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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fluid Filled Bumps In Scalp, On Back Side Of Neck, Anal Linings Swollen, Constriction. Worried ?

Sir , I have some set of problem which all exist together in me currently. . In my scalp ., the portion just above my neck , back side, i am having boils like pimples , filled with some fluid . These keep on increasing and decreasing. . sometimes vanishes also. . they are ichy . . Now another problem I have is the problem of piles. . My anal linings are swelled up but there is no bleeding . . no pain also. . but I feel some constriction in my Anal area while walking . this is a little discomfortable. . And often i have a big pea shaped boil just behind my ears. . between the folding behind the ears . . This boil generally get ripen and then burst oozing some blood and pus and then it goes perfectly normal. . then such kind of boil again come after 2-3 months at the same region somewhere between the ear folding. . I feel that all these problems are somewhere interlinked. . so I am little worried. . need your advice on this. .
Thu, 18 Jul 2013
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Dermatologist 's  Response
Hi,

No, all problems are seperate, not interlinked.

You are having acne like lesions on lower scalp and neck...it is called acne keloidalis nuche. It is a chronic and relapsing acne like lesions having keloidal tendency. There may be itching and pain. Oral antibiotics and retinoids may improve the lesions. Intralesional steroid is also helpful.

The other lesions are cysts behind ears complicated with bacterial infection. The might respond to antibiotics, anti inflammatory drugs and intralesional steroids.

The last problem is piles.. Haemorrhoids. Calcium dobesil dobsilate tablet and cream might improve. Sitz bath in dettol containing water is needed.

Avoid stress.

Cosult dermatologist and surgeon.

You will get good results.

I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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Fluid Filled Bumps In Scalp, On Back Side Of Neck, Anal Linings Swollen, Constriction. Worried ?

Hi, No, all problems are seperate, not interlinked. You are having acne like lesions on lower scalp and neck...it is called acne keloidalis nuche. It is a chronic and relapsing acne like lesions having keloidal tendency. There may be itching and pain. Oral antibiotics and retinoids may improve the lesions. Intralesional steroid is also helpful. The other lesions are cysts behind ears complicated with bacterial infection. The might respond to antibiotics, anti inflammatory drugs and intralesional steroids. The last problem is piles.. Haemorrhoids. Calcium dobesil dobsilate tablet and cream might improve. Sitz bath in dettol containing water is needed. Avoid stress. Cosult dermatologist and surgeon. You will get good results. I hope you got my answer. Thanks. Dr. Ilyas Patel MD