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i had a perianal abscess operation around 5 weeks back. I have been off antibiotics and the regular dressings for around 10 days. However, I still have pain around that area as well as regular little discharge of pus from the wound. . The histopathology report mentioned the following: Nature of Material received: Left perineal abscess wall Gross description: Received a single greyish brown congested irregular ring 1.7 x 1.5 x 1 cm Microscopic description: Biopsy shows fibrosis in skeletal muscle and adipose tissue. One of the fragments shows a sinus tract with a foreign body type granuloma The discharge summary was as follows: Diagnosis Left perianal abscess + Left middle finger abscess Presenting Complaints: Left perianal abscess + Left middle finger abscess incision and drainage Patient had fever since 3-4 days Condition on admission: O/E-GC: T: Afebrile at admission P: 80/min RR: 20/min BP: 120/80 mmHg Pain + S/E: CVS: NAD RS: NAD P/A: NAD Treatment given during hospitalization: Inj. Metrogyl Inj. Formic Inj. Perfalgan Inj. Pantop Inj. Emeset Inj. Tramadol Course of hospitalization: Uneventful Pus c/s (Perianal abscess) E-coli, ESBL producing sensitive to augmentin Investigation reports: Hb: 14.2 WBC: 14700 - (N) 80 Plt: 158 RBS: 95.5 Condition at discharge: O/E-GC: T: Afebrile at admission Pain at operated site P: 89/min BP: 120/80 mmHg S/E: CVS: NAD RS: NAD P/A: NAD Treatment at discharge: Augmentin 625 mg 1-1-1 Zorno 200 mg 1-0-1 Voveron 1-0-1 Pantop 1-0-1

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Dr. Ramesh Madan answered : 11 years ago

Hi,

If you still have pain and pus discharge around that area then , either the infection is there again because it was not cleared properly( the pus drainage was not done properly ) or either it might have formed again because you might be having some co exsistent problem which probably went un diagnosed .
Are you a diabetic ?
Any other problem you might be having or any disease treatment you might have taken for pretty long in past ?
Treatment givento you otherwise medically was fine no problems with that .
You will have to get it checked as to why did that happen to you again and the pus will also be drained again and antibiotics course will also be given again but be sure that you are not a diabetic or having any concurrent illness.
Also will prescribe you with warm compression to you in the form of sitz bath which will help the infection to heal better.

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