- male
- 30 Years
- 29/01/2025
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
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
Answered 04/07/2025
0
0
More Colorectal Surgery Health Queries
View allIs there a permanent surgical fix for anal fissures even if I keep having hard stools without a clear cause but want to make sure the fissure doesn't come back
LATERAL INTERNAL SPHINCTEROTOMY Precise and controlled division of the internal anal sphincter muscle is a highly effective and commonly used method to treat chronic and refractory anal fissures, with success rates reported to be over 90%.
Answered by 1 Apollo Doctors
I have both internal and external hemorrhoids but no pain or itching yet One doctor recommended surgery for a permanent fix Should I get surgery right away and if so which method is best hemorrhoidectomy stapled hemorrhoidectomy PPH rubber band ligation or lateral internal sphincterotomy Or should I stick with meds for now
While having both internal and external hemorrhoids can be a concern, the presence of pain and/or itching may not always necessitate immediate surgery. A doctor's recommendation for surgery, especially a permanent fix, should be discussed thoroughly considering the severity of symptoms and the potential benefits and risks of different surgical options. If you are experiencing no pain or itching, and hemorrhoids are relatively small, non-surgical treatments like rubber band ligation or sclerotherapy may be considered first. Surgical options like hemorrhoidectomy, stapled hemorrhoidectomy (PPH), or lateral internal sphincterotomy are usually reserved for more severe cases or when other treatments have failed
Answered by 1 Apollo Doctors
I've been having small internal piles and sometimes struggle to pass stool naturally it feels like I can't apply enough pressure during bowel movements. Is laser treatment necessary for something this minor, and how safe is surgery for internal piles?
For minor internal piles and occasional difficulty passing stool, laser treatment is generally not the first line of treatment. Conservative measures like dietary changes, fiber supplements, and stool softeners often provide relief. While laser treatment is safe and effective for some cases, it's not typically needed for mild symptoms. Surgery for internal piles is also generally safe and effective, but it's typically reserved for more severe cases or when conservative measures fail.
Answered by 1 Apollo Doctors
Health Articles for you
View all
.webp)
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.