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Fistula post surgery for Peri-anal abscess - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   how can i help you
User :   hello doctor
Doctor :   good morning
User :   may i know from which location you are working?
Doctor :   please go ahead with ur medical query
Doctor :   bangalore
User :   good morning
User :   ok
User :   what is the department that you are concerned in?
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
Doctor :   go ahead with ur medical query
User :   my issue is i had a peri Anal abscess
User :   and i had undergone a surgery
Doctor :   ok
User :   in which they just removed the puss
User :   and i was ok
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   no i just want my doubt to be clarified
Doctor :   we need these information for administrative purposes
User :   ok
Doctor :   YYYY@YYYY Mobile : 91-0000
User :   age 25
Doctor :   confirm ur details
User :   yes
User :   gender male
User :   occupation
User :   xxxxxx
User :   location
User :   xxxxxx
User :   single
Doctor :   ok
User :   66 and height 168 cm
User :   yes
Doctor :   so what is ur doubt regarding
User :   after 1 and 1/2 months it was found that i had a fistula
User :   and it was operated again
User :   from abroad
Doctor :   ok
User :   that was in the peri anal region on the left
Doctor :   ok
User :   and i still have an open incession and ithe muscles and the skin are developing
Doctor :   ok
User :   but right now i have the same coming up on the right peri anal region
Doctor :   ok
User :   and have some pain while passing stool
Doctor :   ok
Doctor :   do u have blood in stools
User :   i had the other operated at xxxxxx
User :   no blood
Doctor :   ok
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often and how long? Please mention about the Sleep, Stools and Appetite also if you have problems with
User :   i was on a deputaion ther
Doctor :   ok
User :   and had to come after 2 months due to this
Doctor :   ok
User :   no sleep probs
Doctor :   Do you have any other health problems? Overwt, Diabetes, High Blood pressure, Asthma, Allergies,Thyroid? Any Operations If so why? please say if there is family history of such problems. When did you last see a doctor for a complete check up?
User :   no
User :   i have a good appetite for non veg
User :   and i used to have mostly daily
Doctor :   ok
User :   i had the operation at Uruguay on June 24
Doctor :   ok
User :   then came and saw the doctor here inxxxxxx 2 weeks beforew
Doctor :   what would u like to know about now
Doctor :   what is ur medical query
User :   y is this due to?
User :   how can i overcome this
Doctor :   r u diabetic?
User :   do i need to control food
User :   no i amnot
Doctor :   perianal abscess is a collection of pus near the anu
User :   xxxxxx doctor said that for some people the fistula will come in one direction
Doctor :   erianal abscess may be associated with a fistula in ano
Doctor :   perianal abscess may be associated with a fistula in ano
Doctor :   ur problem must be due to this
User :   but for some it will be in Vshape and in the other diection also
Doctor :   there must be crack ur anal canal
Doctor :   due to which ur having reccurent abscess
User :   and for some horse shoe sahped
Doctor :   ok
Doctor :   yes
User :   i had undergone colonoscopy also
Doctor :   u need surgical drainage
User :   it was showing evrything fine
Doctor :   do u have colonosopy report
User :   but was in soanish
Doctor :   any time u have anal intercourse or do u strain when u pass stools
User :   spanish
User :   no intercourse
User :   yes i strain while passing stool
Doctor :   this might have caused the tear
Doctor :   small tear
User :   i see alittle bulge on the right
Doctor :   which got infected in that case
Doctor :   u need to consult a surgeon
User :   yes i have did
Doctor :   or it can be due to
User :   he asked me to go for an MRI
Doctor :   abscess results when a small gland just inside the anus becomes infected from bacteria or stool trapped in the gland
Doctor :   Certain conditions--constipation, diarrhea, colitis, or other inflammation of the intestine, for example can sometimes make these infections more likely.
Doctor :   ok
User :   ok
Doctor :   any doubts
User :   so is it realted to the food i am having
Doctor :   please ask
Doctor :   u need to drink lot of water
Doctor :   to avoid straining
User :   ok
Doctor :   also consume one banana
User :   ok
Doctor :   so that stool will pass freely
Doctor :   dont dehydrate
User :   k
Doctor :   also answer ur nature calls
Doctor :   on time
User :   ok
Doctor :   dont delay, stool will become hard
User :   oh ye snow i am passing immediately
Doctor :   dont strain
Doctor :   anything else u want to know about
User :   and since i had undergone one surgey i am aa little worried
Doctor :   like
User :   about to have the same on the other region also
Doctor :   dont worry undergo surgery
User :   V-shape is something like that there?
Doctor :   get the abscess drained
Doctor :   u should be fine with all this problem
Doctor :   that is fissure in ano
User :   ok...
Doctor :   or crack in anal canal
Doctor :   they will drain any abscess is there
User :   ok
Doctor :   anything else u want to know about
User :   what is this group of service in bangalore
Doctor :   with surgical intervention and antibiotic treatemtn
Doctor :   u should be fine
Doctor :   i didnt get
User :   ok
User :   i know its an online service
User :   good
Doctor :   thankx
User :   but you should be working in shifts from some location in blore
Doctor :   anything else u would like to know about
User :   right?
Doctor :   we are based in xxxxxx
Doctor :   from here we provide online consultancy
Doctor :   medical consultation
User :   oh ok...what is this enterprise named?
User :   haelthcaremagic itself?
Doctor :   yes
User :   ok
User :   do i need to know your name?
Doctor :   Dr.xxxxxx
User :   ok thanks
Doctor :   bye
User :   so you do consulatncy after your MBBS course?
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