A few years back, I started developing some itching on anus. However, I did not pay any attention to the same. For past 6 to 8 months, I was having pain in anal region which was aggravated by long sitting, cycling. I self clicked the photographs and saw two boils on anus.
Can some expert tell me, what is it? And is there any treatment available for it.
Which doctors should I approach for its treatment???
Answers (14)
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Based on your description:
• Long-standing anal itching
• Pain aggravated by sitting/cycling
• Two “boil-like” swellings
• Duration 6–8 months
Most likely possibilities:
1️⃣ External hemorrhoids (piles)
2️⃣ Thrombosed external hemorrhoid (if painful and bluish)
3️⃣ Perianal abscess (if painful, warm, increasing in size)
4️⃣ Anal fistula opening (if there is discharge)
5️⃣ Perianal skin tags from chronic irritation
Since symptoms are chronic and worsen with pressure (sitting, cycling), external hemorrhoids or thrombosed piles are most likely.
True boils (infected abscess) usually cause:
• Severe throbbing pain
• Fever
• Increasing swelling
If that is not happening, abscess is less likely.
Without examination, exact diagnosis cannot be confirmed because perianal conditions look similar.
Next Steps
✔ Consult a General Surgeon or Proctologist (Colorectal Surgeon)
✔ Physical examination (usually quick and simple)
✔ If required, proctoscopy
Treatment depends on diagnosis:
If hemorrhoids:
• Stool softeners
• Sitz bath
• Topical ointment
• Dietary fiber
• In some cases: banding or minor procedure
If abscess:
• Requires drainage (cannot be treated only with medicines)
Do NOT:
• Self-apply steroid creams long-term
• Ignore pain for months
Health Tips
✔ Increase fiber intake (vegetables, fruits, psyllium husk)
✔ Drink 2.5–3 litres water
✔ Avoid prolonged sitting
✔ Avoid straining during bowel movement
✔ Warm sitz bath 10–15 mins twice daily
Chronic anal itching + swelling for months should not be ignored because untreated hemorrhoids or fistula can worsen.
Since you already have visible lesions and pain for 6–8 months, proper examination is strongly recommended. If you’d like, you can describe the swelling (color, discharge, bleeding), and I can guide you more specifically before you visit a surgeon.
Booking an online consultation will allow structured assessment and help you approach the right specialist confidently.
Hello,
Based on your symptoms (itching first, now pain aggravated by sitting and cycling, and two swellings), this could be external hemorrhoids, anal abscess, or infected boils. It needs physical examination to confirm.
Since pain is present for months, do not ignore it.
What you should do:
• Consult a General Surgeon or Proctologist
• Avoid prolonged sitting
• Do warm sitz bath 10–15 mins twice daily
• Maintain soft stools (high fiber + water)
Treatment depends on diagnosis — it may need medicines or a small procedure if abscess is present.
This condition requires proper examination, so I strongly recommend a direct consultation for correct diagnosis and treatment plan.
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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