HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Taking Antibiotics For Perianal Abcess. Have Anal Fissure And Lichen Sclerosis. How To Manage Swelling?

default
Posted on Wed, 10 Apr 2013
Question: Hi I have a query perianal abcess. I have been put on strong antibiotics since Saturday and spent 4 hours at A&E last night waiting for a surgical assessment. The surgeon conducted an anal and vaginal exam around the area and said that it seemed like fibrous tissue rather than an abcess, but that an abcess might form around it. She told me to continue taking antibiotics until Saturday and if it had not resolved to come back. I have also been suffering from an anal fissue and lichen sclerosis. She was very curt with me and did not explain what could be causing the fibroids, so I am going to see my GP tomorrow, but I am concerned what to do to manage the swelling now. Can you help?
doctor
Answered by Dr. E Venkata Ramana (2 hours later)
Hi,

Thank you for your query on Healthcare Magic.

With your description, you seems to have a swelling in perianal area.

This area is prone for the development of infections like perianal abscesses due to the presence of abundant follicles, pespiration, and presence of infective microorganisms like bacteria.

As the surgeon has examined you, I advise you to continue the antibiotic as advised by her and go for a follow up visit as scheduled.

I think she said fibrous tissue and not fibroids.

Fibroids are tumors growing in uterus and from the cervix.

The fibrous tissue is there because of the lichen sclerosis or an healed abscess.

If there is a XXXXXXX pus formation in the swelling, it has to be drained under aseptic conditions by giving incision.

If there is no pus formed, it has to be managed with antibiotics and consult the doctor again to assess the progression of swelling.

Hope I have answered your query, if you have any clarification please let me know.

Regards.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. E Venkata Ramana

Pediatrician

Practicing since :2002

Answered : 3176 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Taking Antibiotics For Perianal Abcess. Have Anal Fissure And Lichen Sclerosis. How To Manage Swelling?

Hi,

Thank you for your query on Healthcare Magic.

With your description, you seems to have a swelling in perianal area.

This area is prone for the development of infections like perianal abscesses due to the presence of abundant follicles, pespiration, and presence of infective microorganisms like bacteria.

As the surgeon has examined you, I advise you to continue the antibiotic as advised by her and go for a follow up visit as scheduled.

I think she said fibrous tissue and not fibroids.

Fibroids are tumors growing in uterus and from the cervix.

The fibrous tissue is there because of the lichen sclerosis or an healed abscess.

If there is a XXXXXXX pus formation in the swelling, it has to be drained under aseptic conditions by giving incision.

If there is no pus formed, it has to be managed with antibiotics and consult the doctor again to assess the progression of swelling.

Hope I have answered your query, if you have any clarification please let me know.

Regards.