Bumps Like Pimples Around The Anus?
at night,rnrnI want to ask you a few things. Currently, around my anus (about a few cm from the anal canal) there are small pimple-like bumps. The lump feels solid when held as if it has contents. If you leave it or hold it, it doesn’t hurt or hurt.rnrnA few times before, I had a similar incident, which was a lump. Then I put Ichtyol ointment and it went flat. However, the current condition does not show any effect when given Ichtyol ointment.rnrnAbout 6 months ago I did undergo perianal abscess surgery, because there was a large lump on the lip of my anus and it was very painful. It’s different from now, where you don’t feel anything but the lump feels solid.rnrnWhat I want to ask:rnrn1. Is my current lump a perianal abscess?rn2. Should an operation/incision be performed?rn3. Any alternative way?rnrnThanks.
Thank you for asking HealthReplies.com.
A perianal abscess is a pus-filled sac that appears around the anus. The condition generally occurs due to an infection that can originate from an anal fistula (an abnormal channel that connects the anus to the outer skin), a sexually transmitted infection, or also spread of infection from a deeper digestive tract, such as in people with diverticulitis, Crohn's disease, or ulcerative colitis. People who often have child sex, take long-term steroid drugs, or have diseases related to the immune system, such as diabetes or HIV/AIDS are at higher risk of developing these abscesses.
Typically, because the cause is inflammation due to infection, the lump that appears due to an abscess will be soft to solid in consistency, painful when pressed, feels warm, red, and can cause the sufferer to feel feverish. Therefore, at a glance from the information you convey, it is possible that the lump you are experiencing around the anus is due to other causes, for example:
Infections, eg genital warts, syphilis, molluscum contagiosum, folliculitis
Hypertrophic scars, keloids (resulting from the formation of post-inflammatory scar tissue, i.e. after healing of an abscess or after surgery)
Hemorrhoids (hemorrhoids, swollen anal veins)
Rectal prolapse (rectum drooping down due to weakening of the pelvic wall)
Tumors, such as cysts, anal cancer, and so on
It is necessary to do a direct examination to be able to distinguish, whether the lump you are experiencing appears due to repeated perianal abscesses or precisely due to other causes. So, it's not enough to make a correct diagnosis based on a brief statement like this. You should visit a doctor at the nearest health facility for an interview and further physical examination. If needed, to find out the cells that make up the lump, the doctor can perform a biopsy, which is by taking a tissue sample from the lump for microscopic examination. That way, the right treatment can be determined, whether it is enough with medication or surgery is needed.
In the meantime, avoid touching or squeezing the lump forcibly, especially using hands that are doubtful of cleanliness. Always clean your intimate organs and anus after every bowel movement. Avoid anal sex and other risky sex. Always wear clean, soft pants and underwear. Lastly, avoid using any ointments or medications on the lumps that appear unless they are prescribed directly by a doctor.
Hope it helps ya..
dr. Nadia Nurotul Fuadah