Gave birth last June. 4th week after while passing stool, felt a tear and sharp pain comes after. When I feel around that area, realised there was a bulge near perineal and there is a skintag dangling
Till now, whenever I went toilet for big business, it gives me the sharp pain and it can last 3 hours or more. I have not went for my 6th week post checkup, as I am quite scared for the doctor to check that area. As for the skintag, i wanted to remove but scared of the pain as well as I can remember how they removed it for my first pregnancy. Is there any way for the skin tag to dropped and is there any cream to subside the bulge/swollen area?
Based on your description it does sound like you possibly may have an anal fissure with an associated skin tag. As such, you should not be applying any over the counter medications without consulting a doctor first. I would advise you to see your doctor as soon as possible for management. Most of these conditions are self resolving and the mainstay of management involves (a) management of pain and (b) Changes to diet/stool calibre.
While waiting for your appointment, i would suggest you start the following
1. High fiber diets
2. Over the counter stool softeners e.g. lactulose
3. Sitz bath - (sitting in a warm bath for at least 20 minutes 3 times a day)
> This primarily promotes anal relaxation and allows faster healing
Your doctor may prescribe you with topical antibiotics/topical analgesic medication to help relieve the pain.
If you do develop worsening pain/increasing swelling over the perianal area/Incontinence/High fever, please do consult a doctor ASAP as these can be signs of a serious infection.
Hope this helps!