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Suggest Treatment For Persistent Perianal Abscess
Question: I have perenal abscess not too close to my anus and It's been 2yrs now, Sometimes it drains on it own and the swelled part will reduce and I notice recently that it's getting bigger and very hard when I try to press it, Doctor please kindly advice of curative means I can get for this
Brief Answer:
?Perianal / Chronic Buttock Abscess / Under Evaluation
Hi Dear !! Thanks for your query with attached picture to HCM.
I reviewed facts of your query in context to your health issues.
My opinion-
Dear,in the given situation-You seem to have perianal Abscess with un-diagnosed fistula in ano,which needs further investigation.
The recurring abscess could be just- boil with chronic abcess-or cause of its recurrence could be-hidden fistula in ano with abscess presentation/ or it could be Pilonidal sinus, which needs to be ruled amongst the various possibilities for such Buttock Abscess
Do's Suggested-
For this I would suggest you to Consult Surgeon, who would do needful physical and perianal checks with investigations.
CT Scan -if needed , after proctoscopic examination, would resolve the extent of the fistula / or perianal abscess/ or Ischio-rectal abscess in your case.
Surgical Incision / drainage with Abscess wall scrapings-
If it is just a chronic incompletely drained boil on buttock-Surgical drain with scrapings of abscess wall under antibiotic cover, would cure it once for all.
Diabetes needs to be ruled out as a cause of recurring abscess.
Remedy for Non-responding/ recurring abscess-
If it still recurs-and proctoscopic examination with CT pelvis to study the anatomic connections of this recurring abscess would be needed to plan further treatment by-fistulotomy with scraping and stent- if its of high variety.
Antibiotic cover with antiprotozoals / and ruling out fissure in ano and ruling out
Crohn's disease would be needed before planning any major surgical treatment as suggested above.
If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
?Perianal / Chronic Buttock Abscess / Under Evaluation
Hi Dear !! Thanks for your query with attached picture to HCM.
I reviewed facts of your query in context to your health issues.
My opinion-
Dear,in the given situation-You seem to have perianal Abscess with un-diagnosed fistula in ano,which needs further investigation.
The recurring abscess could be just- boil with chronic abcess-or cause of its recurrence could be-hidden fistula in ano with abscess presentation/ or it could be Pilonidal sinus, which needs to be ruled amongst the various possibilities for such Buttock Abscess
Do's Suggested-
For this I would suggest you to Consult Surgeon, who would do needful physical and perianal checks with investigations.
CT Scan -if needed , after proctoscopic examination, would resolve the extent of the fistula / or perianal abscess/ or Ischio-rectal abscess in your case.
Surgical Incision / drainage with Abscess wall scrapings-
If it is just a chronic incompletely drained boil on buttock-Surgical drain with scrapings of abscess wall under antibiotic cover, would cure it once for all.
Diabetes needs to be ruled out as a cause of recurring abscess.
Remedy for Non-responding/ recurring abscess-
If it still recurs-and proctoscopic examination with CT pelvis to study the anatomic connections of this recurring abscess would be needed to plan further treatment by-fistulotomy with scraping and stent- if its of high variety.
Antibiotic cover with antiprotozoals / and ruling out fissure in ano and ruling out
Crohn's disease would be needed before planning any major surgical treatment as suggested above.
If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thanks for your response sir. I don't know if hospital details permitted to be share here. I would like to come over to your clinic under your expertise to have this nightmare (abscess) worked on.
Brief Answer:
You are welcome anytime !!
Detailed Answer:
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query and updates,in context to your health issues.
I also reviewed your worry lately from this dreadful condition.
Thanks for the satisfaction expressed.
Dear You can share hospital details by Uploading scanned copies of the past reports about failed treatments.
Dear you can come down to My clinic, details of which are with profile at HCM webpage.
Next appointment-
After 2 weeks to review treatment .
If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear,if you don't have any further query in this regard,Do close this query with YOUR pleasing and excellent feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
You are welcome anytime !!
Detailed Answer:
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query and updates,in context to your health issues.
I also reviewed your worry lately from this dreadful condition.
Thanks for the satisfaction expressed.
Dear You can share hospital details by Uploading scanned copies of the past reports about failed treatments.
Dear you can come down to My clinic, details of which are with profile at HCM webpage.
Next appointment-
After 2 weeks to review treatment .
If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear,if you don't have any further query in this regard,Do close this query with YOUR pleasing and excellent feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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