anus inflammed

[well766]

can you help me? my anus have inflammation one inch long. its paining and when i touch it, it is hard and painful. can u tell me what is it? and tell me how to treat this.

[Christopher R Watters, MD]

If you are out a week from the onset you probably don't need to do anything as it will gradually resolve on it's own. The pain should reduce significantly but the lump may take 6-8 weeks to go down. If we see patients within a week of onset and with significant pain we will make a small incision and evacuate the clot from the hemorrhoid. This usually gives immediate relief.

[well766]

dear dr. watters

thank you for your time and effort on reviewing my disease
i went to the pharmacist a week ago and tell this problem i have, she said i have this called "PIGSA" in filipino words. she also ask if its paining then i said yes then she recommend me to take antibiotics for killing the bacteria in the form of amoxicillin capsules and mefenamic acid tablet to remove pain then she said to me not to squeeze it just it well heal by itself.
is the pharmacist really sure on here side doc? coz i still have this on me right now and some paining i feel when i dont take mefenamic tab;et?
kindly tell me doc if this is happen mostly to some people coz i think its a tumor or sieze. please doc help me

[Christopher R Watters, MD]

You would appear to have a thrombosed external hemorrhoid. This could be drained by making a small incision and removing the clot or it will gradually resolve by itself.