Dr. Noushif. M
Surgical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a hard swelling measuring 3/4th finger size from anus on the right side. It hurts while sitting. It started developing five days back and was worst since yesterday. The entire nearby area is sensitive and slightly painful. For your information, I underwent surgery for anal fistula on the left side 52 years back.
I have type II diabetes for past five years and BP for past 12 years. I am 82 years old. Kindly suggest medicine, ointment or injection for instant relief from pain.
Hi,
Welcome to icliniq.com.
It looks like you have a right perianal abscess. It needs to be clinically examined by a surgeon and if required, drained as early as possible.
You need to start antibiotics too as you are diabetic which increases the chance of the infection. My antibiotic preference would be Augmentin duo (Amoxicillin and Clavulanic acid) 1 gm twice daily for five days or Ciplox-TZ (Ciprofloxacin and Tinidazole) twice daily for five days. For pain, you can have tablet Ultracet (Acetaminophen) 1 three times a day or as needed. Consult your specialist doctor, discuss with him or her and take medications with their consent.
For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon
Patient's Query
Thank you doctor,
I have taken tablet Augmentin for five days. There is no pain now, and the swelling is slightly better. It has, however, not softened or ripen yet for draining. Please let me know whether I should continue the tablets for five more days.
Hi,
Welcome back to icliniq.com.
Yes, it is better to continue for 5 more days.
For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon
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Surgical Gastroenterology
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