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Diarrhea, sore anus, watery stools after taking Augmentin. What could the lump in buttocks be?

On Xmas eve I went to the er because of pain from my 7mnth csection Scar and was very ill. They put me on augmentin or amox-clav. By 4.5days in I woke up midnight of Friday with bad watery stools and it continued all day very 20-40mins. It got to the point by 5pm I couldn t eve. Control it and started defecating in my pants. It was bad . I had aweful stomach cramps, dry heaving, temp over 101 and it was like that until 5pm Saturday night. I became weak and dehydrated. I stopped taking the antibiotic 2 days shy of its course because I thought it was a reaction. To he meds. I then got itchy sore anus all over. so i went to my drs new yrs eve and told them everything. Thy did nothing g for me and didnt look at anything. I now over a week later still have sore itchy inside butt cheeks. There s a hard sore painful lump inside my butt about an inch above my anal hole and an inch under my tailbone. What could I be?
Asked On : Tue, 8 Jan 2013
Answers:  1 Views:  531
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Emergency Medicine Specialist 's  Response
Hi Rdame,
Thanks for writing your query.

Augmentin is an antibiotic, which can cause antibiotic induced diarrhoea.
Antibiotics usually disturb the normal flora of useful bacteria present in the intestines, which help in digestion and absorption of food.

Antibiotics should be taken along with probiotics. These probiotics contain spores of those useful bacteria and so prevent antibiotic induced diarrhoea.

You can take probiotics to replenish the lost flora.

For dehydration, you can take oral rehydration fluids and take care of your diet.

Pain and swelling and itchiness in the anal region can be due to irritaion of the anal mucosa as a result of increased frequency of stools. It will subside in due course of time. Also avoid spicy foods.

You can take anti-inflammatory medicines along with antacids if the pain is severe.

Seitz bath will also help in reducing the inflammation in the anal region. In this you have to sit in a tub of luke warm water in such a way that your anal region is dipped in the water. Repeat this procedure 2-3 times a day.

I hope this is helpful to you.
Answered: Tue, 8 Jan 2013
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