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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
Painful swelling is likely a bacterial infection unless proven otherwise.
This can be a rectal abscess as well.
THis is an urgent situation.
Please go to the ER for clinical evaluation.
May need to be drained and then antibiotic course.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star).Please bookmark my profile for fast, reliable and authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/