What tests can help to distinguish between a pile, abscess or fistula?Gastroenterology Colorectal Surgery
17-year-old female. For 1 week, I have felt a painful lump inside my rectal area when I walk or sit down. I was diagnosed with internal piles, but one doctor has said that it may be an abscess or fistula. I have not experienced any fever, pus, discharge, or bleeding. Help would be greatly appreciated, thank you!
At your age, it is highly unlikely that the lump you felt is a rectal polyp or growth.
From your description, I think you may be having a thrombosed piles which can remain painful for sometime.
Simple piles treatment from your family doctor may help with the condition.
However, if the pain persist or discharge start to occur at the problematic site, consider getting a review with a specialist for treatment.
At times, a minor surgical procedure may be needed to address the problem. I wish you a speedy recovery.
Dr Quan Wai Leong
MBBS, MRCP, FRCP, FAMS
#15 - 01 Singapore 329565
Dr Jit Fong Lim
MBBS (Singapore), FRCS (Glasgow), FAMS (Singapore)
Gleneagles Medical Centre
6 Napier Road #09-09
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