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What Is The Treatment For Sore In Perineum Caused Due To Constipation?

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Posted on Tue, 21 Jan 2014
Question: After straining on toilet due to constipation my perineum is very sore and looks and feels swollen. Will this heal on its own
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Answered by Dr. Vijay Varma (1 hour later)
Brief Answer: Laxatives and fibre rich diet Detailed Answer: Hello madam , From the history you have given , looks like you have a anal fissure or hemorrhoids . If you have pain and tenderness probably it is a perineal abscess. It would be better to start local anaesthetic agents like Lignocaine or Benzocaine gels it very severe pain. It does not look to settle on its own. I would start my patients with a laxative and, encourage them to take fibre rich diet and to go vegetarian for few days. Also a sitz bath (hot water in pan with antiseptic lotion) would be of help. Please get back to me for further queries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vijay Varma (10 minutes later)
Okay thank you. Will try those suggestions and see how i go
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Dr. Vijay Varma

Internal Medicine Specialist

Practicing since :2008

Answered : 313 Questions

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What Is The Treatment For Sore In Perineum Caused Due To Constipation?

Brief Answer: Laxatives and fibre rich diet Detailed Answer: Hello madam , From the history you have given , looks like you have a anal fissure or hemorrhoids . If you have pain and tenderness probably it is a perineal abscess. It would be better to start local anaesthetic agents like Lignocaine or Benzocaine gels it very severe pain. It does not look to settle on its own. I would start my patients with a laxative and, encourage them to take fibre rich diet and to go vegetarian for few days. Also a sitz bath (hot water in pan with antiseptic lotion) would be of help. Please get back to me for further queries.