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What is the cause of swollen perineum ?

Saturday I fell backwards and landed on my butt. Next morning when I awoke my perineum was swollen. Ironically I had same problem last year in summer time which turned out to be cyst or large pimple which I kept warm compresses to two heads formed and popped. Unsure if I should treat as same. Swelling has not increased. Been same since Sunday and painful. Thank you.
Asked On : Sat, 28 Apr 2012
Answers:  1 Views:  1408
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General & Family Physician 's  Response

Welcome to Health Care Magic

The present swelling of perineum you have mentioned might be due to the soft tissue injury or a bony injury ( Coccyx injury) due to the fall.

Th swelling you have experienced in the past is called furuncle ( Infection of hair follicle). Warm compresses in the case of furuncle makes it soften there by it ruptures quickly.

But warm compresses in the present condition would just rlieve your pain temporarily.

As i have mentioned earlier the present cause can be either soft tissue injury leading to perineal hematoma or bony injury.

If the pain is mild and your activity is not limited by the swelling. You can just use NSAIDS or specific antiinflammatory drugs like serratio peptidase, trypsin and chymotrypsin or combination of both.

If the pain is severe i would strongly recommend you to go for an X-ray of Sacro Coccygeal bone and if possible Ultrasonogram of Perineum which would rule out the possibility of Hematoma or a fracture.

Wish you good health
take care
Answered: Sat, 28 Apr 2012
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