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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Painful Lump On The Buttock

My husband has a large hard sac on the inside of his left butt check. It is so large it covers his anus area. He said it hurt a few weeks ago so he put a needle in it and the liquid cam out black. He said it does not hurt now but it did shrink in size after he did that. But it is still very very large
Mon, 31 Aug 2015
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General Surgeon 's  Response
HI,Dear,Thanks for your query to HCM virtual Clinic.
I studied your query in all the details put forth by you.
I understood your health concerns about the treatment for a painful lump on the buttock of your husband.
This is because of the Boil with black hematoma due to friction of lump between the butt cheek.
Worry as these lump are infectious in nature and spread to nearby area in the butt cheek.

Treatment -
-As the lump is already shrunken, I would suggest you to Consult a ER Surgeon and get the physical examination and his Second Opinion on it,who would drain it after Antibiotic cover of 2 days of treatment with 3-5 days of further antibiotic cover ,as need be.
-Tab-Antibiotic(like Ofloxacin +Ornidazole) with prescription from your doctor.
-Anti-inflammatory (like Diclofenac) for 5 days time.
-And Surgical Drainage and packaging,for the size of the lump,to be left till secondary healing heals it in next 8-10 days time.
-Plenty fluid,good high protein bland diet,Vitamin supplement(like Zincovit).
This would help you to plan treatment with your ER surgeon.
Hope this reply would satisfy your query and would resolve the worry with it.

If you feel satisfied with this reply,don't forget to hit thanks and write excellent review comments,which would improve my rating for new needy visitors to HCM.

Welcome for any further query in this regard to HCM.
Have a good day.

With Regards,
Dr.Savaskar M.N.
M.S.Genl-CVTS,
Senior Surgical Specialist
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Suggest Treatment For A Painful Lump On The Buttock

HI,Dear,Thanks for your query to HCM virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the treatment for a painful lump on the buttock of your husband. This is because of the Boil with black hematoma due to friction of lump between the butt cheek. Worry as these lump are infectious in nature and spread to nearby area in the butt cheek. Treatment - -As the lump is already shrunken, I would suggest you to Consult a ER Surgeon and get the physical examination and his Second Opinion on it,who would drain it after Antibiotic cover of 2 days of treatment with 3-5 days of further antibiotic cover ,as need be. -Tab-Antibiotic(like Ofloxacin +Ornidazole) with prescription from your doctor. -Anti-inflammatory (like Diclofenac) for 5 days time. -And Surgical Drainage and packaging,for the size of the lump,to be left till secondary healing heals it in next 8-10 days time. -Plenty fluid,good high protein bland diet,Vitamin supplement(like Zincovit). This would help you to plan treatment with your ER surgeon. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply,don t forget to hit thanks and write excellent review comments,which would improve my rating for new needy visitors to HCM. Welcome for any further query in this regard to HCM. Have a good day. With Regards, Dr.Savaskar M.N. M.S.Genl-CVTS, Senior Surgical Specialist