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Doctor insights on: Gluteal Cleft Abscess

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The difference perianal and gluteal abscess. If the affected area large involve gluteal cleft and anus area, MRI is required or not. Thanks

The difference perianal and gluteal abscess. If the affected area large involve gluteal cleft and anus area, MRI is required or not. Thanks

CT scan sufficient: MRI scans can be quite expensive. A CT scan with PO/rectal contrast and IV contrast should be more than adequate to differentiate between a perianal and a gluteal abscess.
If you need a second opinion on an MRI or CT you already had, you can start a private consultation here in HealthTap. ...Read more

Dr. Theodore Davantzis
2,523 Doctors shared insights

Abscess (Definition)

Occurs when one has an infection in a part of their body, and the infection is being surrounded and fought off by white blood cells, causing a lump of purulent whitish thick material (pus) ...Read more


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Hai. May I know what are the type of incision for patient who have both perianal and gluteal cleft abcsess about 8cmx6cm.

Hai. May I know what are the type of incision for patient who have both perianal and gluteal cleft abcsess about 8cmx6cm.

See doctor: Your doctor will decide on the size and location of incision depending on the site of the lesion. It is not a do it yourself issue.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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It feels like when I further bend forward, something tightens at the area just above my gluteal cleft. I have discomfort in prolonged sitting.

It feels like when I further bend forward, something tightens at the area just above my gluteal cleft. I have discomfort in prolonged sitting.

Could be your back: Pain from the lower back is often felt in the buttocks. You may have a herniated disc or other spinal issue in your lumbar, or lower back. Bending and prolonged sitting often exacerbate lower back problems. Strengthening your core abdominal muscles and flexibility may help a little. ...Read more

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It's end of week 1 with recurrent shingles on gluteal cleft. Now have a sore neck and back both on same side as my shingles. Can it be related?

It's end of week 1 with recurrent shingles on gluteal cleft. Now have a sore neck and back both on same side as my shingles. Can it be related?

Not likely: Shingles is usually not recurrent and affects the area supplied by only one spinal nerve root. Therefore the gluteal lesions and neck are not related. Please consult and infectious disease specialist for proper diagnosis and care. You may wish to get consultation with a pain specialist as well to forestall the chronic that can some times result form shingles. ...Read more

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Sutures from Lumbar CSF Leak Repair removed yesterday...it's ~2" long & bottom goes into top of gluteal cleft. Base looks like it's opening despite Steri Strips & Butterfly Closures. What can I do?

Sutures from Lumbar CSF Leak Repair removed yesterday...it's ~2" long & bottom goes into top of gluteal cleft. Base looks like it's opening despite Steri Strips & Butterfly Closures. What can I do?

You should call your: Surgeon for guidance but sometimes a wound can spread in spite of that type of closure if there is strain on the wound. As long as there is no drainage or reddening of the wound or any increasing pain, fevers, chills or sweats-it should be ok but check with your surgeon just to make sure. ...Read more

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What is the role of different anti-biotic in treatment of gluteal abscess?

What is the role of different anti-biotic in treatment of gluteal abscess?

Antibiotic choices: When treating an abscess -one has to consider 'what' germs might be there, then make the appropriate selection for therapy. Sometimes it's more than just antibiotics (such as incision). One has to consider patient allergies, drug interactions, dosing/length of therapy etc. It's nice to have a culture of the abscess material, but sometimes a best guess will do. I like trimethoprim-sulfa. See MD. ...Read more

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With regard, I want to know about causes of gluteal abscess and what percent of them is related to injection nurse laches?

With regard, I want to know about causes of gluteal abscess and what percent of them is related to injection nurse laches?

No association..: There is no direct association between lash of a needle vs another way of inserting it. If the abscess came after needle insertion the cause of the infection is not the fashion the needle was given but rather the opening a needle causes which is open door for infection. This can happen with any type of injection or wound that opens the skin no matter how small or how it happens. ...Read more

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3 months post abscess drainage surgery: at the site of surgery in left gluteal region I started bleeding today. What should I do?

3 months post abscess drainage surgery: at the site of surgery in left gluteal region I started bleeding today. What should I do?

