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Suggest Remedy For Red Bumps Around Rectum And Swelling In Perineum

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Posted on Thu, 24 Dec 2015
Question: I have painful red bumps around my rectum. The red bumps showed up today, but my symptoms started a week ago with a swollen perineum. That turned into an anal yeast infection. I went to the doctor and was treated for that. The yeast infection appears to be gone, but now there are these red bumps. I stayed at a platonic friend's house about a week and a half ago and she has the exact same set of symptoms in the exact same order and was given the same diagnosis of yeast infection. She has had her red bumps for about a week now and they are not going away. Both of us were tested for stds all her tests came back negative and i am still waiting for my results. What could this be?
doctor
Answered by Dr. Shoaib Khan (22 minutes later)
Brief Answer:
Need to rule out a number of conditions before assuming it to be fungal

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. In my opinion an STD-panel was indeed wise because the first thing I would want to rule out if I were your doctor would be herpes; genital herpes can at times present with red bumps around the anal region.

Once STDs are ruled out a look into conditions which can result in the anal region being damp should also be considered (e.g. anal fistulas, feacal incontinence, etc.). The reason why this is also part of protocol is because the anal region (if wiped well and good hygiene is maintained) becomes damp or moist due to conditions like anal fistulas, anal fissures, etc; and so they need to be ruled out.

Finally, anal yeast infections need to be considered and treatment needs to be initiated immediately. As the anal region is usually prone to getting wet at least 2-3 times a day, either due to a bowel movement or due to sweat, etc; special care needs to be taken and also the infection may take longer to completely resolve.

Once all the above listed causes are ruled out, only then should be consider an anal yeast infection, so speak to your doctor about that and accordingly go about management.

I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (15 minutes later)
I was already treated for a yeast infection and those symptoms appear to be gone. As i have the exact same set of symptoms as my friend (we are not sexual partners)at the same time and stayed in her house shouldnt an environmental factor be considered?
doctor
Answered by Dr. Shoaib Khan (4 minutes later)
Brief Answer:
Yes, environmental factors need to be considered ma'am

Detailed Answer:
Hello once again ma'am.

We need to consider the fact that you got the symptoms only after staying at your friends place, who also displayed the symptoms; so yes, this raises questions for what environmental factors were common (e.g. using the same toilet seat, warm room temperature resulting in moist or sweaty genital and anal regions, etc.).

Fungal/yeast infections can also be transmitted in this manner too, but a few STD's also can. But as your friend returned a negative result for all the STDs she was tested for, I don't think we really need to worry about STDs.

And from your second response, you said that you were treated for a yeast infection and the symptoms went away? This means you did have a yeast infection, and nothing else, if you responded well to the anti-fungal therapy.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (27 minutes later)
The yeast infection symptoms went away, but now this new symptom of painful red bumps surrounding my rectum hasappeared. Is a fungal infection different from a yeast infection?
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
They are the same ma'am; hopefully this response makes things clear

Detailed Answer:
Hi ma'am.

Now that makes things more clear. Thank you.

No ma'am, yeast and fungal infection are the same things. But what you should know is that they can occur even around the anus, and so what you are experiencing could also be a fungal/yeast infection, among other causes.

So you should speak to your doctor about this, and rule out other causes to narrow down our search for the cause for your presentation. If it is indeed a fungal infection, then the treatment should be similar to what you were prescribed for the previous fungal infection as well.

I hope this makes things a little more clear. Please do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Remedy For Red Bumps Around Rectum And Swelling In Perineum

Brief Answer: Need to rule out a number of conditions before assuming it to be fungal Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. In my opinion an STD-panel was indeed wise because the first thing I would want to rule out if I were your doctor would be herpes; genital herpes can at times present with red bumps around the anal region. Once STDs are ruled out a look into conditions which can result in the anal region being damp should also be considered (e.g. anal fistulas, feacal incontinence, etc.). The reason why this is also part of protocol is because the anal region (if wiped well and good hygiene is maintained) becomes damp or moist due to conditions like anal fistulas, anal fissures, etc; and so they need to be ruled out. Finally, anal yeast infections need to be considered and treatment needs to be initiated immediately. As the anal region is usually prone to getting wet at least 2-3 times a day, either due to a bowel movement or due to sweat, etc; special care needs to be taken and also the infection may take longer to completely resolve. Once all the above listed causes are ruled out, only then should be consider an anal yeast infection, so speak to your doctor about that and accordingly go about management. I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help. Best wishes.