Perianal Hematoma Recovery: How Long Does It Take and What to Expect

A perianal hematoma refers to a collection of blood that forms under the skin surrounding the anus. While it can be an uncomfortable condition, the good news is that perianal hematomas often resolve on their own without the need for medical intervention. However, you may be wondering how long it takes for a perianal hematoma to go away and what to expect during the healing process. In this article, we will provide you with valuable insights into the recovery timeline, common symptoms, self-care tips, and when to seek medical attention.

Understanding the Perianal Hematoma Healing Period

The healing period for a perianal hematoma can vary from person to person. On average, it takes approximately two to four weeks for the hematoma to resolve completely. However, the duration may be influenced by various factors such as the size of the hematoma, individual healing abilities, and the effectiveness of self-care measures.

Symptoms of a Perianal Hematoma

During the healing process, you may experience certain symptoms associated with a perianal hematoma. These symptoms can include:

  • Swelling and tenderness around the anus
  • Pain or discomfort, especially during bowel movements
  • The appearance of a purple or blue-colored lump near the anus
  • Sensation of pressure or fullness in the affected area

Self-Care Tips for a Smoother Healing Process

While perianal hematomas usually resolve on their own, there are several self-care measures you can take to promote healing and alleviate discomfort:

  1. Warm water soaks: Taking regular warm water baths or using a sitz bath can help reduce swelling and provide relief.
  2. Over-the-counter pain relievers: Non-prescription pain medications, such as acetaminophen or ibuprofen, can help manage pain and inflammation.
  3. Dietary modifications: Consuming a high-fiber diet and staying well-hydrated can prevent constipation and facilitate smoother bowel movements, reducing strain on the perianal area.
  4. Avoiding straining: Be mindful of not straining during bowel movements, as it can exacerbate symptoms and delay the healing process.
  5. Topical treatments: Applying over-the-counter creams or ointments recommended by your healthcare provider can soothe the affected area and promote healing.

When to Seek Medical Attention

While most perianal hematomas heal on their own, there are situations where medical attention may be necessary. You should contact your healthcare provider if:

  • The pain or discomfort worsens over time
  • The swelling or lump increases in size
  • You experience persistent bleeding from the anus
  • You develop signs of infection, such as redness, warmth, or pus around the hematoma
  • You have a high fever or other systemic symptoms

In such cases, your healthcare provider can evaluate your condition, provide appropriate treatment, and ensure that there are no underlying complications.


Perianal hematomas can be uncomfortable, but they typically resolve within two to four weeks with proper self-care. By understanding the healing timeline, recognizing common symptoms, and following self-care tips, you can promote a smoother recovery process. However, it’s important to seek medical attention if you experience worsening symptoms or signs of infection. Remember, each individual’s healing process may vary, so it’s essential to listen to your body and consult a healthcare professional when needed.