General Surgery

FINDINGS: There is linear T1 hypointense, T2/ STIR hyperintense trans- sphincteric sinus tract measuring 58 mm in length and ~ 4.7 mm in width with internal opening - likely at 11-1 o' clock position. my surgeon advised me for oflox tab for 12 days and now he said take sitz bath only for next 15 days and review after that is this good approach? Associated T2 / STIR hyperintense collection is seen measuring 18.8 mm x 7.5 mm showing diffusion restriction on DWI / ADC mapping. The tract is extending anteriorly with suspicious external opening into the perineum / root of scrotum. Prostate and seminal vesicles show normal shape, size and signal intensity. Urinary Bladder is partially distended and normal. The visualized ileal loops and rectum is normal. No evidence of any ascites or pelvic lymphadenopathy seen. Hip joints and bones of pelvis are normal. IMPRESSION: • Trans-sphincteric fistulous tract with associated abscess as described (Grade 4 according to St. James Classification).

Hello team, my mother is 68 years old and she underwent hernia surgery 7 days ago. Since day one she is experiencing numbness in the outer left  thigh . Could you please suggest if it's a normal or red flag?

I want to have repeat colonoscopy,my last scopy b4 5 years normal,but i have white coat hypertension b.p rises in hospital,though i take amlodac 5 home B.P is controll,can i do colonoscopy?mentally i am very disturb if anyone can tell me how they doctor can perform scopy if B.P is high to due to anxiety

Hi dr,my kid is of 9 years old had surgical circumcision it's been 4 months there are small bumps like sturctures seen near to his private part ridge these bumps are not increasing in size but  when the cloth touching to them my child having little pain also these bumps are not looking good These structures are not getting flatten That's y we r worrying I'm attaching images kindly have a look and help me ...

I have been experiencing hard stools for about 25 days. I notice dark-red blood while passing stool, along with a cutting sensation, burning, and pain around the anus. The pain becomes severe after passing stool and can continue for 4–5 hours or sometimes throughout the day. I want to know whether this could be an anal fissure, hemorrhoids, or another condition, and what treatment or medicine would be appropriate.

I have been diagnosed with a pilonidal sinus, and a general surgeon has examined me and recommended surgery. I also have red, itchy skin around the anal opening and the surrounding area. The itching is still present. I had previously used Castor MF occasionally, but I haven't been applying it recently, and the itching has continued. There is no bleeding or pain during bowel movements. Since I am going to have surgery for the pilonidal sinus, I would like to know: Could the redness and itching be a fungal infection or simple skin irritation? Is it safe to use a simple antifungal cream such as clotrimazole around the anal area, or should I use something else? Should I discuss this specifically with my surgeon before the surgery? Thank you.

Hi, i got fissure, dr has prescribed sucralcoat ano cream for ulcer after BM & cremagel-l before BM. After BM in the morning, only cremagel l reduces spasm through the day. If i use sucral, i feel spasm. Can i mix both creams to get benefit from both??

"18 months ago, I had a smooth  swelling near my anus.( image attached) When touched, it felt smooth like a boiled bubble. About 6 months ago, it disappeared automatically on its own. Now, it has appeared again. What could be the reason for this, and what type of condition might it be? I do not have any other symptoms such as blood in stool, constipation, etc."

There is a swelling above my anal opening when i press it feels large cyst type something under the skin there is no pus till now and there is no blood but the swelling occurs after passing motion and by the time it settle down and nect day same thing reoccur .it starts 10 days earlier i do sitz bath but there is no relief painfull but not horrible on sitting

The report sounds scary, plz help us understand if it includes 3 serious issues? Does it mean there are 3 issues at the same time- stones, cyst and something wrong with cervix also?