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've been dealing with an anal fissure for a year now. At first, the pain wasn't too bad and didn't happen often, but over the last month, it's gotten really bad with constant pain and itching. I've seen 23 doctors and they all say surgery is the way to go. Is there any chance it could be treated without needing an operation?

-I'm sorry to hear about the ongoing discomfort. It's possible to manage an anal fissure without surgery, especially if it hasnt healed despite treatment. You may benefit from lifestyle changes like increasing fiber intake, using stool softeners, and p

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What causes fistula in ano and how does it develop Can it be treated without needing surgery

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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.