How can a deep wound around the anus be treated?

Question

Hello doctor,

I am 35 years old, and I have a deep wound around the anus. I have been taking Cefixime dispersible tablets 200 mg for the last two weeks. However, the wound is not getting dry; please advise me.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concerns.

From what you mentioned, there are many differentials, for example, anal fissures, piles, and perianal fistula. So, I need to know more details like: Is there any pain during defecation? Is there any blood on the paper? Any constipation or hard stool? And since when did it start?

Please send me the details in the follow-up query.

Answer 2

Hello,

Welcome back to icliniq.com.

I have checked your photo (attachment removed to protect patient identity). The differentials for this lesion include Fournier's gangrene (necrotizing tissue), Crohn's perianal disease, and malignancy is a low possibility but on the list.

My advice:

1) Seek advice in an outpatient surgery clinic, as a physical examination is required.

2) Blood glucose levels and HIV status should be checked to exclude immunity issues. Please provide me with the results if already done.

3) Antibiotic therapy with Ceftriaxone 2 g per day for one week (after consulting your treating physician ), Brufen 600 mg as a painkiller when required, and daily dressing for the lesion are required.

If there is a high fever or disturbed consciousness level, a medical assessment in the ER would be necessary.

Follow up after one week.

I hope you get well soon.