Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

151 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Get abscess after prolonged sitting around tailbone area. How to prevent this?

Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 15797 Questions

default
Posted on Sun, 8 Dec 2013 in Skin Hair and Nails
Question: I have been doing a great deal of sitting lately (writing a novel) and the area in my buttcrack around the tailbone on the right side in very sore and irritated. It does not really itch that much, but it is becoming more and more uncomfortable to sit. I think a abscess might be forming. I had that happen several times a few years back and it always ended in a painful bump filled with pus and blood. I would put heat on it, it would pop and drain and eventually come back. It always seems to relate to sitting a lot. It has not happened in several years, but now I am sitting a lot again. What can I do to prevent this.
doctor
Answered by Dr. Michelle Gibson James 27 minutes later
Brief Answer: it needs to be incised and drained Detailed Answer: Hi, thanks for using healthcare magic It is quite possible ,as you stated, that there is an abscess that is going to form particularly if you have a history of previous abscess formation. The reason that the abscess would burst then recur is because the effective treatment of an abscess is incision and drainage. Even if it bursts, using an small loci of pus remains that does not drain and this would then allow for infection and recurrence. Normally a doctor needs to incise the area and probe it to break down any pus walls or collections that may remain.If it is not at the stage that incision is possible then the use of warm compression or magnesium sulphate creams will help it get to this point. To prevent future formation, you may want to use something to reduce the pressure on this area when you have to sit for prolonged areas. This would mean either using a sitting ring pressure relief cushion or using a timer to remind yourself to shift position or stand every 10 to 15 minutes for 1 to 3 minutes. By reducing the pressure , this should prevent future formation. I hope this helps, feel free to ask any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Michelle Gibson James 25 minutes later
Is this at all bacteria infection related? Or is it all just from sitting to long? I don't feel an abscess yet, I am just assuming that will happen based on the same thing happening in the past. Is there any way to stop it (like with a cream or ointment), or am I out of luck and just have to wait for the abscess to form and go get it drained?
doctor
Answered by Dr. Michelle Gibson James 51 minutes later
Brief Answer: due to infection and pressure Detailed Answer: HI Yes, the formation and accumulation of pus is related to an infection. Most commonly bacterial The prolonged sitting, by affecting blood supply to a particular area, increases the chance or risk of an infection. In terms of preventing progression of an abscess when it has already started, there are no available techniques that are presently available.Once the process has started, it normally continues till rupture. If it is not an imminent abscess but a superficial infection that may be starting (would also be painful), then the use of a topical antibiotic would help. You can consider the use of the topical antibiotic in case then the infection is merely a superficial infection. This would head it off. Please feel free to ask any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Medical Procedures

Recent questions on  Anorectal abscess

doctor1 MD

gud evening...from last 3 and half years i am suffering from perianal fistula..i had a surgeory on perianal absess and after that it became perianal fistula and that i went on a lazer treatment on it...still it is not curred....now 1 more absess near the first one....can you suggest any proper treatment for this?...

doctor1 MD

A month ago I had surgery for an anal fissure. That surgery was successful. Unfortunately, I developed an abscess whee the doctor used numbing medication. The location is just outside the anus. The doctor, a colorectal surgeon, drained the abscess 2 days ago and inserted a drain tube. He said the abscess was about the diameter of a golf ball. However, he did not comment on the red swelling sensitive skin about 5 inches away from the abscess. The original abscess appears to be filling back up but not draining despite many sitz baths. I also did not get an antibiotic for what I believe is a skin infection in the outlying areas. Due to the back and forth visits trying to have this resolved, I am loosing confidence in him. I want to get a second opinion but don't know what type of doctor is best to see for an abscess. Any guidance is appreciated.

doctor1 MD

Hi,

I had a perianal abscess drained in the OR 5 days ago and still experience pain and discomfort. I still cannot sit down and the only thing that is comfortable for me is to lay down. What is the general recovery time and what should my expectations be? I'm really frustrated that I can't sit down and get back to work yet.



I had an abscess 5 years ago and a fistula formed and caused this new abscess. I was informed I would need surgery on the fistula once this abscess had healed. I'm a 28 year old male, 6 fee tall, and 150 lbs.



Thank you.

doctor1 MD

I had a small anal skin tag removed by liquid nitrogeon on the external anal rim 3 weeks ago and since then have constant pressure of wanting to have a bowel movement. The pressure is so bad and does not go away even after a bowel movement. Could liquid nitrogeon have damaged me

doctor1 MD

Pus culture yields heavy growth of Escherichia coli . I had for surgery under allopathic way but no cure. Hence did Kshara XXXXXXX procedure under ayurveda for permanent cure. But suddenly huge pus discharge from the fistula hole. We cultured it...

doctor1 MD

I think I have an anorectal abscess . Is it possible to have an anorectal abscess with the drainage coming out of the anus as I do not think it is a fistula because it is coming out the anus. It is painful at times and I can drain it by exerting...

doctor1 MD

Hello Doctor, This is XXXX aged 30 Years Male. Since 10 -12 months i have this small lump/boil near around the anal area for which i consulted a General Surgeon , he advised for a scan to confirm anal fistula . However i am worried and not ready...