I have a painful pulp outside the ass crack. What is that?

Hello,

Welcome to icliniq.com.

I went through your question. It seems from the picture that you should be having severe pain (attachment removed to protect identity).

This can be the result of thrombosed hemorrhoids, perianal fistula, or a pilonidal sinus. Still, to guide you better I need a few more details.

What is the exact site? Is it the anal orifice or around the anal orifice? Is there any discharge serous or purulent? Is there any kind of bleeding? Do you have a fever? Do you have to complain of constipation or straining in the past?

At present to relieve your symptoms please take tablet Aceclofenac 100 mg per orally twice daily for two days.

After you provide me details, I will add further specific advice.

Hello,

Welcome back to icliniq.com.

Just to reconfirm and let you know in simple terms. If you having swelling at the border of the anus, it most likely to be thrombosed piles (hemorrhoids). And also since you had a history of IRC (infrared coagulation), it is more likely. And if the swelling is slightly away from the margin of the anus it is more likely to be a perianal fistula.

Hello,

Welcome back to icliniq.com.

Only a sitz bath should be enough for a few days. If you are also having constipation or you are reluctant to pass stool due to pain please take laxatives and syrup Lactulose 10 ml at night after food for seven days.