigela (2 minutes later)
Brief Answer:
Please consult a Surgeon

Detailed Answer:
Hi
Please consult a Surgeon,get examined clinically and proceed further.
Nothing to worry.
Your life is not in danger.
Wishing you good health
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Hari Charan Perigela (10 minutes later)
Okay thank you! I live in Los Angeles and do not want to bring Corona-virus home to my family. Would it be okay to wait a few weeks to see a surgeon?
doctor
Answered by Dr. Hari Charan Perigela (8 minutes later)
Brief Answer:
You can wait for few weeks

Detailed Answer:
Hi
You can wait for few weeks/months for consultation.
Nothing to worry
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Hari Charan Perigela (36 minutes later)
Great! Thank you so much for easing my anxiety, I will seek consultation once it is safe.
doctor
Answered by Dr. Hari Charan Perigela (25 minutes later)
Brief Answer:
Thank you for your response

Detailed Answer:
Hi
As it is not an Emergency, you can visit a Surgeon after few weeks/months.
Nothing to worry
Regards
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2716 Questions

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Hello, I Am 25. I Had Reoccurring Anal Abscesses That

Brief Answer: It looks like FISTULA IN ANO Detailed Answer: Hi As per your description,it could be FISTULA IN ANO. It usually occurs after Rupture/Drainage of Perianal abscess.There will be external opening which will communicating into Inside of Rectum/Anal Canal.It is a track from inside to outside. There are no Medicines for FISTULA IN ANO.The entire fistulous tract should be removed by Surgery. I will get a Fistulogram to know the level of Internal opening. As there is communication from.inside Blood/pus will be coming from the external peri anal opening. Please consult a Surgeon and proceed further. Nothing to worry. Hope I answered your query.If you have any questions,I will clarify further. Wish you good health. Regards