Suggest Treatment For Hard And Painful Lump Near The Anus

Posted on Thu, 19 Mar 2015

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

Thu, 19 Mar 2015 Answered on

Thu, 9 Apr 2015 Last reviewed on

Question : Hi i have a large hard and painful lump sort of near my anus. I have had hemerroids before but thiis mass is fairly large and is more off to the side and above the anus not around the hole. It is not bleeding and no signs of any discharge but since last night it is becoming more painful and appears to be turning a slight purplish red color. I tried prepration H but that did nothing. i have had no strainful bowel movments and thought maybe it was an ingrown hair but could not find anything.

Answered by Dr. Deepak Kishore Kaltari (3 hours later)

Brief Answer:
Likely to be infected hematoma

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms

Going by description of symptoms following two possibility needs to be considered

1. Perianal abscess / infected hematoma

2. Pilonodal sinus

Exact diagnosis will depend on clinch examination

It would be very helpful if you could provide me with clinical photograph for me to be able to guide you further.

You can either upload photograph either at upload reports or alternatively email to YYYY@YYYY with subject line " Attention Dr Deepak Kaltari "

Awaiting your response

Take care

Best Regards
Dr Deepak Kaltari
Consultant Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepak Kishore Kaltari (7 hours later)

Good morning. It has changed since last night. It now oozed alot of puss and went diown in size dramatically. After the puss came out now its bleeding slightly bright red and the pain is subsiding. Area now looks like a small sore. Tried to take pic but its in a area that i could not get a good pic of. Should i still see a doctor since the pain is going away?

Answered by Dr. Deepak Kishore Kaltari (3 hours later)

Brief Answer:
Hot Seitz bath will be helpful

Detailed Answer:
Dear Ms

As the pus has drained there should be dramatic improvement in symptoms. I would also suggest you the following

1 . Hot Seitz bath : To a tub of lukewarm water add 2 spoon of antiseptic solution. Sit in it immersing your bottom for 15 to 20 minutes each session twice a day.

This should help in adequate drainage of pus and also relieve pain.

2. After bath clean and dry the area thoroughly and apply local topical antibiotic ointment.

3. Analgesic like Ibuprofen will be helpful

4. Course of antibiotic for 5 days

If the discharge or symptoms persists even after 48 hours then do consult your Physician for further assessment.

Take care

Best Regards
Dr Deepak Kaltari

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar