What could be the reason for unpleasant odor and redness in anus?

Question

Hello doctor,

I have had an issue with my anus area for a while now. The area is always red, and there is always an unpleasant smell (fish). I do not notice any drainage. I have a history of Pilonidal sinus and abscess. I was tested for a few STD's but not all. I think it may have something to do with the pilonidal sinus, as the two issues were consecutive. I will attach an image that will hopefully help.

Thank you

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

If possible provide me photographs of affected areas that will help me for a better understanding of your skin problem and proper treatment plan. Photographs are required for more accurate diagnosis purposes because treatment given without proper diagnosis can be less helpful.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have seen the picture. (attachment removed to protect patient identity). Yes, it looks like repeated perianal infection with secondary eczematization (infective eczema-like presentation). You can go for pus culture and sensitivity. If possible per anal examination or per rectal colonoscopy. I would suggest you take :

Tablet Cefixime 200 mg twice a day after food for seven days.
Metronidazole 400 mg TDS for seven days.
Flutibact (Fluticasone propionate) cream at night for seven days.
Mupirocin 2 % ointment in the morning and afternoon for seven days.
Levocetirizine 5 mg once a day, at night for 10 days.

I do not have an idea about the availability of medicines over there but you can try or purchase online. Review after seven days.

I hope this helps.

Thank you.