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- Fri Oct 16, 2009 10:00 am
I have a swollen area at the bottom on my anus crack. It has a bigger bump in the middle which is leaking bloody puss. It hurts so bad, I can hardly get up or walk. I have had no sexual relations, so Its not anything like an STD. The area was swollen on monday evening, then was bleeding by tuesday noon. Its just gotten worse since then.
I don't know how it happened. I didnt scratch it or anything. Any advice on what to do is greatly appreciated.
| Dr.M.Aroon kamath
- Thu Oct 29, 2009 4:17 am
Your description suggests a pilonidal disease (perhaps which has gone in to form a pilonidal abscess).
'Pilonidal' literally means 'a nest of hairs'.Usually these sinuses contain bunches of hairs in them.Why they form - there are no conclusive answers, but lots of hypotheses.
It is believed to originate from stretching, block and infection occuring in the hair follicle.
Used to be known as the "Jeep Drivers' disease" during the world wars - as it happened almost like an epidemic in some soldiers!
( a combination of sweating and jolting probably contributed to this).Usully occurs in hirsute individuals.
There may be a genetic basis - curiously, persons whose eye- brows meet in the midline are said to be at a higher risk!!
As your abscess has opened up sponteneously, the treatment presently will be along the following lines--- dressings as necessary, antibiotics and keeping the sorrounding area free of hairs (shaving,epilatory cremes or any other means).
You will need an assessment by a surgeon once this acute episode settles down.
| G.S. Voigt
- Fri Oct 30, 2009 1:58 pm
Dr Aroon, I think hit the nail on the head. Pilonidal absesses is not uncommon in hairy persons en it was my first thought too, when reading the history.