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Can a recurring perianal abscess with a seed heal naturally?

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

Patient's Query

Hi doctor,

I had constipation for a few days, which led to a solid stool being passed, creating a small fissure inside. I did not think anything of it, but a few days later, the pain developed in my perineum area. I thought it was hemorrhoid, and I went to get a cream or medication for it. The medicine was not working. So I suspected it was not the right thing. I went to a specialist who did a physical assessment and told me it was an abscess, and the only solution was surgery. I did not want to pursue surgery, so they gave me antibiotics. I took them, but the abscess never went away completely. A few weeks later, it tunneled out, and a pimple-like area appeared about an inch to the left on my left buttock area. It has almost healed, followed by a week of swelling and slight pus discharge. Two months after it broke through my skin, I passed a black seed through the small hole opening. Two weeks ago, I saw another dark object surfacing toward the hole, and once it was close enough to grab with tweezers, I pulled it out. It was the shell of a seed. How can I heal this naturally? Since I have passed two seed-like objects through this hole, can I soon expect to have this healed? Please help.

Thank you.

Answered by Dr. Mian Shah Yousaf

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a dedicated medical gastroenterologist with expertise in diagnosing and managing a wide range of digestive system disorders. He has experience treating conditions affecting the esophagus, stomach, liver, pancreas, gallbladder, and intestines, including acid reflux, gastritis, liver diseases, inflammatory bowel disease, and other gastrointestinal conditions. Dr. Mian Shah Yousaf focuses on accurate diagnosis, evidence-based treatment, and personalized care tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Mian Shah Yousaf is committed to helping patients achieve better digestive health and long-term well-being through comprehensive medical care.

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

Hi,

Welcome to icliniq.com.

I understand your concern.

Your history is suggestive of a perianal abscess or fistula. According to me, it is more like a fistula-in-ano. It usually improves with antibiotics, but if it is recurring, it may need surgery. A natural way of helping out is that your stools should be soft, so you must add more fiber to your food. I suggest you clean the wound with antiseptics daily.

I hope this information will help you. If you have any further queries, you can get back to me anytime.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Are these antibiotics specifically to treat this particular issue? And are they both needed or can I take one of the two?

Thank you.

Answered by Dr. Mian Shah Yousaf

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a dedicated medical gastroenterologist with expertise in diagnosing and managing a wide range of digestive system disorders. He has experience treating conditions affecting the esophagus, stomach, liver, pancreas, gallbladder, and intestines, including acid reflux, gastritis, liver diseases, inflammatory bowel disease, and other gastrointestinal conditions. Dr. Mian Shah Yousaf focuses on accurate diagnosis, evidence-based treatment, and personalized care tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Mian Shah Yousaf is committed to helping patients achieve better digestive health and long-term well-being through comprehensive medical care.

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

Hi,

Welcome back to icliniq.com.

I understand your concern.

You need to take both antibiotics, as these are in combination, which will increase the chances of healing. Both of them are used specifically for this issue. Consult your doctor and take medicines accordingly.

I hope this information will help you.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I am allergic to Penicillin. Is there anything else you can recommend?

Thank you.

Answered by Dr. Mian Shah Yousaf

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a dedicated medical gastroenterologist with expertise in diagnosing and managing a wide range of digestive system disorders. He has experience treating conditions affecting the esophagus, stomach, liver, pancreas, gallbladder, and intestines, including acid reflux, gastritis, liver diseases, inflammatory bowel disease, and other gastrointestinal conditions. Dr. Mian Shah Yousaf focuses on accurate diagnosis, evidence-based treatment, and personalized care tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Mian Shah Yousaf is committed to helping patients achieve better digestive health and long-term well-being through comprehensive medical care.

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

Hi,

Welcome back to icliniq.com.

You can use it, as none of these is Penicillin, and neither has cross-reaction. It can be used safely..

Please revert in case of more queries.

Thank you.

Patient's Query

Hi doctor,

Thanks for your reply.

Can I take the medicines at the same time? Or should I space them out from each other?

Thank you.

Answered by Dr. Mian Shah Yousaf

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a dedicated medical gastroenterologist with expertise in diagnosing and managing a wide range of digestive system disorders. He has experience treating conditions affecting the esophagus, stomach, liver, pancreas, gallbladder, and intestines, including acid reflux, gastritis, liver diseases, inflammatory bowel disease, and other gastrointestinal conditions. Dr. Mian Shah Yousaf focuses on accurate diagnosis, evidence-based treatment, and personalized care tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Mian Shah Yousaf is committed to helping patients achieve better digestive health and long-term well-being through comprehensive medical care.

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

Hi,

Welcome back to icliniq.com.

I understand your concern.

You can take these medicines at the same time. There is no problem with it.

Please revert in case of further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At August 18, 2023
Reviewed At October 8, 2025

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a dedicated medical gastroenterologist with expertise in diagnosing and managing a wide range of digestive system disorders. He has experience treating conditions affecting the esophagus, stomach, liver, pancreas, gallbladder, and intestines, including acid reflux, gastritis, liver diseases, inflammatory bowel disease, and other gastrointestinal conditions. Dr. Mian Shah Yousaf focuses on accurate diagnosis, evidence-based treatment, and personalized care tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Mian Shah Yousaf is committed to helping patients achieve better digestive health and long-term well-being through comprehensive medical care.

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:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a dedicated medical gastroenterologist with expertise in diagnosing and managing a wide range of digestive system disorders. He has experience treating conditions affecting the esophagus, stomach, liver, pancreas, gallbladder, and intestines, including acid reflux, gastritis, liver diseases, inflammatory bowel disease, and other gastrointestinal conditions. Dr. Mian Shah Yousaf focuses on accurate diagnosis, evidence-based treatment, and personalized care tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Mian Shah Yousaf is committed to helping patients achieve better digestive health and long-term well-being through comprehensive medical care.

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

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