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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Lump Starting Around Anus And Spreading Towards Scrotum?

Hello, i am writing because last week i could feel a bulge/lump starting around my anus and spreading towards my scrotum it was 3 inches long, through the next 2 days it got wider and felt much harder to the touch, it got so painful that it would wake me up at night. 3 days later i stood up from my chair and noticed blood had seaped through my clothes, so i undressed and could feel it was a little softer and when i pressed it blood and discoloured liquid splashed onto the floor, there was a foul smell too, like rotting meat. it continued bleeding for a few hours but has more or less deflated back to normal. 2 days on it still shows blood when i touch it with tissue paper and is still quite sore. also i can feel hardening beneath the skin. i am familiar with this horrible smell because i have been complaining to my doctor on and off for 5 years that it comes and goes. in the past i have only smelt it after passing stools. doctor has checked for piles and found none, finally after complaining of sharp stabbing pains and unreachable itching from deep inside the anus i went to hospital and they inserted a camera to have a look but again they find nothing. i have not been to the doctor this time because i always feel rushed when i'm there and feel like i'm wasting his time. i am relieved that i saw the cause of the smell in this instance because in the past the doctor would just look at me with a blank face when i was trying to describe how foul and offensive it was. i would add that for years now i found no matter how thorough i am in cleaning after passing stools i always feel damp/wet 20-30 mins later and need to clean again sometimes its just smelly discoloured substance and others its more stool samples leaking from my anus. it is really bothering me and leads to me not going out of the house. i am 39, 5ft 8inches, overweight at 20 stone. the earliest memory of this smell was 20 years ago but back then i never had any idea where the smell came from, i only knew that my underwear smelt terrible.
Fri, 28 Mar 2014
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General Surgeon 's  Response
HI.
Thanks for an elucidate self-explanatory history!
This is a ''fistula-in-ano''
a classical finding.
Meet a Surgeon practicing proctology- Go for a MRI or conventional based fistulogram to decide whether this is ''low'' or ''high'' fistula as the treatment and prognosis is different for both types.
Get operated , the only sure treatment for possible cure.
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What Causes Painful Lump Starting Around Anus And Spreading Towards Scrotum?

HI. Thanks for an elucidate self-explanatory history! This is a fistula-in-ano a classical finding. Meet a Surgeon practicing proctology- Go for a MRI or conventional based fistulogram to decide whether this is low or high fistula as the treatment and prognosis is different for both types. Get operated , the only sure treatment for possible cure.