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It is sentinel pile and you might be having constipation and fissure.
Start with sitz bath
Anovate ointment before and after defecation
High fibre diet
Plenty of fluids
Avoid fried , spicy and non vegetarian food .
Consult a surgeon if pain increases
The swelling appears to be non thrombosed external hemorrhoids.use sitz bath ,apply pilex cream and fucidin cream locally.Consider visiting a surgeon in your area if it becomes increasingly painful and hard to touch
Sitz bath thrice daily
Need antibiotics.. you can start tab zocef cv 500 twice daily after food 5days
Start and stool softener. Syp Duphalac 15 ml bed time.. can connect me on practo
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External piles???
Seitz bath Sit in a tub filled with hot to warm water for 7 to 10 min.
Tab Augmentine duo625 three times a day after food for 7to ten days.
Zerodol sp three times a day after food for five days .
Defcort 500 two times a day after food for 3 weeks.
Take sitz bath, regularly.
Get complete blood count and blood sugar done.
Tab acelofenac 100mg one morning and one evening for 4 days, after meals.
Apply betadine ointment over it, 2 to 3 times daily.
Do some cold compression daily.
You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
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It can be any of the following -
1. Hemorrhoids
2. Anal skin tag with inflammation
3. Perianal abscess in early stage
4. Anal fissure.
You can try sitz bath to get relief from pain. Take a tub and fill the tub with lukewarm water and dip your buttocks into it for 10-15 mins. You can try escot MS cream to relieve pain.
For further assessment kindle consult a general surgeon near you.
Based on the appearance:
Most likely diagnosis: PERIANAL BOIL / FURUNCLE (early abscess)
The features that match:
• Localized round swelling
• Skin looks stretched and shiny
• Slight yellow tip → pointing abscess / pus under skin
• Pain only on touch (common in early boil)
• 3–4 day duration
This does NOT look like:
• Hemorrhoid/pile → those are soft, inside or at anal verge, but can present like this in case of 3rd and 4th grade piles
• Anal fissure → very painful, tear-like
• Fistula → usually has an opening with discharge
• HPV warts → different shape
This looks like a simple infected hair follicle → boil near the anus.
IS THIS SERIOUS?
Right now, it looks early and small, but perianal boils can worsen quickly because:
• Skin is moist
• Bacteria load is higher
• Friction while walking
If it grows, it can turn into a perianal abscess, which might require drainage.
Next Steps
Follow these steps today itself:
1. Hot Sitz Bath
• Sit in warm water (not hot) for 10–15 minutes
• 2–3 times daily
This reduces pain and helps pus come to the surface.
2. Apply Ointment
Apply Mupirocin 2% ointment (T-Bact)
• 2–3 times per day
This directly kills skin bacteria.
3. Pain control
If needed:
• Ibuprofen 400 mg after food (if you have no gastric issues)
4. Avoid squeezing
Do NOT pinch or press the swelling → can worsen infection.
5. Prefer:
• Amoxicillin–Clavulanic acid 625 mg
1 tablet twice daily for 5 days
OR
• Cefixime 200 mg twice daily for 5 days
Health Tips
Please go to a general surgeon within 24–48 hours if ANY of these happens:
• Swelling increases
• Pain increases
• Redness spreads
• Fever develops
• Pus starts coming out
• You have diabetes (important!)
Sometimes a small cut (incision and drainage) gives instant relief.
It is a pile. This is a common problem.
Make sure you are not becoming constipated as straining to pass the motion makes it worse. If needed take a laxative like dulcolax for a few days.
Please see a local surgeon, they can do a simple procedure called banding that can give some relief.
Piles do keep coming back after treatment. So important to keep motions regular and avoid becoming constipated.
All the best.
J G S R
It seems to be a piles, You should consult with general surgeon physically for once to examine it generally so that its grading can be find out
Next Steps
Also you should not be constipated or even your first stool should not be hard, if it occur
Take syrup looz
10 ml in morning and 10 ml in night with luke warm water
Also take tab daflon 500 mg bd for 5 days
Apply smuth cream to affected area, gently rub it until it absorbed,cream should be applied after each bowel movement,
Before application, area should be clean and dry
Health Tips
Also can take sitz bath, sit in a tub with water which should be more than luke warm and add betadine solution to it
Sit atleast for 15 minutes daily for 5 days
It gives you relief from pain by relaxing the muscles, increasing the blood flow
The swelling near the anus looks like an early perianal abscess or inflamed external hemorrhoid. Since pain is mild, it appears to be in the early stage.
Next Steps
• Warm sitz bath 2–3 times daily
• Amoxiclav 625 mg – 1 tab twice daily × 5 days
• Mupirocin ointment externally twice daily
• Syrup Lactulose 15 ml at bedtime to avoid straining
Health Tips
Avoid hard stools and avoid scratching the area. If swelling increases or becomes very painful, you may need a quick physical examination.
From the images and your description, this looks like a localized swelling near the anal margin, most commonly caused by:
✔ Thrombosed external hemorrhoid (a small clot inside a vein, usually painful if touched)
✔ Perianal skin tag getting inflamed
✔ Early perianal abscess (usually becomes painful over time)
✔ Less often, an infected hair follicle or cyst
Since it has been 3 days, is mildly painful, and the swelling is well-defined, this needs proper evaluation to decide whether:
It will settle on its own
You need local care only
Or it requires a small drainage procedure (only if it progresses)
At this stage, I cannot give any medicine without a full assessment because the exact cause changes the treatment completely.
If you want, I can review the photos properly in a private consultation and guide you step-by-step on:
what this swelling actually is
how to reduce it faster
what to avoid so it doesn’t worsen
whether any procedure is needed or not
A short detailed consult will make sure you don’t take the wrong treatment and avoid complications.
You can book a private consultation with me on whatsapp at nine three two six zero two zero five three six, I’ll assess everything clearly and guide you properly.
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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