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Anal alceration surgery
Hii doctor.. my husband  met wit an accident 2 months bak & he was injured at the anal region after taking to hospital dey did mri scan & performed anal alceration surgery & immediately did sutures as well. But with in 3 days his sutures worn off & doctors told him to let the wound heal openly but its been 2 months since the incident he still gets pain & leakage everyday whiteish pus kind of he is wearing sanitary pads & we could see the leakage still. I hve attached the pictures so plz go through that & let me know what can be done next, he is on complete bed rest since 2 months, he is not on any medication now but only uses t bact cream & metrogel-p.. everyday after bath..plz suggest something so he can get healed faster, one important thing is he used to suffer frm piles before the incident & during accident his external pile blasted with force since den he is not having piles issue so we suspect the wound present right now in picture is the same place which he had piles earlier
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Answers (7)

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Ma’am, this appears to be a traumatic fistula-in-ano. This means there is an abnormal tract or passage connecting the skin near the anus to the anal canal. To plan the appropriate treatment, we need to evaluate the fistula further and determine its exact type and extent, as management varies depending on the type of fistula.
Next Steps
MRI Perineum, evaluation by a general surgeon
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Till then- he can continue warm water sitz bath and creams.
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It looks like a fistula
Next Steps
it should be examined by a proctologist
Health Tips
Take high fiber diet,plenty of fluids to avoid constipation
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It can be fistula or previous wound site Consult for further history and advise
Next Steps
keep area clean and dry
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It can be fistula in ano do sitz bath Consult for further treatment
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Maintain Hygeine and do Sitz bath everyday. The wound heal on its own in due time. The wound given doesn't looks like piles.
Next Steps
Consult a General Surgeon for proper evaluation
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Continuous pus leakage suggest presence of fistula. Better to get it examined by a general surgeon or proctologist. Further investigation may be needed like fistulogram. Secondary intention healing takes time.
Next Steps
Can do sitz bath with lukewarm water.
Health Tips
Maintain local hygiene.
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Get it examined again thoroughly it can be fistula also
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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.