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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Say About Perineal Mass While Getting A Colonoscopy?

I recently experienced severe pain in the perineum. A large subcutaneous mass (approximately 5 mm by 10mm) was visible. Very tender and constantly painful. This pain increased until last night a discharge which I believe was from the mass began to ooze. This discharge is extremely foul smelling and while it contains blood certainly smells fecal (or even worse). I am due to have a colonoscopy in 2 days. What should I say to the gastroenterologist?
Tue, 6 Sep 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of a mass at anus which got ruptured with blood tinged very foul smelling discharge. You have a Colonoscopy scheduled after 2 days.
This looks to be a small peri-anal abscess which might have drained inadequately.
Hence I would advise you the following:
Go to ER and try to get the opinion of a General Surgeon to evaluate whether you need lancing and proper drainage or can go ahead with Colonoscopy after 2 days.
Also to get a proper antibiotic cover and dressing.
If Colonoscopy is possible get it done, if not possible get appointment rescheduled.
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What Should I Say About Perineal Mass While Getting A Colonoscopy?

Hi. Thanks for your query. Noted the history of a mass at anus which got ruptured with blood tinged very foul smelling discharge. You have a Colonoscopy scheduled after 2 days. This looks to be a small peri-anal abscess which might have drained inadequately. Hence I would advise you the following: Go to ER and try to get the opinion of a General Surgeon to evaluate whether you need lancing and proper drainage or can go ahead with Colonoscopy after 2 days. Also to get a proper antibiotic cover and dressing. If Colonoscopy is possible get it done, if not possible get appointment rescheduled.