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Suggest Remedy For Acute Anal Fissure

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Posted on Thu, 19 Nov 2015
Question: I have been diagnosed with acute anal fissure and I got splintereronomy done 3 days back. And doctor said that he has also removed pile mass and there had been some infection too. Now he said he has removed everything. But from yesterday a wound like has been formed on the outside of anus (I hope some skin fell in the sitz bath tub, black color after that wound formed) and a yellowish-green pus is coming from it. When I squeeze it and clean blood comes at last. And I am applying lignocaine oilment too. Is this the sign of serious infection or will it be OK in sometime. Pls guide me.
doctor
Answered by Dr. Prasanna Heijebu (1 hour later)
Brief Answer:
Possible abscess has to be ruled out

Detailed Answer:
Hello, Sir.

I can certainly understand your concerns.

I have proceeded through your query in detail.

As per your symptoms described, the possibility of perianall wound abscess is high.

This needs a thorough check up via complete per rectal examination by your surgeon.

This is not a serious infection if adequately treated and drained.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Prasanna Heijebu (4 hours later)
Hi, now I just had a bowel movement, and I feel like the wound and anal are interconnected. I feel like the motion comes via this opening/wound too. When I tried cleaning it after the BM again some amount of yellow particles are coming through it, which is motion. Kindly help me on it.
doctor
Answered by Dr. Prasanna Heijebu (25 hours later)
Brief Answer:
Possible personal fistula. Need confirmation.

Detailed Answer:
Hello, Sir.

I have gone through your query in detail.

These symptoms probably reflect a fistula (communicating track) between the wound and the anal wall.

It is very important to rule out fistulous track by a thorough Per rectal exam and aa fistulogram.

Further management if any is based on test results.

Thank you.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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Suggest Remedy For Acute Anal Fissure

Brief Answer: Possible abscess has to be ruled out Detailed Answer: Hello, Sir. I can certainly understand your concerns. I have proceeded through your query in detail. As per your symptoms described, the possibility of perianall wound abscess is high. This needs a thorough check up via complete per rectal examination by your surgeon. This is not a serious infection if adequately treated and drained. Post your further queries if any. Thank you.