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What Causes Anorectal Abscess?

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Posted on Thu, 20 Oct 2016
Question: KNOT THE SIZE OF A MARBLE DOWN BY VAGINA AND ANUS.....HURTS TO THE TOUCH...NOT ON VAGINA OR ANUS ALMOST ON BUTTCHEEK BUT CLOSE TO VAGINA AND ANUS.....FEMALE,,,NOT RED JUST LUMP UNDER SKIN
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Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Needs confirmation of the origin of the lump

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Female/40 - knot of the size of a marble - tender - on butt cheek close to vagina and anus - not red - just a lump under the skin...

With the description you have given, this looks to be a small infected cyst or a boil.
But needs to be confirmed that it is not a fistula in ano tract.
Hence I would advise you the following:
- Clinical evaluation and local examination as well as per-rectal digital examination to see that it is not connected to the ano-rectal area or to confirm that this is a local sub-cutaneous infected cyst or so.
- To get proper prescription based antibiotic and anti-inflammatory medication to have the cure and surgery if required.
- The lumps in such a area should not be fondled or tried to pop up as the infection can really spread fast.
- You may apply liquid povidone iodine locally to keep the area sterile.
- Take laxatives if there is difficulty in passing motion or have hard stools.

I hope this answer helps you to get a proper diagnosis and a plan of treatment asap.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Anorectal Abscess?

Brief Answer: Needs confirmation of the origin of the lump Detailed Answer: Hi. Thanks for your query, albeit short and specific. To recapitulate: Female/40 - knot of the size of a marble - tender - on butt cheek close to vagina and anus - not red - just a lump under the skin... With the description you have given, this looks to be a small infected cyst or a boil. But needs to be confirmed that it is not a fistula in ano tract. Hence I would advise you the following: - Clinical evaluation and local examination as well as per-rectal digital examination to see that it is not connected to the ano-rectal area or to confirm that this is a local sub-cutaneous infected cyst or so. - To get proper prescription based antibiotic and anti-inflammatory medication to have the cure and surgery if required. - The lumps in such a area should not be fondled or tried to pop up as the infection can really spread fast. - You may apply liquid povidone iodine locally to keep the area sterile. - Take laxatives if there is difficulty in passing motion or have hard stools. I hope this answer helps you to get a proper diagnosis and a plan of treatment asap.