Should I See a Dermatologist or Colorectal Surgeon for My Symptoms?

Q: Should I See a Dermatologist or Colorectal Surgeon for My Symptoms?

Hello： If the issue pertains to the skin around the buttocks, it should be evaluated by a dermatologist rather than a colorectal surgeon, as hemorrhoid symptoms would not cause the situation you described. <br>Thank you!

May I ask the doctor?

Doctor, I have a question for you: I previously asked you, but I'm not sure whether I should see a dermatologist or a colorectal surgeon.
My symptoms are that after recovering from hemorrhoids, I developed small pustules on the skin around my anus.
Some of these pustules have left dark scars, and occasionally, some pustules break open and bleed.
I consulted a dermatologist, and they diagnosed me with furuncles.
However, I wonder if this could be a condition related to the hemorrhoids.
Could you please clarify for me? Should I see a dermatologist or a colorectal surgeon? Thank you, doctor!

Lin, 10~19 year old female. Ask Date: 2004/03/31

Dr. Hou Yongji reply Surgery

Hello: If the issue pertains to the skin around the buttocks, it should be evaluated by a dermatologist rather than a colorectal surgeon, as hemorrhoid symptoms would not cause the situation you described.
Thank you!

Reply Date: 2004/03/31

More Info

Based on your symptoms, it seems that you are experiencing a skin condition that has developed after your recovery from hemorrhoids. The presence of pustules, scabs, and bleeding suggests an inflammatory or infectious process in the skin around the anal area. Given the complexity of your symptoms, it is essential to determine the underlying cause accurately.

From your description, it appears that the dermatologist you consulted diagnosed you with furunculosis (boils), which can occur due to bacterial infections, often involving hair follicles. This condition can lead to the formation of painful lumps filled with pus, which may rupture and bleed, leaving behind scars. The black scars you mentioned could be post-inflammatory hyperpigmentation, a common occurrence after skin lesions heal.

However, it is also crucial to consider the possibility that your symptoms could be related to your previous hemorrhoidal condition. Hemorrhoids can sometimes lead to skin changes or secondary infections in the anal area, especially if there was any trauma or irritation during bowel movements. The skin around the anus is sensitive and can be prone to various conditions, including dermatitis, infections, or even anal fissures, which could contribute to your symptoms.

In deciding whether to see a dermatologist or a colorectal surgeon, consider the following:
1. Dermatologist: If your primary concern is the skin lesions (pustules, scabs, and discoloration), a dermatologist would be the appropriate specialist to consult. They can provide treatments for skin infections, inflammatory conditions, and cosmetic concerns related to scarring. They may also perform a skin biopsy if necessary to rule out other skin conditions.

2. Colorectal Surgeon: If you suspect that your symptoms are related to your hemorrhoids or if you are experiencing any additional gastrointestinal symptoms (such as pain, bleeding, or changes in bowel habits), it would be wise to consult a colorectal surgeon. They can evaluate for any complications related to hemorrhoids, such as thrombosis or anal fissures, and provide appropriate surgical or medical management.

In summary, if your primary concern is the skin lesions and their treatment, seeing a dermatologist is advisable. However, if you have ongoing concerns related to your hemorrhoids or any gastrointestinal issues, a colorectal surgeon would be the right choice. It may also be beneficial to consult both specialists, as they can work collaboratively to address your symptoms comprehensively.

In addition to seeking medical advice, consider maintaining good hygiene in the affected area, avoiding irritants, and using topical treatments as recommended by your healthcare provider. If you experience worsening symptoms, such as increased pain, fever, or persistent bleeding, seek medical attention promptly.

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