Red painful burning rash around anus
by Cwilliams1989, Dec 13, 2010
I've had a bunch of problems all at once recently really.And I'm sorry for going into graphic detail ahead of time. But if its possible that all of my symptoms are related, I'd like to give the full story. So, with that being said, I just had sex about a week ago and tore my perineum, so I've been trying to be extra careful with cleansing because it is so sore. I started my period a few days after that so that added to my issue of cleanliness (I bleed heavily so I have to use a tampon and a pad as backup for overflow protection). Perhaps my first mistake in my "cleanliness" was wiping with a cold, wet washcloth instead of with toilet paper? It burned when I went pee (in ran into the tear), so I used that to cool off and keep clean. Well, I also had a short bout of constipation followed by diarrhea. Once again, trying to keep clean with a wet washcloth because of the soreness of my cut.

It's been a few days now that I've been doing this and I've got this really awful red rash (little bumps, some dark red like they've broken open and bled at some point) around my anus now (its gotten worse over the past few days, starting out as just soreness, then felt like maybe I scraped it from wiping so much, then the burning, and now it's unbearable). It burns like the dickens and is really painful to walk, sit, stand, anything. If my cheeks are touching, it hurts. The only relief I get is in a warm bath or if I separate my cheeks. I've tried a diaper rash cream that is compared to Desitin, thinking it might soothe it and it burned worse. Plus it was really hard to get off, which hurt worse. I thought maybe to try Preparation H (it was a kind that said "Cooling" on it), thinking that would soothe it and that felt like I'd taken a match to my sore skin. I had to take it off immediately. Definitely did not "cool" as promised. Quite the opposite. And then my mom gave me a "Creamy Petroleum Jelly" to try. This soothed one side that is just red and irritated and burned the other side that looked to be broken open. After a few minutes, the burning eased and I was okay for a few hours. Then the burning came back with a vengeance. I took a bath, wiping away all of it, and found that the rash has spread over more area now, and hurts just as badly.

What in the world could this painful burning be? And how do I treat this mess? It seems anything I put on the site to relieve the pain, just makes it worse. Please help!
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Member Comments (9)
by Cwilliams1989, Dec 14, 2010
So, the pain is getting worse. I feel like I have a chemical burn or something (I've been burned by Nair in the past on my legs and it took skin off. This feels very much the same as that) ... and have not the slightest idea what it is, or how to treat it. It seems to be weeping now? Possibly? Whatever it is feels sort of oily to the touch and is sort of an orange color against something white, but looks clear against skin.

Any ideas what this could possibly be and how I can treat it? I work in retail and have to walk around a lot as part of my job... so I think that irritates it some too what with the friction of walking and such. It feels awful!
by Bhupinder Kaur, MDBlank, Dec 18, 2010
These bumps can be due to boils, infected hair follicles or abscess, herpes sores or hemorrhoids or anal fissure. Apply hot compresses on the boil. You need to consult a doctor for its drainage or for prescription of antibiotics.

Also get herpes ruled out from a dermatologist. The only way of ruling it out is by getting yourself tested for genital herpes. Laboratory tests include: culture of the virus, direct fluorescent antibody (DFA) studies to detect virus, skin biopsy, and polymerase chain reaction (PCR) to test for presence of viral DNA. I sincerely advise you to consult a dermatologist and get it ruled out.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

by Cwilliams1989, Dec 19, 2010
I haven't been able to get to a doctor yet about it, but it seems to be going away. It's still a little sore, but it's definitely clearing up from the looks of it. I tried just not putting anything on it and keeping it as clean and dry as possible. Whenever it burned too bad to deal with, I'd use a cool wet washcloth just to cool it down and then let it air dry. It seemed to still burn, but not as badly. I tried warm water instead and that seemed to make the burn go away almost completely for a time.

I'll definitely get it checked out when I get a chance (Holiday season working in retail means not very many days off, plus I'm moving), but I am happy to see it slowly leaving.  

If it were herpes, wouldn't I have these sores in other spots as well? I doubt it could be that, but I was just wondering. And if it's not herpes, is there any way something like this could be stress induced? I've been under quite a bit of it lately.
by Bhupinder Kaur, MDBlank, Dec 20, 2010
Yes it can be boils or abscess also. Boil is usually due to plugged sweat glands that become infected or by an ingrown hair. But on account of your unprotected intercourse history, the possibility of herpes also needs to be ruled out. Till that time, Apply warm compresses on the bump and keep the area clean. Drainage of the boil is done only when it becomes soft and forms a head. Take some over the counter pain reliever and consult a doctor for examination and antibiotics prescription.

I hope it helps. Take care and regards.

by Cwilliams1989, Feb 14, 2011
Just thought I would follow up on this in case anyone else seems to get this problem.

This finally went away on it's own. Whenever I went to the bathroom or the pain/burning got to be too much, I'd wet a washcloth with cold water and dab at the area to cool it down, not wiping because that would hurt more. Just press against the area. Do the same to dry off. Don't apply anything to it because apparently it was anything moist on it (creams or whatever) that made it worse. I had to keep cooling the area down more often, but it still helped a lot more than applying creams.
After a few days of doing this and soaking in the bath as often as possible, the pain grew less and less. I was able to actually wipe again instead of dabbing at the area to clean as much as possible. And it just finally went away after keeping up the routine. :)
by Kris22562, Nov 18, 2012
Hi, I believe I am having the same issue you had.  I went to the Dr the other day and she said that she has never seen anything like it, lol.  She doesnt believe it is an STD but more of a staph infection.  She put me on two antibiotics (metronidazole and ciprofloxacin).  The rash does seem to be getting better (in only two days) but I woke up this morning and it feels irritated again.  I was so scared that it might of had something to do with my boyfriend but she said no, not to worry.  I am just hoping that is totally goes away SOON!!!
by KGTC333, Mar 19, 2013
I have the same problem right now, I can't sleep because whatever position im in its painful.
Did you take cold baths to soothe it? I just want it to go but just don't know what to do!
Through the days at work it's hard to do anything to help it and by the end of the day I'm in pain down there.
Please help with whatever advice! Be really helpful!
by questionsnanswers, Mar 26, 2014
I am having the same issue ... this is my second time and it is almost 1 year to the day ... I went to the urgent care the first time was tested for herpes the test was negative (I knew it would be) then they said maybe shingles since I have had chicken pocks, the third test was crones and colitis .... I have had EVERY test and all came back negative ... finally went away still have NO accurate diagnosis and it is back! I completely believe it is stress induced, the only thing that has changed in my ever predictable schedule is that I am working out regularly possibly sweat and stress induced.
by drumania, May 14, 2014
Hi i have this problem and it come and goes! I get a red rash around the anus and it is burning like hell! It actually gets so bad that i can't even make an poop or should i say the poop is not so much the problem it is the wiping clean afterwards that is the *****!  I really need to find out what the problem is so i can fix it because it's driving me nuts and the burning is bad!