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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Rectal Abscess?

Hi, I had to rectal absesses last year which required hospitalization both times. I now have pain again in the rectal area and a small lump that is currently draining on its own which is a change from the last 2 that did not drain on their own and were much larger in size. Why do they keep coming back and do I need to seek treatment now since it is currently draining!

I am 52 yrs old, have Type II Diabetes, height is 6'3", 340 lbs.

Wed, 18 Feb 2015
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General & Family Physician,  's  Response
Thanks for posting this question on HCM!
I appreciate your concern for the recurrent painful rectal swellings.
Apparently the cause for recurrent rectal abscess is due to formation of fistulas - the abnormal tract between the rectum and the skin. If the rectal abscess in not drained completely it results in formation of fistulas. Another reason could be due to uncontrolled diabetes.
Now since you have a discharging painful lump, you must undertake a fistulogram to check its tract and opening so that it has to be removed intact between the two openings.
Consult an experienced surgeon in this filed and get the abscess drained after the fistulogram is done.
Regards!
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What Causes Recurring Rectal Abscess?

Thanks for posting this question on HCM! I appreciate your concern for the recurrent painful rectal swellings. Apparently the cause for recurrent rectal abscess is due to formation of fistulas - the abnormal tract between the rectum and the skin. If the rectal abscess in not drained completely it results in formation of fistulas. Another reason could be due to uncontrolled diabetes. Now since you have a discharging painful lump, you must undertake a fistulogram to check its tract and opening so that it has to be removed intact between the two openings. Consult an experienced surgeon in this filed and get the abscess drained after the fistulogram is done. Regards!