How can a perianal abscess be treated?

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Posted on Mon, 23 Jan 2017 in General Health
Question: On Saturday 24th I had a small raised and tender bump on the outside edge of my anus. I did not treat it for 2 days and it didn't seem to get any worse or any better. After searching online the symptoms sounded to be haemorrhoids, so I purchased Proctosedyl ointment (Hydrocortisone 5mg, Cinchocaine hydrochloride 5mg) and began applying as directed since Wednesday (4 days). During this time the bump seems to have gotten larger and firmer, however it doesn't really hurt and isn't very tender - it's just more annoying. Should I keep using the ointment? What are other treatment options?
doctor
Answered by Dr. Rajaram KG 34 minutes later
Brief Answer:
It is a peri anal abscess

Detailed Answer:
Hello, Thank you for posting your question on Health Care Magic.
By your description this looks more like a peri anal abscess ,which is collection of infective or inflammatory material, doesn't look like haemorrhoids.
You could stop using the ointment which you are using in turn please apply Nadifloxacin ointment thrice a day .
You could also sit in a tub of warm water just to give it a good formentation.
If it keeps increasing and doesn't respond to this basic measures you will have to see a general surgeon for draining it
Hope this helps
Best wishes
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Rajaram KG 20 minutes later
Thank you.

Can you give me an indication of the brand names for this ointment? I can't seem to find it via google. I'm in Australia.

doctor
Answered by Dr. Rajaram KG 6 minutes later
Brief Answer:
I have given you the generic name

Detailed Answer:
Hello again,
I have given you the generic name which is nadifloxacin it is of the flouroquinolone group.
The trade or brand names are Nadibact,Nadoxin.
Hope you can find it there

Best wishes
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Rajaram KG 13 minutes later
If I can't, is there an alternative ointment I could use?

doctor
Answered by Dr. Rajaram KG 2 minutes later
Brief Answer:
Try to find it

Detailed Answer:
Hello again,
Try to find it ,if you can't find it you can apply mupirocin ointment in the same way and duration thrice a day .

Best wishes
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Rajaram KG 17 hours later
I went and saw a doctor and he diagnosed it as a Perianal hepatoma and said that it will go away in time. I googled and it as suggested I use hirudoid cream for this - will it help and is it OK to use? Is there any other steps I can take to make it go away faster?
doctor
Answered by Dr. Rajaram KG 6 minutes later
Brief Answer:
It will

Detailed Answer:
Hello again, firstly how did you get a haematoma there did you have any injury?
Nevertheless if it is an haematoma then hirudoid cream will help.
To help it disappear faster you can sit in a tub of warm water .
Also start taking vitamin C tab once a day it will help for its absorption.

Hope this helps
Best wishes
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Rajaram KG 9 minutes later
Hi,

I did not have any injury there that I remember, however the doctor inspected the area extensively and noted that there was no sign of abscess and because it's not very painful it isn't an external haemorrhoid.

How often should I use the Hirudoid cream? How long should I expect it to take to go away?

Kind regards,
doctor
Answered by Dr. Rajaram KG 11 minutes later
Brief Answer:
It will take 8 to 10 days

Detailed Answer:
Hello again,
I would recommend you to use hirudoid cream in the same frequency as your doctor has suggested you ,because he has seen the extent of the haematoma.
But I would advice you to take vitamin c for a month and sit in XXXXXXX warm water twice a day.

Best wishes
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Rajaram KG 2 hours later
As I mentioned in my previous question, the doctor did not prescribe hirudoind cream however after research I saw that it was recommended for such conditions. That's why I asked you how often I can use it for best effect?
doctor
Answered by Dr. Rajaram KG 2 minutes later
Brief Answer:
In that case no

Detailed Answer:
Hello again,
Sometimes you may bleed with that ointment so I would not recommend you to use it .
Please use vitamin c tablet and sit in XXXXXXX warm water twice a day
This should help it reduce
Best wishes
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Rajaram KG 29 minutes later
Thanks.

What do you mean by bleed? As in blood will come from the haematoma or it will make it worse?
doctor
Answered by Dr. Rajaram KG 4 minutes later
Brief Answer:
It may become worse

Detailed Answer:
Hello again,
It may become worse so let's wait for absorption. If it doesn't after 2 weeks also lets see.
Meanwhile don't forget to take vitamin c
Best wishes
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
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Dr. Rajaram KG

Orthopaedic Surgeon

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