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Is A Pus Filled Bubble In The Buttocks Suggestive Of Hemorrhoids?

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Posted on Thu, 19 Mar 2015
Question: My husband fell on his but outside and got a lg blood and pus filled bubble which was extremely painful and finally burst after about 3 days. He has gotten it back about 4 times since in exactly the same spot. He thinks its a hemorroid but I am not too sure...
doctor
Answered by Dr. Deepak Kishore Kaltari (11 minutes later)
Brief Answer:
Unlikely to be Hemorrhoid

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day

Dear Ms


It's definitely not hemorrhoid, if hemorrhoid burst /rruptures it leads to heavy bleeding. Presence of recurrent swelling which is pus filled and with blood suggest infective lesion. Possibility of Pilonidal Sinus needs to be considered. Exact diagnosis will depend on clinical examination.

It would be very helpful if you could provide me with the following additional information

1. Kindly let me know since how long has he been having these symptoms

2. First time when he had the blister , did it occur immediately after fall ?

3. Providing clinical photograph will be helpful for further assessment.

Awaiting your response


Take care

Best regards
Dr Deepak Kaltari
Consultant Surgeon
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Deepak Kishore Kaltari (22 minutes later)
1st time it occured was 12 - 18 months ago, he said. It took 1 - 2 days for blister? To appear, caused extreme pain, then burst and drained blood tinged yellow pus, about 2 days later. Seems to happen after a fall or otherwise he is not sure why it recurs. It has recured about 5 times in the same place each time, with less pain than the first time.
doctor
Answered by Dr. Deepak Kishore Kaltari (4 minutes later)
Brief Answer:
Do consult Surgeon for further assessment

Detailed Answer:
Dear Ms

As the blister occurred 1 to 2 days after fall , it's unlikely to be due to trauma. Hematoma usually occurs soon after fall. Recurrent blister at same local suggest the following two possibility

1. Pilonidal Sinus

2. Fistula in ano


Exact diagnosis will depend on clinical examination based on exact location and appearance. I would suggest you to consult Surgeon for further clinical examination and assessment. These lesion are likely to recurr and require Surgical intervention in majority of cases.

Do get back to me if you need any further assistance, will be glad to assist you.

Take care

Best regards
Dr Deepak Kaltari
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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Is A Pus Filled Bubble In The Buttocks Suggestive Of Hemorrhoids?

Brief Answer: Unlikely to be Hemorrhoid Detailed Answer: Hi Welcome to Healthcaremagic Greetings of the day Dear Ms It's definitely not hemorrhoid, if hemorrhoid burst /rruptures it leads to heavy bleeding. Presence of recurrent swelling which is pus filled and with blood suggest infective lesion. Possibility of Pilonidal Sinus needs to be considered. Exact diagnosis will depend on clinical examination. It would be very helpful if you could provide me with the following additional information 1. Kindly let me know since how long has he been having these symptoms 2. First time when he had the blister , did it occur immediately after fall ? 3. Providing clinical photograph will be helpful for further assessment. Awaiting your response Take care Best regards Dr Deepak Kaltari Consultant Surgeon