My anus is red with unpleasant odor and I have a history of pilonidal sinus and abscess. Please help.

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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 required for more accurate diagnosis purpose because treatment given without proper diagnosis can be less helpful.

Hi,

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I have seen the picture. (attachment removed to protect patient identity). Yes, it looks 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. You can start tablet Cefixime 200 mg BD after food for seven days, Metronidazole 400 mg TDS for seven days, Flutibact (Fluticasone propionate) cream at night for seven days, Mupirocin 2% ointment at morning and afternoon for seven days, Levocetirizine 5 mg OD 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.