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Pain in sacral area
Hi there,
Past few days I'm suffering from pain between both upper sides of buttock, redness, swelling, lump time feeling. I've consulted general physician already they have prescribed antibiotics and sitz bath. I'm getting temporary relief after taking medicines and sitz bath and again it's starting and also fever has returned. I'm bit worries which specialist do I need to consult. Kindly need your guidance in this matter please help. I've also done bloods tests prescribed by my Dr CBP, crp.
Crp is elevated
In cbp there is esoniphilia.
Kindly help it's humble request
Answers (16)
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The skin shows what we call as ‘peau d’orange’ and with your high eosinophils in the blood and fever, this is almost certainly’Filariasis’.
Do the following,
1. Hetrazan 100mg tablets to be taken 3 times a day with food for at least four weeks
2. Continue with your antibiotics
3. Blood test for Filariasis.
4. In a week blood tests- CBP, LFT (monitoring while on Hetrazan).
Don’t delay starting treatment.
All the best.
www.jgsr-health-education.in
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Most likely you have an abscess in the anal region. If it is relapsing, consult a gen surgeon for incision and drainage.
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Your symptoms — pain between the upper buttocks, redness, swelling, lump, and recurrent fever with elevated CRP — strongly suggest a local infection or abscess in the sacrococcygeal area. The most common condition causing this is Pilonidal Sinus, where a small infected tract or cyst forms in the cleft between the buttocks.
This condition can cause:
• Painful swelling or lump near the tailbone
• Redness and warmth of skin
• Fever when infection increases
• Temporary relief with antibiotics but symptoms returning
Antibiotics and sitz bath can reduce inflammation temporarily, but if an abscess or sinus tract is present, it often requires minor surgical treatment for complete cure.
Your CBC report appears mostly within normal limits except mild eosinophilia, which is not directly related to this infection. The raised CRP supports that there is active inflammation or infection.
Next Steps
You should consult a **General Surgery specialist or Colorectal Surgery specialist. They will examine the area and may advise:
• Ultrasound of the local area if needed
• Incision and drainage if there is an abscess
• Definitive surgery for pilonidal sinus if a sinus tract is present
Continue until consultation:
• Warm sitz bath 3–4 times daily
• Keep the area clean and dry
• Avoid prolonged sitting
If swelling becomes very painful, pus starts discharging, or fever rises, you should seek urgent surgical evaluation.
Health Tips
• Maintain good hygiene of the buttock cleft area.
• Avoid tight clothing and prolonged sitting.
• Hair removal in that region may sometimes be advised after treatment to reduce recurrence.
• Early treatment prevents recurrent infections or chronic sinus formation.
⸻
If you want, you can also tell me whether the lump is exactly in the midline near the tailbone and whether any pus discharge is present, and I can help you confirm whether it is likely pilonidal sinus and guide you about treatment before you see the surgeon.
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Seitz bath to continue.
Tab Augmentine duo625 three times a day after food for 7 to 10 days.
Zerodol sp three times a day after food for 7 days.
Montek lc one at night for 7 days.
Chymoral forte three times a day after food for 10 days.
Bring a tyre from surgical instrument shop n sit over it mostly.
ADVISE
X RAY SACRAL BONE AP N LAT VIEW.
CONSULT SUPERSPECIALIST LIKE ORTHOPEDIC.
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Please consult with general surgeon physically in your area.its completely treatable.
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Hello.
Pain, redness, swelling and a lump in the upper buttock/sacral area with fever can sometimes occur due to a pilonidal infection or abscess. Since symptoms improve temporarily with antibiotics but then return, it may require proper examination and sometimes minor surgical treatment or drainage.
You may consider consulting a General Surgeon for evaluation. Continue sitz baths and keep the area clean and dry.
Since treatment depends on examination findings, a detailed review would be helpful. You may book an online consultation for proper evaluation and personalized treatment guidance.
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Please consult it is manageble.not worrisome.
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The image appears to be a gluteal abscess.If your pain is not relieved with the antibiotic, consult a surgeon in your area,for appropriate management
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Might be an abscess or carbuncle
Next Steps
Visit a general surgeon
Health Tips
Avoid hot compress untill you get to the surgeon
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According to your description it can be a peri anal abscess mostly due to anal fissure.
First you need to consult a general surgeon so that he can aspirate the swelling and confirm whether it is abscess or any other swelling.
If it is an abscess appropriate antibiotics should be used along with sitz bath
Next Steps
consult general surgeon
Health Tips
take more water and fibre to relieve constipation which can aggrevate abscess
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Pls have physical examination with nearby surgeon
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes , it's eosinophilia
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