Brief Answer:
Please give additional information

Detailed Answer:
Hi.
Thanks for your query.
Noted the history, seen the photo.
Please give additional information for me to assist you better:
- Since when is the wound present?
- How did this start?
- Do you have diabetes or any other medical problems? I not checked for Diabetes please get blood sugars and HbA1c done and post reports.
- Any pus coming after pressing by sides of the wound?
- Where exactly is the wound? I mean at the pressure point, near anus? ( you may post additional photos from a distance to clarify this point.

Awaiting.
Dr T Chandrakant.
General Surgeon.

---

Brief Answer:
As detailed

Detailed Answer:
Thanks for your feedback.
There has to be a reason why the wound is not healing.
Hence the most probable causes I can think of as per the history you have provided are as follows:
- Pressure on the sore not allowing proper circulation and thus not allowing healing.
- Possibility of a fistula although remote must be considered in non-healing wounds near anus.
I would advise you the following in such a situation:
- Use doughnut pillows in such a way that the pressure on the wound is nil. This will help better circulation and healing.
- Use Liquid Povidone Iodine locally - no ointments to be used.
- Use small sterile gauze soaked in liquid povidone iodine as dressing. Cotton should not be used as it increases local basal metabolic rate and does not allow healing.
- Take Multivitamins and minerals with Lycopene as they help healing.
- Get Vitamin A and D done and proper replacement if found low.
If you all these things well then the possibility of early and complete healing are there.
- Always get an opinion of a General Surgeon and rule out fistula or sinus formation; if present then you will need additional treatment.

I hope this answers your query and helps you.
Take care.
Dr T Chandrakant.

---