HomeAnswersInternal Medicineanal fistulaWhy do I have lumps near the anus?

What causes a hard, tender, and warm lump near the anus?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At April 2, 2016
Reviewed AtApril 23, 2024

Patient's Query

Hi doctor,

I am in real pain for the past 9 months and my doctor is clueless after several visits. After a period of 38.6 weeks in latent labor, I had a vacuum-assisted vaginal delivery (first baby). No ultrasound was done on the very day of admission. With crowning left mediolateral episiotomy was given. An extension of 0.5 inches up to the anal sphincter was given and sutured. I gave birth to 7.9 lbs baby girl. After 2-3 days in the hospital, I kept complaining about excessive pain and burning in that suture compared to others. I was told that it was normal. After a month I could barely sit and feed my baby. In the follow-up, the doctor told me it was normal and healing. After 2 months it worsened again and I could feel a hard lump on the left side below my vagina and near the anus. It has been 9 months now after my delivery and every 4th day or once a week I get the lump tender, warm, and hard in between my vagina and anus, along with the discharge of pus or light-colored blood which is immensely painful. It keeps coming back always. I am getting weaker day by day. Mild fever, stiffness in legs, body ache, inability to move and sit when the pus forms until it discharges from a hole that has been there always. The same hole closes each time after discharge. Which doctor should I visit? Please help me urgently. What can this be?

Hi,

Welcome to icliniq.com. I have gone through your complaint. It seems there is fistula (tunnel like passage) formation leading to recurrent perianal abscess in your anogenital area. But it needs to be examined to confirm the diagnosis. I would suggest you to consult an experienced surgeon for further physical examination and have yourself examined. The doctor may advise you to get a fistulogram done. After diagnosis is confirmed, surgical excision of the entire fistulous tract followed by antibiotic medications is the treatment of choice for the recurrent anal abscess.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Srivastava, Sumit
Dr. Srivastava, Sumit

Internal Medicine

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Internal Medicine

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy