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

Find a Colorectal Surgeon

Answered 04/07/2025

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I'm dealing with these recurring anal fissures, and it's really uncomfortable. Right now, they're not active, but I'm worried about them coming back again in the future. I've heard Ayurveda can help, and I'm interested in treatments that might stop this from happening. Any advice on what to try?

Visit your Physician for evaluation and appropriate management

Answered by 1 Apollo Doctors

I've had an anal fissure at the 6 o'clock position for the last two months and been using laxatives and ointments. There's also some external bulging at 11 o'clock, but my doctor said it's normal due to the fissure and constipation. Will this heal with just medicine or will I eventually need surgery? I'm currently doing ayurvedic treatment too.

please approach a surgeon in apollo hospital

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I've got this 12-inch soft skin lump hanging around the wrinkle part of my anus, and it's been there for over a year. It's flesh-colored and hasn't caused me any discomfort at all. I'm just wondering, will this lump eventually go away on its own, or is it likely to just stick around?

Go and meet genral surgeon

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.