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Suggest Treatment For Constipation

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Posted on Mon, 24 Nov 2014
Question: Hello,
I had constipations and i drove scooty around 150km and then 2 days after i got a small abscess and with in next 3 or 4 days it was around pea size and then i went to doc and told him that i might have hemorrhiods si doc just gave me some antibiotics and anovate. Same day i felt some wetness at bottom and found it burst and startd drain for next 4 days and size become very small. Then i met with another doc to make sure everything is fine then doc dis DRE and found it was perianal abscess which was healing well and gave me fucidin and ask me to contine antibiotics and gave me diclofase for 3 days.everthing seems fine and applying creams and its now very small. So below are my questions.
1. is it healing fine.
2. Can this be fitsula in future
3. Do i need to go for any tests
Please answer
doctor
Answered by Dr. Deepika Patil (16 minutes later)
Brief Answer:
it is healing

Detailed Answer:
Hi,

Welcome to HealthcareMagic.

Your abscess is healing. The points in favor are
-its size is decreased
-your doctor has examined and told the same
-you have reduction in discharge and pain.

Since it burst open and healing it is unlikely to become fistula later . Fistula uncommon with superficial abscess.

As such now no need for any further tests as they won't add anything extra. You just have to continue your medications as prescribed and also perineal wounds take little more time to heal.

In between if you notice any pus discharge then it needs to be taken for pus culture study. Otherwise no problem. Some watery discharge may come for few days.

Hope I have answered your query. If any further queries are there I would love to help.

Regards
Dr.Deepika Patil
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Deepika Patil (30 minutes later)
Thank you for your answer.
Can you please answer few points and i shall be very thankfull to you.

1. Doc gave me antibiotics for 8 days and today is last day for antibiotics. Do you think i need to take for 2 more days.
2. Can i continue gym and playing cricket.
3. Do you think i had perianal abscess due to constipation and long ride or there might be other reason
4. Can i continue use of fucidin cream
5. Is this ok if i will meet with Doc again this saturday

Thanks again as by reading a lot of about fitsula online i was now having anxity and got panic attack
doctor
Answered by Dr. Deepika Patil (35 minutes later)
Brief Answer:
complete 8 days course of antibiotics

Detailed Answer:
Hi,

Let me answer your questions one by one.

1)complete 8 days course of antibiotics. No need to take for 2 more days unless you have pus discharge or severe pain .

2)you may continue doing gym and playing cricket. In gym avoid buttock muscle strengthening excercise and trauma to the area. Avoid constant pressure on the area.

3)abscess in your case is due to long drive. This has caused constant pressure on the area and fat to dissolve which got infected easily by gut bacterias. Constipation contribute to translocation of bacteria to fat site .

4) continue fucidin till it heals completely .

5)yes you may meet your doctor on Saturday. As such right now no emergency is there.

Don't worry about fistula. The mechanism of fistula formation and your abscess formation are different. Just keep the area clean and avoid constant pressure over it and also constipation.

Hope I have answered your query. If any further queries are there I would love to help.

Regards
Dr.Deepika Patil
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Deepika Patil (22 minutes later)
Hi,

Thank you very much Dr. you answers are very helpful and i am feeling better now as i was so worried due to all i have read about Fistula and my abscess was automatically drained so was little worried.

i am taking sitz bath around 2 to 3 times and using fucidin and trying to keep area clean. Now as i have very small lump so i believe that skin will absorb. Also there is no pain from last 4 days so i Feeling fine as this point also your answers really helped and 1 another thing these antibiotics messed up my tongue taste but i am drinking more than 8 to 10 glass water everyday.

if you have any advice or any suggestion i will be very thankful to you.. but you seems to have answered most of my questions and i believe that i will be fine like before soon.

Thanks
doctor
Answered by Dr. Deepika Patil (7 hours later)
Brief Answer:
it will be fine soon

Detailed Answer:
Hi,

I am glad that I have been of some help to you. Your abscess will heal soon and normal skin also will come.

For your taste of tongue, once you stop antibiotics it will become normal. Still you may take sweet chewing gums to change the taste. Continue sitz bath and fucidin. Sitz bath enhances healing.

Hope I have answered your query. If no further queries are there you may close the discussion and rate the response.

Regards
Dr.Deepika Patil
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Deepika Patil (36 hours later)
Hi

I met with Doc today but he didn't check and asked me to take antibiotics (satranidazole and serratiopeptidose and diclofnac potassium) for next 3 days and after that asked to take BTR for 5 days and then asked to meet after 8 days. Do you think evrything is ok. sometime when i wash i feel very little pain while i touch but size seems to be decreasing . Do you think it will take 15 to 20 days to fully heal.

Thank you
doctor
Answered by Dr. Deepika Patil (2 hours later)
Brief Answer:
yes it may take 15 to 20 days .

Detailed Answer:
Hi,

Without examining you personally it is very difficult for me to tell it is healing or not. But since the size has reduced and you get pain only when touching then that indicates it is healing. As there is no pus discharge and severe pain so it may take 15 to 20 days to heal if it won't get infected.

Some pain will be there on touching till it heals completely. I suggest you to continue the medication and when you meet your doctor next time insist him to examine you. Some medication prevent infection and some promote healing.

Hope I have answered your query. If any further queries are there I would love to help.

Regards
Dr.Deepika Patil

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Deepika Patil

General Surgeon

Practicing since :2008

Answered : 745 Questions

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Suggest Treatment For Constipation

Brief Answer: it is healing Detailed Answer: Hi, Welcome to HealthcareMagic. Your abscess is healing. The points in favor are -its size is decreased -your doctor has examined and told the same -you have reduction in discharge and pain. Since it burst open and healing it is unlikely to become fistula later . Fistula uncommon with superficial abscess. As such now no need for any further tests as they won't add anything extra. You just have to continue your medications as prescribed and also perineal wounds take little more time to heal. In between if you notice any pus discharge then it needs to be taken for pus culture study. Otherwise no problem. Some watery discharge may come for few days. Hope I have answered your query. If any further queries are there I would love to help. Regards Dr.Deepika Patil