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Furuncle problem in the rectal region - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   About a 2 weeks ago I noticed a painful lump on my butt cheek, it's just below my talibone and hurts when pressure's put on it (sitting, laying on my back or bending over hurts alot) It's hard under the skin and the area is quite red, what could this be?
Doctor :   Hi
User :   hi
Doctor :   Ok.
User :   yes
Doctor :   May i know the size of the swelling ?
Doctor :   or lump ?
Doctor :   Is it very soft - liquid like inside or hard or bubble like or stone hard ?
User :   theres not really any swelling but the lump is about the size of a 10p coin
Doctor :   Can you pinch the skin above it ?
User :   its hard under the skin
Doctor :   Ok.
User :   i can but its tender arund the lump
Doctor :   This can be most possible what you call a boil or a furuncle .
Doctor :   Furuncles may heal on their own after an initial period of itching and mild pain. More often, they increase in discomfort as pus collects. They finally burst, drain, and then heal on their own.
Doctor :   Since when you have this boil ?
User :   for about two weeks now
Doctor :   Warm moist compresses encourage furuncles to drain, which speeds healing. Gently soak the area with a warm, moist cloth several times each day. Deep or large lesions may need to be drained surgically
Doctor :   Furuncles usually must drain before they will heal. This most often occurs in less than 2 weeks. Treatment is necessary if it is more than 2 weeks.
User :   Thank you, so it's fairly harmless?
Doctor :   I would suggest a course of Augmentin tab. for 6 days.
Doctor :   And if it doesnt heal , then a small incisional drainage and dressing.
Doctor :   Yes, it is fairly harmless.
Doctor :   Not to worry much , apart from the discomfort.
User :   Ok, thank you.. I was worried it could be something scary :)
Doctor :   Thank you for consulting me.
Doctor :   Do you have anything else to ask ?
User :   No that was all.
Doctor :   Take care , bye for now .
User :   bye
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