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Have Red, Sore And Bleeding Fissure In Upper Butt Crack. What Is This?

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Posted on Mon, 4 Nov 2013
Twitter Mon, 4 Nov 2013 Answered on
Twitter Mon, 2 Dec 2013 Last reviewed on
Question : red, sore and bleeding fissure (red line) in upper butt crack, what is it? It started small but is now extending out of butt area onto lower back.
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Answered by Dr. Dr. Ivan Romich (2 hours later)
Brief Answer: hi and welcome to XXXXXXX Detailed Answer: Thanks for the query. It sounds like this is inflammed pylonidal sinus or perianal abscess. In both cases,you need to consult surgeon. Rarely it can be managed only by antibiotics,but in most cases surgical incision and drainage under short general anasthesia is necessary. This is short and simple procedure and pain is immidiately relieved. Later,when inflammation subside,pylonidal sinus can be completely exscised and this is permanent cure. Without surgery,pylonidal synus will flare up in future and complications may develop. So,go to hospital and consult surgeon about further treatment. To relief pain,you can have sitz baths in salty water,use stool softeners and have frequent showers. Wish you good health.feel free to ask. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13886 Questions

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Have Red, Sore And Bleeding Fissure In Upper Butt Crack. What Is This?

Brief Answer: hi and welcome to XXXXXXX Detailed Answer: Thanks for the query. It sounds like this is inflammed pylonidal sinus or perianal abscess. In both cases,you need to consult surgeon. Rarely it can be managed only by antibiotics,but in most cases surgical incision and drainage under short general anasthesia is necessary. This is short and simple procedure and pain is immidiately relieved. Later,when inflammation subside,pylonidal sinus can be completely exscised and this is permanent cure. Without surgery,pylonidal synus will flare up in future and complications may develop. So,go to hospital and consult surgeon about further treatment. To relief pain,you can have sitz baths in salty water,use stool softeners and have frequent showers. Wish you good health.feel free to ask. Regards