Get it looked at by: Anytime you have a significant change you should get your surgeon to check it out. Only they know for sure what is there. Often it is fluid that has old blood in it. It can look like a lot of bleeding. But get it checked. ...Read more

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What you suppose to do after subcutaneous gluteal cellulitis abscess drainage? On bactrim (sulfamethoxazole and trimethoprim).What to watch out for of side effects also? Thank you drs.

What you suppose to do after subcutaneous gluteal cellulitis abscess drainage? On bactrim (sulfamethoxazole and trimethoprim).What to watch out for of side effects also? Thank you drs.

Wound care: Make sure the wound stays clean and moist, and if it was drained surgically, change the packing at least daily. Watch out for return if the red skin surrounding the area. Watch out for fevers. Make sure to follow up with the doctor that is treating you, or your primary care within a week or so. Sooner if you get worse. Hope this helps! ...Read more

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My masseuse pulled my leg to reposition my sacroiliac. I have a lot of low back and pain few inches above my intergluteal cleft. What did she do?

My masseuse pulled my leg to reposition my sacroiliac. I have a lot of low back and pain few inches above my intergluteal cleft. What did she do?

Injured you!: It is difficult to determine exactly what the injury was, but the pain indicates that the "repositioning" was not done correctly. Rest and applying ice to the painful area 15-20 minutes every couple hours, and taking Aleve (naproxen) or Advil should be helpful. Depending upon the level of pain and/or the time to recover you may need to see a physician. Bottom line: don't allow masseuse to make adjustments ...Read more

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The affected area of pus from intergluteal cleft to area of anus but doctor only done InD near anus. Why they left the some part area that affected.

The affected area of pus from intergluteal cleft to area of anus but doctor only done InD near anus. Why they left the some part area that affected.

Talk to doctor: Your doctor is treating you for an abscess in your anal region. You may have chrons or ulcerative colitis. Your doctor only treated a part of the abscess and this may be to avoid incontinence. Talk to your doctor about why and what to expect ...Read more

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I have a gluteal abcess. I had one two years and had it removed surgically. Again got one near the same area. Need gone remedy.

I have a gluteal abcess. I had one two years and had it removed surgically. Again got one near the same area. Need gone remedy.

Same remedy: Each abscess needs to be excised surgically followed by antibiotic treatment. If there is a reason for you to be susceptible to getting abscesses, then the remedy you seek depends on addressing the susceptibility (be it a primary immune deficiency, metabolic problem such as diabetes, occupational or other cause for increased exposure, etc.) ...Read more

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I get bad abscesses in my inner buttcheek up to 3@ time and it’s only blood/popped and days later I get them again same area been going on for a while?

I get bad abscesses in my inner buttcheek up to 3@ time and it’s only blood/popped and days later I get them again same area been going on for a while?

Staph? Hidradenitis?: This could be recurent boils etc due to staph, strep, or other bacteria. Another possibility is hidradenitis suppurativa, an inflammatory conditions that behaves a lot like infection but antibiotics don't help. Discuss with your doctor -- or perhaps see a dermatologist. Good luck! ...Read more

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What do you do when child has an abscess on his s?

What do you do when child has an abscess on his s?

Open & drain Vs med: Occasionally these respond to a warm compress with spontaneous drainage & oral meds can assist the process but many recur. Those that are large or located near the anal outlet often require incision and drainage. Some can be done in an office & some may require day surgery. ...Read more

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How do I cure an abscess?

How do I cure an abscess?

Get treatment: Don't fool around, the abcess is most likely causing septicemia, barrels in the blood system that can result in additional illness. ...Read more

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What works most effectively to do for a abscess?

Antibiotics/drainage: An abscess is an infection. The body sends white blood cells to an infected area. The 'used up' white blood cells can accumulate in the area in
a pool of thick fluid that we call 'pus'.
Sometimes this pool needs to be surgically removed (drained).
Other times, antibiotics are all that is needed to control the infection. ...Read more

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I have abscess but it just formed. What do I do?

See a dentist: See a dentist asap for an evaluation and treatment. The longer you wait he more chance you have of increasing pain and swelling. ...Read more

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What is the definition or description of: Abscess?

