Not sure what is in my perineum area.

Posted , 4 users are following.

Hi,

(I wasn't too sure what group to put this in but this was the closest thing to my problem i have found)

I have questioned a problem with my perineum/anus area since the beginning of early 2016. I have had this feeling of a bulging lump around my anus. While looking at it, it looks like the skin around the perineum area has became a bit enlarged and stretches into the anus itself just at the bottom part and looks about 0.5cm long on the anus itself. I would have seen a GP for it but i suffer from severe anxiety and find its too embarrassing for me. I'm not sure whether i would classify it as a lump itself but it just expands from the start of the perineum area into the anus. There is no pain and feels soft and hard at the same time? I don't have a problem with passing stools but also feel like just before my menstrual cycle it gets a little bit bigger, and can sort of feel it when i'm standing up.

In conclusion to this, was just wondering if anybody has some sort of idea about what this could be? looking at google i haven't yet found anything too similar to what i have.

Thank you!

0 likes, 10 replies

10 Replies

  • Posted

    It could be a peri-rectal abscess with or without a fistula. I've had them chronically since Dec 2014; eventually lead to an empirical diagnosis of Crohn's disease. That is to simply say, Ive dealt with this quite a bit.

    A very warm sits bath provides some relief. A self exam during a bath at times it feels soft; seems to squish around a bit - liquid trapped in the abscess. At other times in almost the same spot (anterior midline toward front of body from anus), it has felt like a hard lump; very turgid. and its far more uncomfortable - even uneasy to sit or walk sometimes; I believe that has been when abscess is more inflamed and has more fluid. I've had them drain internally through a fistula; that relieves the pressure. And the process begins again.

    If any of that is familiar, I would ask the GP or perhaps OBGYN for a referral to a colo-rectal specialist . Yes, the exams are extremely awkward and embarrassing to say the least, but like any other exam, it becomes less embarrassing and more routinely awkward after the first couple of visits.

    The treatment for them ranges from antibiotics to day surgery. Depends on severity and whether they're chronic. I just had an 8th day surgery since Dec 2014; am hoping and praying we are getting them under control.

    Best,

    Chris

  • Posted

    Hi Lauren,

    I'm sorry to hear about your ailment. Since you are not experiencing any pain it could be a cyst- they're usually filled with sterile water. Associated pain is categorized as an abscess filled with pus. I had one of these next to my anus for about 6 months to a year. I saw a gastroenterologist regarding my issue and he informed me that it was a cyst. He told me to just keep an eye on it and if it didn't go away, he would have to remove it- minor out patient procedure. Whenever I would mess with it, it would get infected and turned into an abscess. I would pop it with a needle because the pressure from the abscess filling with pus would get very painful. Eventually after changing my diet, keeping the area clean, and reducing my stress, the abscess healed and eventually the cyst went away. I've tried many different things so I'm not sure what actually worked:

    Applying diluted Tea Tree oil with a cotton swab twice a day.

    Applying diluted Grapefruit Seed extract with cotton swab twice a day.

    I drank tons of Kombucha and ate lots of probiotics like kimchi and saurkraut.

    Stayed active- exercised daily even if it was stretching for 15-30 minutes.

    Supplemented turmeric and added it to a lot of my foods. Make sure you consume the turmeric with fat. It's the only way you can make it bio-available.

    I too deal with a lot of anxiety and didn't go to the doctor until it got painful. There's really nothing to be embarrassed about. We're human and sometimes our bodies malfunction and go through weird issues. These physicians are used to seeing so many bizarre things. I would get it checked out while it's not so bothersome. Learn from my mistake. Don't wait until the last minute or when it gets unbearable. If a cyst gets infected and becomes an abscess, it can turn into a fistula which is tunnel/passage formed from the abscess and leads into the anal canal. If that happens, you would most likely need a fistulotomy- That's where they slice the fistula channel and lay it flat to prevent further infection. Ouch!

    I wish you the best... these things can be a huge pain in the --- So I totally feel your pain.

  • Posted

    hi, did you find out what the issue was ?

    think i have the same thing

    • Posted

      did the abscess and cyst go away or did it turn into a fistula ? , where was the fistula located and what did it look like?

    • Posted

      I supplemented lots of probiotics. started with drinking kefir, then made sure to eat kimchi and/or saurkraut on a daily basis.

      The cyst would get infected and turn into an abscess whenever I ate pro-inflammatory foods. For me it was primarily grains. I cut out all breads, pastas, beans, legumes. It didn't turn into a fistula. So glad about that. I read that 50% of abcesses will develop fistulas but mine was relatively small and on the surface like a pimple. Hurt and itched like hell though

    • Posted

      If you look at my post, I did upload a picture of mine. Looked like a zit it a hole in the center. I saw a gastroenterologist because I was freaking out thinking it was a fistula. He told me fistulas that need intervention normally stays open and constantly drains pus and fluids.

  • Posted

    hi, did you find out whats going ?

    i think i have this issue

  • Posted

    I supplemented lots of probiotics. started with drinking kefir, then made sure to eat kimchi and/or saurkraut on a daily basis.

    The cyst would get infected and turn into an abscess whenever I ate pro-inflammatory foods. For me it was primarily grains. I cut out all breads, pastas, beans, legumes. It didn't turn into a fistula. So glad about that. I read that 50% of abcesses will develop fistulas but mine was relatively small and on the surface like a pimple. Hurt and itched like hell though.

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