An abscess near the upper part of the anal suture on the buttock has been broken and healed for more than a month. At first, I thought it was a boil, and then I pulled out the pus with a poison extraction cream. Then because of the work requirements, I went to the hospital to issue a diagnosis certificate. The doctor looked at it, said that the perianal abscess had flowed out, and then prescribed some medicine. Now the wound has healed for more than a month. Recently, I have heard tiktok and perianal abscess, and I am worried because I heard that anal fistula will be formed if there is an internal fistula. Later, I went to the first of the two three-level hospitals specializing in anorectal surgery these days, and asked me to do a color Doppler ultrasound to say it was hip carbuncle. At the beginning, the second hospital said that it was not like perianal abscess. Let me do a color Doppler ultrasound, and then looked at it. It is estimated that there is hip carbuncle. Now I have a particularly serious anxiety disorder. What can I do in the hospital to check what can I determine whether it is a boil or perianal abscess. There is no internal opening or fistula. Now the wound has healed for more than a month and there is no outflow. The wound healed. There was a little bruise under the hard skin. I don't know if it was silted red. The first picture is when you put on the ointment. The last two are healed
Condition Analysis:
Hello, according to your description and looking at the pictures, the key consideration is carbuncle, which has been cured at present, but it is nothing more than perianal abscess (perianal abscess often forms anal fistula). It is recommended to eat more coarse grain, eat more fruits and vegetables, defecate regularly, avoid constipation, wash after defecation, keep clean and breathe, and often do anal lifting exercise. It can be observed that if it does not recur, there will be no problem. If necessary, go to the anorectal Department of the national regular hospital for treatment.
Guidance:
There is a long abscess in the buttock seam, which may be an anal abscess or a benign anal mass, such as cyst and hairy sinus. Patients also need to exclude tumors. Because the tumor has ulcer, pus like secretion flows out after the ulcer. Some people may mistake it for an abscess.
Condition Analysis:
It is impossible to see whether it is perianal abscess or anal fistula simply from the picture. It is necessary to determine whether the subcutaneous pus cavity or fistula is connected with the anal canal through perianal color Doppler ultrasound or perianal MRI, so as to further clarify the diagnosis. If necessary, radical surgery is needed
