What Causes Painful Swollen Yellowish Scabs Around Anus?

Posted on Thu, 9 Oct 2014

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

Thu, 9 Oct 2014 Answered on

Mon, 3 Nov 2014 Last reviewed on

Question : My anus burns and hurts very bad, you can see little yellowish/brownish scabs around it. And the middle red area is swollen. I'm negative for hsv2 (swab and blood test was done) and was just diagnosed positive for strep in my genital region. This happens for a day or two days then goes away. I was on valtrex and that didnt help. I'm currently on cipro and still got this. I'm also applying colloidal silver, hydrocortisone, antifungal, antibacterial on it. I'm on my second day of cipro. What could this be? I'm scared the cipro isnt going to work and its not being treated correctly. Also, prednisone helps with swelling and discomfort but i cant get that all the time.

Answered by Dr. Dr. Muhammad Sareer Khalil (6 hours later)

Brief Answer:
Add Flagyl n workup for anal fissure n hemorrhoids

Detailed Answer:
Hello and Welcome

I appreciate your concern.

I have read your history carefully. The topical medications which you are using are inappropriate and in excess and need to be stopped.

Ideally you should continue the Ciprofloxacin but i would advise adding Metronidazole ( Flagyl) to this regimen which will cover anaerobes. Your physician will know about the dose.

Topically you may use GTN ( Glyceryltrinitrate ) and a combination of Bacterial Culture Suspension and Hydrocortisone eg Posterisan forte. If pain is severe you may also be advised Topical lidocaine or lignocaine which are local anaesthetics.

You should continue the above regimen for at least two weeks in consult with your primary care physician.

If symptoms persist, I would advise you to consult a General Surgeon. DRE ( Digital Rectal Exam) should be done to rule out hemorrhoids and anal fissure should also be looked for in the initial assessment.

Let me know if you have any query

wishing you best of health

Thanks

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Does hsv1 have any of these symptoms or apperence? I dont feel like i get anything prior to getting these scabs, i just start feeling irritation and these scabsare here. Ive had about 5 of these 'outbreaks' in the past 4 weeks.

Answered by Dr. Dr. Muhammad Sareer Khalil (19 minutes later)

Brief Answer:
explained

Detailed Answer:
hello,

HSV 1 is more commonly associated with oral and facial lesions though just based upon the lesion diagnosis cant be established. Both HSV 1 and 2 can present with similar lesions.

Tzank test can be performed if you are worried about HSV, though it cant differ between HSV 1 and 2. Tissue culture isolation of the virus is the best test available for confirmation of HSV.

You should complete the antibiotics course, and then re evaluate at the follow up visit whether a surgical consult is required or not.

Hope I have answered your query.
If you have any further questions I
will be happy to help If you do not have
any clarifications, you can close the
discussion and rate the answer

Wish you good health.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D