Admission

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

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 pro ...

Read Complete Answer

1 Answer

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

hi bobby, your perianal abscess surgery would take atleast 2-3 weeks to heal and slowly the soreness and pain will come down day by day as the wound heals. regular dressings especially after motions is the key to successful healing. The very fact that your pus c/s report mentions E.coli, I just want to make you aware that these bacteria are from the large intestine. The basic question is from where did the bacteria get into the perianal area?? the answer is that there is a small hole in the anus ...

Read Complete Answer

1 Answer

Hi I would really grateful if you can read this and help me.It is getting irritating day by day. On 26 May I was diagnosed with typhoid fever. My widal test result looked like : for typhi O 1:30 to 1:120 was +ve for typhi H 1:30 to 1:120 was +ve for para typhi H 1:30 to 1:60 was +ve for para typhi AH 1:30 to 1:60 was +ve I consulted a doctor and took following medicines for a week 1. OFLOMAC 2. VINZOL DSR 3. KEFPOD 4 multivitamin after i stopped medicine i was ok for about a week but the symptoms started to return a week after i stopped medicine. I again consulted the doctor and he has given me one more week's medicine.. My questions are: 1. Is it normal if typhoid return after a week of complete fine health? 2. How severe is my typhoid from the reports mentioned above? 3. I am having pain in my head temple which is unbearable. Is it normal in typhoid? 4. Fever is repeating and when fever happens i feel chills in body even if AC works at 27 degree. 5. My iron study test showed that Transferrin is low than normal and iron total is low than normal..can this iron be cause of me feeling chills ? 6. Almost everyone i talked to who has experienced typhoid said they were in hospital for min of 5 days. But my doctor did not even talk about hospital admission. Is hospital admission necessary? 7. How to be sure that now typhoid won't return or has been eliminated completely.? I would be really grateful if you can answer my queries as now I have been fed up with these problems. Thanks in advance

i thin your diagnosis is missguided. plz do proper consultation ...

Read Complete Answer

Dr. Ramesh Madan

Internal Medicine
New Delhi, India
518 Doc Points

Dr. Pravin Gore

Colon and Rectal Surgeon
Mumbai, India
474 Doc Points

Dr. Mr Akash

General Physician
Pune, India
119 Doc Points

Heart Care

Cardiovascular medicine

India

Shri Sharada Eye Hospital

Ophthalmology
Stadium Road, Infront of Assumption College of Nursing
Wayanad, India

BR HEALTH CARE

Orthopaedic
NS 7 MIYANWALI NAGAR PASCHIM, VIHAR
New Delhi, India

Horizon health care clinic

General Physician
shop no. 107, Sharda avenue complex, opp Vijay Apartment, Vavol, Gandhinagar, Gujarat. , near Hotel Belan
Gandhinagar, India

kodalkar surgical and maternity hospital

India

Hope Veterinary Clinic

Veterinary
61, Lakeshore Shopping Complex, Mantra City Road , Opposite to ABC Petrol Pump
Pune, India

AL DUA HOSPITAL

General Physician
OPPOSITE HALEEMA HOSPITAL , NEAR BILAL MASJID
Malerkotla, India

supriya hospital

India

SHIVA A.R.Hospital

General Practice
No. 18, 1st cross, Magadi Road, Bangalore 560023 , bosco yuvakendra
Bangalore, India

trimurti

India

Find latest answers to Admission questions, Admission articles, Admission news and clinic/doctors who deal with Admission.

SPECIALIST IN MAJOR CITIES