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What Causes Painful Swelling Around The Anal After After Injecting Triamcinolone In The Scar Tissue At The Surgical Area After A Fustulectomy?
Question: Hello Doctor,
As you re already aware that i had a fustulectomy in May 2016 and after the scar formation in August there was a consistent pain near the surgical area.
On this Saturday I visited a plastic surgeon and after examining he confirmed that the I have a thick scar tissue and he injected Triamcinolone 40 in the scar tissue, since then my pain in scar area has gone but the entire area inside my anus pains like hell and is swollen.
When I consulted the plastic surgeon he said that it is strange and wait for some days.
My condition has worsened . Please suggest is it normal to have swelling after this injection and will it subside or the damage is irreversible .
As you re already aware that i had a fustulectomy in May 2016 and after the scar formation in August there was a consistent pain near the surgical area.
On this Saturday I visited a plastic surgeon and after examining he confirmed that the I have a thick scar tissue and he injected Triamcinolone 40 in the scar tissue, since then my pain in scar area has gone but the entire area inside my anus pains like hell and is swollen.
When I consulted the plastic surgeon he said that it is strange and wait for some days.
My condition has worsened . Please suggest is it normal to have swelling after this injection and will it subside or the damage is irreversible .
Brief Answer:
As discussed in details below.
Detailed Answer:
Hello.
Thanks for your additional information and query.
Noted the history well and understood the concerns.
Since Triamcinolone is given in the scar tissue pain is like to occur but swelling and persistent pain is not known to occur.
It is not normal to have swelling after injection.
Usually this should subside.
I would advise you the following in such a situation:
Consult a General Surgeon to get an actual examination locally, per-rectal digital examination and ano-proctoscopy only if the pain is bearable otherwise to wait till correct time.
MRI of the area can help o know the exact thing that is going on inside if actual examination is not possible due to pain.
A course of an antibiotic and anti-inflammatory medications with painkiller property may help.
Take sitz bath for warm fomentation.
Take stool softener.
Post photos if the swelling is external.
I hope this answer helps you.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
Take care.
As discussed in details below.
Detailed Answer:
Hello.
Thanks for your additional information and query.
Noted the history well and understood the concerns.
Since Triamcinolone is given in the scar tissue pain is like to occur but swelling and persistent pain is not known to occur.
It is not normal to have swelling after injection.
Usually this should subside.
I would advise you the following in such a situation:
Consult a General Surgeon to get an actual examination locally, per-rectal digital examination and ano-proctoscopy only if the pain is bearable otherwise to wait till correct time.
MRI of the area can help o know the exact thing that is going on inside if actual examination is not possible due to pain.
A course of an antibiotic and anti-inflammatory medications with painkiller property may help.
Take sitz bath for warm fomentation.
Take stool softener.
Post photos if the swelling is external.
I hope this answer helps you.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.
Take care.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Will get the check up done . Can u please confirm if the injection has reacted then what is the time frame for the effects of injection to get settled. Or the effect will be permanent.
Brief Answer:
about 4 weeks
Detailed Answer:
This being a steroid itself is not much to cause reactions.
This acts for about 4 weeks.
The the settlement of symptoms will depend upon the the effect it has cause, whether local reaction or infection and so on.
Please give feedback.
about 4 weeks
Detailed Answer:
This being a steroid itself is not much to cause reactions.
This acts for about 4 weeks.
The the settlement of symptoms will depend upon the the effect it has cause, whether local reaction or infection and so on.
Please give feedback.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Doctor,
went to a surgeon to get the check up done as pus started coming out from where i was having pain after the injection.
find attched the MRI report. doctor has suggested surgery.
please share your thoughts.
went to a surgeon to get the check up done as pus started coming out from where i was having pain after the injection.
find attched the MRI report. doctor has suggested surgery.
please share your thoughts.
Brief Answer:
A course of an antibiotic may help to resolve the problem.
Detailed Answer:
Thanks for your feedback and MRI report.
Since the pus has come out and the MRI shows short inactive tract as mentioned a course of an antibiotic should help to resolve the issue. This has occurred after injection - self explanatory.
What type of surgery has the Doctor suggested.
Has the pus stopped coming out? How is the pain and swelling now?
If possible post a clear and focused photo.
Also take an anti-inflammatory and other things as discussed above.
A course of an antibiotic may help to resolve the problem.
Detailed Answer:
Thanks for your feedback and MRI report.
Since the pus has come out and the MRI shows short inactive tract as mentioned a course of an antibiotic should help to resolve the issue. This has occurred after injection - self explanatory.
What type of surgery has the Doctor suggested.
Has the pus stopped coming out? How is the pain and swelling now?
If possible post a clear and focused photo.
Also take an anti-inflammatory and other things as discussed above.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Pain is very very intense,cant even touch the area.
Pus is still coming out.
I can also feel some kind of swollen pockets inside the anus which is very painful to touch.
Doctor just told me that we need to take out the pus i dont know what surgery he is suggesting. He has mentioned fistulectomy on admission form for estimate.
Pain is unbearable
Pus is still coming out.
I can also feel some kind of swollen pockets inside the anus which is very painful to touch.
Doctor just told me that we need to take out the pus i dont know what surgery he is suggesting. He has mentioned fistulectomy on admission form for estimate.
Pain is unbearable
Brief Answer:
Better to go for surgery. It is almost a week now
Detailed Answer:
If the pain is unbearable, feeling of pocket, pus still coming out then incision and drainage can really help a lot.
Most of the decisions in such a case depends on on-table findings.
Please go ahead for surgery after discussion with your operating Surgeon.
Also discuss with him about the possibility of excision of the fibrosis/scar.
All the best. Please give feedback.
Better to go for surgery. It is almost a week now
Detailed Answer:
If the pain is unbearable, feeling of pocket, pus still coming out then incision and drainage can really help a lot.
Most of the decisions in such a case depends on on-table findings.
Please go ahead for surgery after discussion with your operating Surgeon.
Also discuss with him about the possibility of excision of the fibrosis/scar.
All the best. Please give feedback.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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