Pink spot outside rectum

[Mona~on~wheels]

My bp was this morning.
My pca that did my bp didn't mention anything wrong at the start.
But at the very end of my bp,
she said there was a pink spot right on the opening of my rectum.
She said it had 2 pinhead size, pink spots on it like pimples.
She said they might have fluid in them. Too small to be sure.
I have had hemorrhoids before.
But it was bleeding. Not a pink spot.
Do hemorrhoids start out as pink spots?
Or could this be a pressure spot developing on the opening?

I went on & got up today, but probably shouldn't have.
Yes it hurts when I move in the wheelchair.
In fact it's been hurting all week when I tilt in my chair.
My thread earlier this week. I thought it was my bladder.


One more thing for those of you that tilts back. Every time I tilt back I get chills and have to rush real fast & sit back up. Does that happen to anyone? Is the urine draining backwards, back inside me?



http://sci.rutgers.edu/forum/showthread.php?t=109768

Maybe it was this pink spot instead, just coming up.
It's rubbing now when I tilt back.
I had a different pca today, that noticed it.

I'll have my pca read this tomorrow if I have to stay in bed.
Hopefully I won't be down long.
Unless it gets worse from sitting on it today.
Either way I'll read here to figure out my course of action.

Thanks!

[betheny]

Watch carefully. If it swells up real big, hurts badly, then kind of disappears, only to do it all over again, it may be a fistula (http://www.hemorrhoid.net/abscess.php). I'd tape some gauze on it for a few days...if this is happening, a boil will form. When it bursts, discharge will show on the gauze. Wish I'd known to do this! I always wear black underpants so didn't know it was swelling/bursting.

The sooner you know it is or is not a fistula, the better for your health. it is treatable but took weeks for me to get a diagnosis.

It may also be other things, of course. My mom thought she had a boil recently...it was a lymph node gone crazy, due to her undiagnosed lymphoma. (Don't panic! Highly unlikely!)

I'd try antibiotics before letting a GP try to lance a boil, b/c of her experience. If it IS a boil, antibiotics may make it go down temporarily. Fistula or abscess will too, so watch carefully.

Depending on the distance from the rectum, I think hemorrhoid is unlikely.

Can you go to a good colo-rectal specialist? That was my eventual salvation during my Fistula Wars (http://sci.rutgers.edu/forum/showpost.php?p=403945&postcount=6).

Can you soak in the tub, or a sitz bath on the toilet? There is a gadget that connects to your faucet, burbles warm water up from the center of your toilet seat. It can be a lifesaver when you have butt issues. No good for pressure sores, though! Let me know, I can link you to it if needed.

I'll be watching this thread. I feel like a butt pain expert. Sure did my time fighting it. I pray yours will be simple and easily resolved!

[Mona~on~wheels]

Thanks for all the great advise Bethany. You sound like a butt expert. lol Sorry you had the opportunity to learn it all. Fistula I've never heard of that. I'll read up on it. Thanks for the links. No way to soak. Shower only here. Can't get to the toilet either. Have to use shower chair pot. I've been laying back all day. It's hurting and I'm clammy. Mild AD. So I'll be in bed awhile. But I'll get my pca to post here and tell what's going on. I want to be out of bed by Thanksgiving. Christmas the latest. grrrr I don't do bed good. But who does? Thanks for all the kind words about rehab. I saw your sweet picture again, but it was closed so I couldn't post. Adi Thanks I'll go read.
Thanks for you're prayers.

[dunwawry]

Mona,
Typically you will have an abscess before a fistula will develop, if a fistula develops at all. You said that you have been clammy. Are you running a fever? If you are, that is a sign that you need immediate medical attention, that the infection has become systemic. You would need to go to the ER if you couldn't get in to see your doctor right away. Even if it is not systemic, if you have an abscess, it requires medical attention, it will need to be surgically drained, and the earlier the better, as if caught early, it can be done in the doctor's office with local anesthetic versus requiring general anesthesia in the hospital. Antibiotics are not effective as they are not able to reach the pus inside of an abscess, which is why they must be drained. Abscesses typically become very painful within a couple of days, and look and feel like a swollen lump. I hope this is not what you have, they are not much fun.

[SCI-Nurse]

Maybe it is some tpe of irritation of just little pustules. I would just keep it clean and apply some protective ointment an dmaybe a topical antibiotic such as bacitracin and see if it heals on its own. Keep pressure off of it till it starts to heal.

CWO

[Mona~on~wheels]

dunwawry, thanks for your reply I appreciate your help, the clammy feeling is probably AD. Im sure hoping its not a fistula.

CWO, that is more what I was thinking, its got a red swollen area next to the opening and quarter of a inch from there is a tiny white head like a pimple. hopefully that is a pustules like you said, thanks alot I have a pic of it if you have a email that I can send it to you maybe I could send it to you and you could tell me if thats what you think it is.

[Mona~on~wheels]

SCI Nurse please check your emails I just sent you a message thanks Mona

[betheny]

Blechhhh, makes me sick to think that I had abscess before I got that mess of a fistula. It sucks so bad, the reduced sensation. It does explain why my fam says to check under my butt every time something goes missing!

75% of the time, it's there, too.

[Mona~on~wheels]

Well I was in bed for 3 1/2 days. Not 100% but better,
Thanks CWO for cking the pics and letting me know it wasn't an abcess or fistula.