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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have HIV. Noticed White Pus Filled Bumps Near Butt And Vagina. Herpes?

Hi my question is. I'm a African American who has HIV for 14 years.and recently my butt has been hurting very bad. So bad my vagina hurts.also. I ask my doctor what could be going on and when he looked in it from the top of my crack to the end its full of fleshy pus like bumps. As if to the white.meat kind of bump. What could it be. My.doctor didn't know. They are VERY!!!!!! Painful.I thought they might be.herpes. what do you yhink
Mon, 6 May 2013
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Dermatologist 's  Response
Hello,
Welcome to healthcare magic
From your description you have whitish fleshy bumps over gluteal cleft which is painful. You have not mentioned since how many days. There are a few possibilities. It could be genital warts or molluscum contagiosum.
Genital warts are small warty projections caused by Human papilloma virus. Usually they are not painful but can be painful if it is secondarily infected by bacteria.
Molluscum contagiosum is again another viral infection where there are fleshy raised lesions with a central umbilication or depression. They are also painful only when secondarily infected.
Herpes usually starts as painful blisters , then they break down to form ulcers. Rarely in HIV patients herpes can become vegetative or warty.
I would strongly recommend you to see a dermatologist/ venerologist as they are better in diagnosing such difficult cases than general practitioners and HIV specialists.
Hope this helped
Take care
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Have HIV. Noticed White Pus Filled Bumps Near Butt And Vagina. Herpes?

Hello, Welcome to healthcare magic From your description you have whitish fleshy bumps over gluteal cleft which is painful. You have not mentioned since how many days. There are a few possibilities. It could be genital warts or molluscum contagiosum. Genital warts are small warty projections caused by Human papilloma virus. Usually they are not painful but can be painful if it is secondarily infected by bacteria. Molluscum contagiosum is again another viral infection where there are fleshy raised lesions with a central umbilication or depression. They are also painful only when secondarily infected. Herpes usually starts as painful blisters , then they break down to form ulcers. Rarely in HIV patients herpes can become vegetative or warty. I would strongly recommend you to see a dermatologist/ venerologist as they are better in diagnosing such difficult cases than general practitioners and HIV specialists. Hope this helped Take care