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Painful holes in the anus with bleeding. Using hemorrhoids medication. Advice?

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Gastroenterologist, Surgical
Practicing since : 1984
Answered : 920 Questions
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I have two holes about two inches above my anus. They hurt and one is bleeding. Please advise what this is. I have been putting hemmorhoid medicine on them and they will close up and then will open back up at times. The first time I had a hole appear I had sat in a hard chair and when I got up there was a large amount of blood on my pants as if something had burst. That is when I found the hole. Please advise. Thanks
Posted Thu, 7 Jun 2012 in IBS(Irritable Bowel Syndrome)
 
 
Answered by Dr. Ajit Naniksingh Kukreja 2 hours later
Hi

Thanks for posting your query

Here is some information I need before I can help you out

1] Where exactly are the holes situated - Anterior to anus or posterior to anus ?
2] Are they in the midline ?
3] Is there any regular soiling of the undergarments ?
4] Do you have fever ?
5] Do you have any investigations like ultrasound done?

From the basic information you have provided it seems to be a pilonidal sinus

Yet if you can enlighten on the details the impression becomes more clear

Am available for followup queries
Get Well Soon
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Follow-up: Painful holes in the anus with bleeding. Using hemorrhoids medication. Advice? 6 hours later
The first one is one inch and the other an inch above that both posterior to anus. No fever and no puss, just blood when the holes are open. No investigation yet.
 
 
Answered by Dr. Ajit Naniksingh Kukreja 10 hours later
Hi

Thanks for your followup

It seems to be a Pilonidal sinus, and it is good it is not infected

Would suggest get an ultrasound done and get back to me with the reports for further guidance

Hope this helps
Wishing you a speedy recovery
Above answer was peer-reviewed by
 
Follow-up: Painful holes in the anus with bleeding. Using hemorrhoids medication. Advice? 2 hours later
What type of Dr. Should I see?
 
 
Answered by Dr. Ajit Naniksingh Kukreja 31 minutes later
Hi XXXXXXX

Thanks for your followup query

In my opinion a General Surgeon with a good exposure to AnoRectal Disorders or a Proctologist will be the best

Hope this helps
Am available for folowup queries
Get Well Soon
Above answer was peer-reviewed by
 
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