I've been having a lot of swelling and really bad pain in my perineum and one side of my anus. I can feel this firm lump near the anus opening and the whole perineum area is super swollen and firm too. It's incredibly painful and sometimes I get the chills and a fever from all the pain. I've been taking paracetamol to help a bit, but the pain just keeps coming back when it wears off. It's been like this for three days now, and it's just getting worse. I tried sitting in hot water and it gives some temporary relief, but I'm worried. What could this be and how do I treat it?

Answered by 1 Apollo Doctors

Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

Consult Now

Your symptoms, including severe pain, swelling, and a firm lump in the anal region, perineal swelling, chills, fever, and temporary relief with hot sitz baths and paracetamol, suggest a possible perianal abscess or anal fistula consult general surgeon

Dr. Anshul Suggests...

Consult a Colorectal Surgeon

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Answered 04/07/2025

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I have an infection at the 12 o'clock position in my anus and my CRP level is over 16. My doctor recommended surgery but I'm wondering if homeopathy could be an alternative solution for this

BAMS opinion is advised to the pt.

Answered by 1 Apollo Doctors

My dad has been dealing with a fistula for the past 10 years. Should he consider surgery or are there other treatment options we should look into? It's been really tough for him and I'm not sure what the best course of action is.

fistulectomy is advised to the patient.

Answered by 1 Apollo Doctors

I'm having some pretty bad anal pain that started a couple of days ago, and it came on out of nowhere. I noticed the area is a bit hard on one side, and it's really painful. It's making sitting and doing any tough tasks really difficult. Could you tell me what might be causing this and what I can do about it? I'm pretty uncomfortable and could really use some advice.

take rest & drink oral fluids.

Answered by 1 Apollo Doctors

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