I am 18. How can I treat my swollen butthole?

Question

Hello doctor,

I am an 18-year-old, and I recently got kicked in my butt, and it caused swelling on my butthole, and it does have sharp pain only if I touch it. It has been there for almost a week and a couple of days.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

At 18 years old, developing a swollen, painful area around the anus after trauma, such as being kicked, suggests the possibility of a perianal hematoma (a painful, blue-purple lump at the anal edge caused by a ruptured blood vessel) or a trauma-induced thrombosed external hemorrhoid (a painful, bluish, hardened lump at the anal verge caused by a blood clot forming in a vein), both of which can appear as a tender lump near the anal opening.

These may be due to rupturing of blood vessels below the surface of the skin due to blunt trauma and lead to localized swelling, pain upon touching, and a blue or purple discoloration of the affected area. If there are no other symptoms like bleeding, discharge, fever, or change in bowel habits, it will probably resolve itself on its own.

Treatment includes applying warm sitz baths two to three times daily, avoiding pressure on the area (for example, sitting for long periods), and using over-the-counter topical anti-inflammatory creams or pain relievers like Ibuprofen if needed. Avoid picking or squeezing the area.

If the swelling increases, becomes extremely painful, develops pus, or does not begin to improve within another week, you should see a doctor or a colorectal specialist (highly trained experts focused on the surgical and medical treatment of diseases affecting the colon, rectum, and anus) to rule out an abscess or infection. While this is not typically a gynecologic issue, it is important to monitor the area and seek care if symptoms worsen or persist.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.