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Anal swelling pain
Swelling posterior half right side anal margin started on 28/12/25. I could feel hardness only on pressing area there was no obvious swelling On 30th i could clearly appreciate swelling.
There is worm crawling feeling and sticky fluid discharge after bowel movements.
I can walk.. run..from begining of pain. I sat for 1 hour on cushion chair.. metal chair causes pain,I just can't sit on yoga posture with folded legs!very uncomfortable.
Pain is very sharp on coughing and after defecation... No improvement at all here even after 5 days. Whenever I cough I feel severe unbearable pain ..then I lie down on bed so pain settles. I can sleep without any discomfort for begining. Is it perianal abcess or thrombosed external piles based on history?
Answers (2)
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Your symptoms are more consistent with perianal abscess than thrombosed piles. As thrombosed piles usually appear as bluish painful lump, and discharge is uncommon.
Next Steps
Please get examined by a surgeon urgently. If an abscess is confirmed, incision and drainage is the definitive treatment.
Health Tips
Don’t delay the treatment as it can lead to fistula formation.
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Dr. Subhankar Chakraborty
General Surgeon
14 yrs exp
Kolkata
It is probably not a case of perianal abscess, thrombosed external piles is indeed a possiblity, Fissure/fistula in ano are also one among differential diagnoses.
Next Steps
kindly visit a general surgeon for clinical examination and further investigations and management.
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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.