What do pimples around the anus indicate?

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Posted on Mon, 14 Jul 2014 in Abdominal Pain
Question: For a couple of days now every time I move my bows it feels as if glass is coming out. And ive noticed pimples around my anus and today ive noticed they busted. They are sore to the touch. I have had sex with my boyfriend about a week ago and i also recently just got waxed. I had a fever last night. Also my lymph nodes near my groin feel bruised. I hope its not an std. Any suggestions. Ive already booked a doctors appointment.
doctor
Answered by Dr. Sanjay Kumar Kanodia 38 minutes later
Brief Answer:
Kindly elaborate query and send pictures

Detailed Answer:
Hello,

Welcome and thanks for posting your query.

I can understand your concern for pimples type of eruption around your anus along fever and tenderness near groin nodes.

After reading your query I can make out that your condition is not exactly fitting into any type of typical Sexually transmitted infection but even then to rule out the possibility I request you to kindly tell important points:

- Have you had unprotected anal intercourse with your boyfriend.

-Do you feel that the pimples like thing were like vesicles or started as vesicles. Were these eruptions in a grouped fashion or scattered all around anus.

- Presently do you see any excoriations or superficial ulcers over the affected region.

To help you best I request you to upload good resolution pictures of your anal area so that I can analyze it better. For uploading the pictures you have a facility on the right side of the page or can send on:

YYYY@YYYY

with "attention:Dr Sanjay Kumar Kanodia"

Also kindly elaborate "every time I move my bows it feels as if glass is coming out". I beg your pardon that I was unable to understand this line and am not able to correlate with eruptions. So i request you to kindly explain this condition too.

Hope to hear soon form your side.

With regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia 22 minutes later
me and my boyfriend did attempt unprotected anal sex. The pimples did start off as normal looking pimples at first i thought it was ingrown hair. And basically every time I poop it feels like glass is coming out or another way I can put it is it feels like tiny paper cuts every time it comes out. I attached a photo
doctor
Answered by Dr. Sanjay Kumar Kanodia 2 hours later
Brief Answer:
Folliculitis/herpes-Go for IgM & IgG for herpes

Detailed Answer:
Hello young lady,

Welcome again to the forum and thanks for sending important details along with picture.

After analyzing the picture I can make out two important possibilities:

1. Folliculitis: It is the inflammation of of the hair root and attached oil glands. You can see in the picture that the eruptions which are still present shows an attached hair to each eruption. There is also swelling at the base of hair root which shows infection along with inflammation.

2. Herpes simplex : If you can notice there are superficial ulceration at various sites. The good part in your case is that these are actually scattered ulceration and not a grouped one making the possibility on lower side. But as these occurred after the unprotected anal sex so will keep it on till further investigations.

In your case I suggest you to go for IgM & IgG tests for both HSV1 & 2. It will clear the doubts regarding the possibility of herpes.

Do ask your boyfriend for any episode of herpes in past and inform me for the same. Also kindly let me know the date of appointment with the doctor so that I can help you accordingly.

Till the time you meet the doctor there are certain suggestion to follow:

1. Avoid continuous sitting for long hours.

2. Wear cotton clothes & undergarments and avoid synthetic clothes.

3. Stay in cool environment(preferably AC) and avoid sweating.

4. Take two time bath once in morning and at night time which will soothe your skin and prevent the aggravation of the problem

5. Do not Pinch pop or squeeze or rub any area.

6. Do not use any deodorants or any cosmetics over and near the affected area.

7. Do cold compression over the affected area. Take a wet towel soaked in cold water and apply it for 5-10 minutes for 3-4 times a day.

For the part of treatment kindly follow the suggestions below:

1. In your kind of cases I suggest my patients to apply over the counter available antibiotic cream such as mupirocin or fucidin cream in a thin layer in morning and at night time. Apply in a very thin layer so that it should not be visible to naked eye. You can apply it for 7 days and then stop it after that.

2. A pain killer anti-inflammatory tablet should be taken twice daily to reduce inflammation and pain. The groin pain at nodes is due to referred pain of infection and inflammation. it will get reduced as the inflammation subsides.

3. Additionally if there is any irritation or itching is present then can take tablet “Loratadine” or "Deslotatadine" tablet by mouth up to three to four times also if the itching is more.

Do not try to attempt anal intercourse again for few weeks as can cause aggravation of the problem. Do avoid vaginal intercourse for few days. During vaginal intercourse also it is better to be very gentle till complete healing.

I hope these informations will help you.

With regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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