Brief Answer:
Fissure have changed into possible fistula.

Detailed Answer:

Hi,

Thanks for posting your query.

As per previous discussion you are having anal fissure. If left untreated these fissures changes into fistula. A fistula is a connection between external skin and anal glands. These anal glands produce mucous and other secretions which may through these leaky channels may diffuse outside causing moistening around anus.

This could be suggestive of bacterial infection also.
Therefore, I would suggest you to use a anti fungal and anti bacterial ointment locally over the area and to keep that area dry other wise itching etc., would start in a few days due to fungal infection.

You should go for a MRI scan to track the path of fistula and there after surgery could be performed as per requirement.

Please feel free to follow up.

Hope I was helpful.

Regards.

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Brief Answer:
Response to Oflox Tz shows that there is bacterial infection or protozoal infection.

Detailed Answer:

Hi,

Thanks for follow up.

It can be pus. As the amount of fluid responded to taking antibiotic it could be pus also.

You should take proper treatment as these sites acts as a source of infection and may cause sepsis or may even cause patient to land up in septic shock.

I would suggest you to start a course of broad spectrum antibiotic like Cefixime and to get a MRI done and go for surgery.

You should not take these things lightly because normal infection can even lead to septic shock.

I hope this answers your query.

Take care.

Dr. Ramesh Kumar, Gastroenterologist

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