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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itchy Holes With Puss?

My sister and I have the same oddity. We both have discovered we have 3 small holds starting at the top of our buttocks crack and spaced about 1/4 of an inch apart. The largest hole could fit a round toothpick in it. And from time to time it brings on the most incredible RIGHT NOW ITCH! And then drains with the consistance of runny yougrt. In a tanish color with the most putrid stench! I try to drain it daily as I shower. I can feel a small pocket inside about the size of my pinky tip ( 1st joint ). Once while draining it, it flipped over my tail bone and LITERALLY dropped me to my knees in the shower! My sister s Doctor told her it was her Anel Gland. And that her s drains outside her body. Is this possible? Do we indeed have anel glands like animals? What the heck is this? Do you have any idea? Please help? Embrassed.
Fri, 24 Apr 2015
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General & Family Physician,  's  Response
Hi
Welcome to HCM
I appreciate your concerns for the itchy holes with puss.

I have gone through your problems described in your query.
I am of the opinion that both of you might be having fistulas in ano.


A fistula-in-ano is a hollow tract lined with granulation tissue, connecting a primary opening inside the anal canal to a secondary opening in the perianal skin.
Most fistulas are thought to arise as a result of infection of the anal glands with resultant abscess which is recurrent in nature.

You are therefore advised to consult a surgeon for proper examination and relevant investigations like fistulogram which is done to find out the extent of the tract between the two openings.

The fistulas have to be removed surgically with total excision of the tracts to prevent recurrent infection. Surgical removal can only be attempted after the infection has been controlled with a course of appropriate antibiotics.

Hope this answers your query.

A feed back is appreciated.

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What Causes Itchy Holes With Puss?

Hi Welcome to HCM I appreciate your concerns for the itchy holes with puss. I have gone through your problems described in your query. I am of the opinion that both of you might be having fistulas in ano. A fistula-in-ano is a hollow tract lined with granulation tissue, connecting a primary opening inside the anal canal to a secondary opening in the perianal skin. Most fistulas are thought to arise as a result of infection of the anal glands with resultant abscess which is recurrent in nature. You are therefore advised to consult a surgeon for proper examination and relevant investigations like fistulogram which is done to find out the extent of the tract between the two openings. The fistulas have to be removed surgically with total excision of the tracts to prevent recurrent infection. Surgical removal can only be attempted after the infection has been controlled with a course of appropriate antibiotics. Hope this answers your query. A feed back is appreciated.