Painful, bleeding pimple in anus. Is it piles?

Question

Hi doctor,

I am a 42-year-old male. I have been having a lot of pain while passing stools for the past one week. The pain used to last for three to four hours. Off late, have noticed a pimple-like growth near the anus. Also, I have found traces of blood and a greenish mucus on my underwear. Are these piles? What can I do to relieve the symptoms? I had an internal anal fissure four years back. I currently take Micardis for hypertension.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for attaching the picture (attachment removed to protect patient identity). I have checked it.

It is anal fissures which are due to long-standing constipation. In such a case, if it is painful, you should visit a general surgeon to check it further and see if there are any other fissures.They usually bleed when you pass a hard stool. So, first of all, I would recommend you to eat more veggies and fruits. It will make your stool normal. And please take, syrup Cremaffin (Paraffin and Milk of Magnesia) uses 2 teaspoons once a day for five days, and you will have a normal stool. Once you pass stool normally, you can stop taking it.

Please tell me,

Since when do you have this pimple?
Are you able to pass stool regularly?
Do you have any abdominal pain?
Was there a lot of blood in the stool?

Please answer so I can prescribe medicine accordingly.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Along with that, please take, Tablet Amoxicillin 500 mg twice a day for five days. And apply Hydrocortisone cream on that pimple twice a day after cleaning. If anything else, please message me anytime.

Thank you.