HomeAnswersGeneral Surgeryanal fistula

Is my painful bump near the anus a fistula-in-ano?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have something near the anus that has been there for a few years, and sometimes it increases in size and is painful, but I feel relieved when it pops. On the other hand, sometimes it is painful when pressure is applied. I have attached the picture.

Please help.

Thank you.

Answered by Dr. Arvind Guru

Education:

MBBS

Professional Bio:

Dr. Arvind Guru is a Surgeon who specializes in Surgical Oncology (Cancer Surgery). He has served as a faculty member at TMH, Mumbai as a Surgical Oncologist. He is a Specialist Cancer Surgeon with extensive years of clinical experience from the best medical institutions. He also attends gastrointestinal cancer surgery (including laparoscopic) for colon, rectum, stomach, esophagus, pancreas, gall bladder, and liver cancers.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

From the attached image (attachment removed to protect the patient's identity), it seems you have repeated perianal abscesses. Usually, a fistula is responsible. This fistula is called a fistula-in-ano or anal fistula and is of several types. Based on the type, the treatment varies.

It requires a physical examination; hence, I suggest you consult your specialist doctor, discuss with them, and take the medicines with their consent. If needed, you will need an MRI (magnetic resonance imaging) of the region.

That should give us a roadmap for the treatment.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Are there any treatments that I can try?

I have tried Fucicort a few times. Does it help?

Thank you.

Answered by Dr. Arvind Guru

Education:

MBBS

Professional Bio:

Dr. Arvind Guru is a Surgeon who specializes in Surgical Oncology (Cancer Surgery). He has served as a faculty member at TMH, Mumbai as a Surgical Oncologist. He is a Specialist Cancer Surgeon with extensive years of clinical experience from the best medical institutions. He also attends gastrointestinal cancer surgery (including laparoscopic) for colon, rectum, stomach, esophagus, pancreas, gall bladder, and liver cancers.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I understand your concern.

A fistula forms over time, and initially, it is just an abscess.

You can try a Sitz bath (soaking the rectal area in a tub of warm water) to relieve symptoms, but a physical examination is necessary.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 21, 2022
Reviewed At December 8, 2025

Education:

MBBS

Professional Bio:

Dr. Arvind Guru is a Surgeon who specializes in Surgical Oncology (Cancer Surgery). He has served as a faculty member at TMH, Mumbai as a Surgical Oncologist. He is a Specialist Cancer Surgeon with extensive years of clinical experience from the best medical institutions. He also attends gastrointestinal cancer surgery (including laparoscopic) for colon, rectum, stomach, esophagus, pancreas, gall bladder, and liver cancers.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Arvind Guru is a Surgeon who specializes in Surgical Oncology (Cancer Surgery). He has served as a faculty member at TMH, Mumbai as a Surgical Oncologist. He is a Specialist Cancer Surgeon with extensive years of clinical experience from the best medical institutions. He also attends gastrointestinal cancer surgery (including laparoscopic) for colon, rectum, stomach, esophagus, pancreas, gall bladder, and liver cancers.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Ask your health query to a doctor online

*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.