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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Increasing Pain From The Hard Bulging Lump On The Perineum. Best Course Of Action?

Three days ago I felt as though I had developed a hemorrhoid, and since I have bowel issues (Crohn s) I figured it was just because I have been going to the bathroom more frequently this past week. Yesterday and the day before the pain became so bad that I have not been able to move around much at all, and even being stationary is very painful. The more I have been looking up hemorrhoids the more I am beginning to worry it is something else. I have noticed that the pain is coming from a very hard bulging lump on the bottom right of my perineum and on the side closer to my anus . The pain only seems to be increasing and I am not sure what kind of treatment to seek out and am wondering what the best course of action is.
Wed, 5 Dec 2012
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General & Family Physician,  's  Response
Hello. I'm Dr. Christensen.
I'm sorry you're uncomfortable. Unfortunately, people with Crohn's disease are prone to developing perianal abscesses (pockets of infection around the anus) and fistulas (channels between the lower end of your rectum and the skin around your anus). These are issues that require urgent medical attention; antibiotics and surgical drainage are usually required to get an abscess under control. If you have a fistula, surgical revision (closure of the fistula) will be necessary.
Call your doctor immediately. Until you can see him/her, use whatever pain medications you have on hand (nonsteroidal anti-inflammatories, such as ibuprofen, can be purchased over the counter). Warm packs or a warm sitz bath could also be beneficial; this may help an abscess drain.
I hope that answers your question, and I hope you feel better soon!
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Increasing Pain From The Hard Bulging Lump On The Perineum. Best Course Of Action?

Hello. I m Dr. Christensen. I m sorry you re uncomfortable. Unfortunately, people with Crohn s disease are prone to developing perianal abscesses (pockets of infection around the anus) and fistulas (channels between the lower end of your rectum and the skin around your anus). These are issues that require urgent medical attention; antibiotics and surgical drainage are usually required to get an abscess under control. If you have a fistula, surgical revision (closure of the fistula) will be necessary. Call your doctor immediately. Until you can see him/her, use whatever pain medications you have on hand (nonsteroidal anti-inflammatories, such as ibuprofen, can be purchased over the counter). Warm packs or a warm sitz bath could also be beneficial; this may help an abscess drain. I hope that answers your question, and I hope you feel better soon!