What is the definition or description of: Abscess?

Abscess: Abscess = Collection of pus within tissue. It is often related to infections. ...Read more

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Help please! Is an abscess ER worthy?

Only if severe: If you have an advanced signs such as rapidly progressing ballooning swelling, severe pain, difficulty breathing/swallowing, fever, etc., then you should consider seeing the er. If after hours and these signs are present, the er can possibly give you IV antibiotics and drain the swelling, but they will not provide the definitive care to resolve the abscess such as root canal or extract. ...Read more

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Can abscesses disappear on their own?

Can abscesses disappear on their own?

Yes: The treatment of choice for an abscess is general incision and drainage, however abscesses can resolve on their own without medical intervention. The usual progression is swelling to the point of spontaneous eruption, drainage, then gradual resolution. ...Read more

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How to alleviate abscess related toothaches.?

Treat the teeth: Have your local dentist treat the rotting teeth and your problems will become a memory. ...Read more

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What happens when abscess packing is removed?

What happens when abscess packing is removed?

See below: Abscess packing can be handled in 2 ways. The packing can be slowly advanced (removed) an inch or 2 each day until it falls out. The abscess packing can be removed and replaced daily. Packing is needed until the abscess is completely drained or the opening is large enough to stay open. When the packing is removed the wound and tissue defect closes and heals. ...Read more

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What are the risk factors for Anorectal abscess?

What are the risk factors for Anorectal abscess?

Rectal abscess: The most common predisposing factor is an anal fissure. Inflammatory bowel disease is possible, and a number of diarrheal infections could increase risk. If there is sexual activity involving your anus, especially penile penetration or vigorouf fingering, that's also a possiblity. Howeever, many cases occur without any of these particular factors; some are just random bad luck. ...Read more

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What is an abscess on the skin and what do I do for it?

What is an abscess on the skin and what do I do for it?

See below: An abcess is when bacteria invade deeper into the skin and create a pocket of infection that spreads into nearby tissue enlarging it. Antibiotics will not help. The treatment is having a doctor numb it up and open the top with a scalpel allowing the infectious pus inside drain out and removing any contents inside. This will relieve the abcess. ...Read more

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Could I wait a day or two to have an abscessed drained?

Don't know: Which part of the body you are referring to. You should avoid delays in treating abscesses as it can become worse (sometimes much worse over a brief period of time). ...Read more

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What is an epidural abscess?

What is an epidural abscess?

Infection: When you get infection in epidural space, it could be from epidural catheter, back surgery or could be spontaneous. ...Read more

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Do peritonsillar abscesses hurt?

Yes: Peritonsillar abscesses cause local pain in the throat, trismus (difficulty opening the mouth), and voice changes. They typically begin as a bad tonsil infection. If you suspect one, you should seek help from your doctor as soon as you can for treatment. ...Read more

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How to know when a tooth is abscessed?

See your dentist: At first, the tooth will likely be sensitive to chewing and biting, as well as to heat and cold. You also may develop a fever, swollen lymph nodes in your jaw or neck, or swelling on your face. The only way to cure a dental abscess is with dental treatment. See your dentist for exam, x-rays and treatment. ...Read more

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Bartholin abscess removal or marsup...?

Bartholin abscess removal or marsup...?

Depends: Bartholin abscess is usually incised and drained at first diagnosis. Recurrence in less than 6 months usually leads to marsupialization procedure. New or recurrent symptoms in the Bartholin's gland after age 40 usually will lead to consideration of removal of the gland, due to increased risk for cancer. ...Read more

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What are the tests for tonsilar abscess?

What are the tests for tonsilar abscess?

Not usually done: Usually we can tell if somebody has an abscess by just examining them. In rare cases a ct scan of the neck can be performed to confirm this. ...Read more

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What the heck is epidural abscess really?

Infection: An epidural abscess is an infection above the covering of the brain or spinal cord, the dura. These infections can arise in the brain area due to sinus infections, skull fractures or after gunshot wounds. They can also arise in the brain or spinal cord area after infections spread to the bloodstream. They can exert pressure on the brain or spinal cord causing pain and paralysis requiring surgery. ...Read more