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Suggest treatment for abscess on the lower inner buttocks

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Posted on Tue, 19 May 2015
Question: My daughter is 14 years old and has been experiencing abcess on her lower inner buttocks for about a year now. She went from an active athelete to no longer able to do XXXXXXX agressive moving or they reappear. Usually only on one side and in the exact same spot. When its really bad shell get one on both side semetrically exact. We have seen GI doctors who performed endo and colonoscopys. Everything came back great. Dermotologist stated nothing he can do suggested surgical removal. Weve done that 4x's. It also seems to happen when she gets her cycle sometimes. Although shes had her cycle since age 10. This has only been occuring a year now. Shes still a virgin and overall healthy. Shes always had constipation issues since she was newborn but we were just encouraged to increase fiber. She also gets lots of achy joints and muscles. Sometimes causing her pain on a about a 6 on a scale to 10 being the worst ever. Doctors say its not related. Please help my babygirl get back active. We need help.
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Answered by Dr. Diptanshu Das (47 minutes later)
Brief Answer:
I find constipation to be a likely underlying cause

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through the details provided. I think that the constipation has a role to play. Constipation can be related to hard stools and conditions like anal fissure and abscess. The correlation can often not be evident on endoscopic or colonoscopic examination. Since there is stasis of stool in the large intestine or rectum, and since the stool is otherwise an infected substance, it is possible for the germs to leak out into the region of buttocks and thereby cause an abscess. The abscess is already present and might need drainage. Oral or intravenous antibiotics might not reach there properly and so it might be hard to treat except for with a surgical drainage. But I would leave this judgement to a surgeon. A dermatologist might not be in the best position to comment.

The steps I can suggest, are:
* Regular physical activity and exercise.
* High fibre diet including plenty of green leafy vegetables.
* Regular use of stool softeners like lactulose, PEG, or isabgol.
* Attempt to complete evacuation of stool.
* Enemas may be tried if the stool gets held for several days.
* Stiz bath is likely to provide relief.
* Proper maintaining of hygeine.

Hope that helps.

Regards
Dr. Diptanshu Das
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Diptanshu Das (12 minutes later)
So constipation is the reason for the boils? Why are the boils occurring when she's actually active such as running or walking aggressively? Can the contant muscle pains or joint aches that she says she's feeling in her legs and knesalso be associated with the constipation?
doctor
Answered by Dr. Diptanshu Das (16 minutes later)
Brief Answer:
Clinical examination would be necessary.

Detailed Answer:
Thanks for writing back.

It is hard for me to comment without clinical examination. But as I mentioned, constipation could lead to stasis of the stool which could be the source of infection. It is also hard to comment on the cause of muscle pains without examining her. If she is active, constipation is a less likely to be a cause. The joint pains could actually be growth pain but once again it is hard to comment without clinical correlation.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3865 Questions

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Suggest treatment for abscess on the lower inner buttocks

Brief Answer: I find constipation to be a likely underlying cause Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through the details provided. I think that the constipation has a role to play. Constipation can be related to hard stools and conditions like anal fissure and abscess. The correlation can often not be evident on endoscopic or colonoscopic examination. Since there is stasis of stool in the large intestine or rectum, and since the stool is otherwise an infected substance, it is possible for the germs to leak out into the region of buttocks and thereby cause an abscess. The abscess is already present and might need drainage. Oral or intravenous antibiotics might not reach there properly and so it might be hard to treat except for with a surgical drainage. But I would leave this judgement to a surgeon. A dermatologist might not be in the best position to comment. The steps I can suggest, are: * Regular physical activity and exercise. * High fibre diet including plenty of green leafy vegetables. * Regular use of stool softeners like lactulose, PEG, or isabgol. * Attempt to complete evacuation of stool. * Enemas may be tried if the stool gets held for several days. * Stiz bath is likely to provide relief. * Proper maintaining of hygeine. Hope that helps. Regards Dr. Diptanshu Das