Suggest Treatment For Abscess In Intergluteal Cleft

Posted on Sat, 5 Dec 2015

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

Sat, 5 Dec 2015 Answered on

Tue, 22 Dec 2015 Last reviewed on

Question : About 2 months ago, I scratched an itch in the crack of my buttock. I noticed quite a bit of dead skin came off when I did and it hurt quite badly. Since the, I've had a very painful open area in the upper portion of my buttock crease from the top to about half way down,( it doesn't go all the way to the anus.) I've tried numerous creams and ointments with no success. Can you please tell me what I can use to heal this for good? It's incredibly painful when I sit and when I shower. It has not bled, it's just red and cracked open slightly.

Answered by Dr. Muhammad Hanif (1 hour later)

Brief Answer:
Proper management needed. Start treatment right away!

Detailed Answer:
Thanks for consulting me at virtual clinic. Your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and can well realize all those concerns. Being your physician, I will take care all of them today and will give extend my expertise to solve the problems.

You have got infection on the skin due to scratching and now you need dual antibiotic therapy (oral and topical) as this is very pathogen rich moist area.

If I was your treating Physician I would have prescribed you with:
Cephalexin oral if not allergic to (it is necessary to get rid of the infection).
Neosporin ointment topical.
ProCort ointment topical (it will soothe you and will relieve the itch and inflammation too).
Ibuprofen for pain.

Take a shower with Oatmeal milk and honey body wash. No scented soaps. Keep the wound clean by using an antiseptic.

Take plenty of water and fluids and keep a balanced healthy diet.

Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).

Regards!
DR. HANIF
USA

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