I Have Slight Swelling In The Anus Area, It Causes

Posted on Wed, 8 May 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 8 May 2019 Answered on

Last reviewed on

Question : I have slight swelling in the anus area, it causes discomfort during passage of motion sometimes not always. No pain or discomfort is noticed. What medication should I take ?

Answered by Dr. Hari Charan Perigela (6 hours later)

Brief Answer:
It could be Sentinel pile

Detailed Answer:
Hi
Sentinel pile is a small swelling near the Anal opening caused due to Anal.Fissure.It is not a True Pile.
You should drink plenty of liquids,eat fresh fruits and vegetables.You should avoid Carbonated drinks, Spicy food.It's better to stop Non vegetarian food .
If your stool is soft, there will be no discomfort or pain.
I prescribe Laxative like Lactulose 10ml at night for loose stool.Anti inflammatory tablet will be given if there is severe pain.
If there is no response with above measures,then it can be.removed by Surgery.It is a simple procedure.Nothing to worry.
Hope I answered your query.If you have any questions,I will clarify further.
Wish you good health
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hari Charan Perigela (18 days later)

Doctor I had some severe pain since few days , it seems swelling has increased

Answered by Dr. Hari Charan Perigela (13 minutes later)

Brief Answer:
It could be Thrombosed pile

Detailed Answer:
Hi
As per your description,it could be a Thrombosed pile.
I prefer to remove it under Anaesthesia.
Please consult your doctor and proceed further.
Follow the dietary habits as told previously.
Stop Non vegetarian food.
Some doctors reduce edema of the swelling by putting local medication like Magnesium sulphate dressings.But,I prefer to remove it completely for immediate relief.
Nothing to worry.
Please consult your doctor and proceed further
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hari Charan Perigela (26 minutes later)

should I take some anti-inflammatory tablet will that help

Answered by Dr. Hari Charan Perigela (4 minutes later)

Brief Answer:
It will help

Detailed Answer:
Hi
Anti inflammatory tablet will help to relieve pain temporarily.
Exact Diagnosis can be made only after Clinical examination.
Sometimes,a peri anal abscess may occur where Surgery has to be done immediately for immediate relief.
Nothing to worry.
Please consult your Surgeon and proceed accordingly.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hari Charan Perigela (7 hours later)

can you prescribe some medicine so that it gives temporary relief , I will show a doctor after fixing an appointment

Follow up: Dr. Hari Charan Perigela (0 minute later)

thanks doctor

Answered by Dr. Hari Charan Perigela (3 minutes later)

Brief Answer:
Anti-inflammatory tablet will help

Detailed Answer:
Hi
I prescribe Anti inflammatory tablet containing Aceclofenac, Paracetamol and also Antibiotics like Levofloxacin 250mg and Metronidazole 400mg to my patients with similar complaints.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hari Charan Perigela (17 minutes later)

doctor what about the dosage ?

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
Anti inflammatory tablet is twice daily

Detailed Answer:
Hi
Antibiotic Levofloxacin 250mg twice daily after food, Metronidazole 400mg thrice daily after food.
Aceclofenac 100mg twice daily after food.
Paracetamol 600mg thrice daily.
Aceclofenac+Paracetamol combination single tablet twice daily after food.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hari Charan Perigela (20 minutes later)

doctor thanks ,this is for how many days?

Answered by Dr. Hari Charan Perigela (1 minute later)

Brief Answer:
This is for 5 to 7 days

Detailed Answer:
Hi
You can take this treatment for 5 days to 1 week.
But, Consult your doctor if pain increases.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T