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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Red Rash Near Anus?

Hey, About a month ago I had a fissure develop. A day or 2 later I had a VERY painful, dark red, rash develop. it hurt to sit or do anything. It let out a discharge and bad smell as well. I ended up going to the doctor and she diagnosed it as herpes and proscribe valtrex and some other anti fungal medication. Both medications have since ran out and the pain has gone away but my sphincter(?) is sorta purple looking and the back part of the crack is relatively pink. My questions are a)What could cause that b) Is it possible to have a herpes outbreak but have no symptoms? She ran a culture but I had ZERO other symptoms
posted on Thu, 30 Oct 2014
Twitter Fri, 26 Jun 2015 Answered on
Twitter Mon, 29 Jun 2015 Last reviewed on
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General & Family Physician,  's  Response
Hello
I appreciate your concern
Looking at your description that could be hemorrhoids or fissure in anus
I would advise him to reduce your body weight if you are obese, you can do it with dietary restrictions and regular physical exercises
chances of herpes is less likely.

To be on safe side I would advise you to consult your doctor for per rectal examination and an proctoscopy or colonscopy if need be.

Meanwhile try to avoid constipation by taking laxatives or stool softening agents like liquid paraffin or lactulose
avoid prolong sitting in one posture.
Lignocaine ointment for pain and burning sensation
Pantoprazole or rabeprazole as an antiacidity medicines
Have lots of fruits and vegetables with dietary fibers
sitz bath will definitely help him and it can be related to liver disease as well if you can revert back to me with my answers, I will be able to help you in best possible way

Hope this helps you
wish you good health.
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What Causes Painful Red Rash Near Anus?

Hello I appreciate your concern Looking at your description that could be hemorrhoids or fissure in anus I would advise him to reduce your body weight if you are obese, you can do it with dietary restrictions and regular physical exercises chances of herpes is less likely. To be on safe side I would advise you to consult your doctor for per rectal examination and an proctoscopy or colonscopy if need be. Meanwhile try to avoid constipation by taking laxatives or stool softening agents like liquid paraffin or lactulose avoid prolong sitting in one posture. Lignocaine ointment for pain and burning sensation Pantoprazole or rabeprazole as an antiacidity medicines Have lots of fruits and vegetables with dietary fibers sitz bath will definitely help him and it can be related to liver disease as well if you can revert back to me with my answers, I will be able to help you in best possible way Hope this helps you wish you good health.