Can you drink alcohol with a perianal abscess?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 17, 2024
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Patients with perianal abscess should not drink alcohol. Long-term or excessive alcohol consumption, due to the effects of evaporation or sublimation, can cause local congestion and edema at the anus, and may also increase the risk of infection. As perianal abscess is a local infectious disease of the anus, not only should alcohol be avoided during the acute phase, but prompt surgical treatment is also necessary. If a patient with a perianal abscess does not undergo timely surgical intervention, the pus cavity may expand and the abscess may further spread and rupture, potentially forming an anal fistula. Excessive drinking could lead to worsened local inflammatory symptoms, resulting in an increase in pus and possibly enhancing pain or infection, leading to a more extensive infection in the anal area. Therefore, patients with a perianal abscess should not consume alcohol.

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Written by Chen Tian Jing
Colorectal Surgery
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Can a perianal abscess be completely cured?

The primary cause of perianal abscesses is the repeated inflammatory stimulation near the dentate line of the anus, leading to infection. As the infection worsens, localized foci of infection form, resulting in the formation of pus and abscesses. Once a perianal abscess has formed, the patient will experience severe pain and will require prompt surgical treatment. If a definitive one-time surgery for the perianal abscess is chosen, it can be completely treated. Post-surgery, simply changing the dressing on the local wound will suffice, and the wound is expected to fully heal and recover. However, if an incision and drainage surgery was performed for the perianal abscess, a fistula may have already formed, requiring a second surgery for cutting and threading the fistula.

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do if there is pus draining from a perianal abscess?

When a perianal abscess occurs, there is typically pus or an enclosed abscess under the skin. If the perianal abscess ruptures and drains pus, it may have developed into an anal fistula. Once a perianal abscess forms an anal fistula, surgical treatment should be carried out as soon as possible. The surgical methods for treating perianal abscesses and anal fistulas mainly include incision drainage debridement surgery and incision with seton placement. After the surgery, due to substantial secretion from the local wound, it is essential to disinfect and change dressings regularly and to monitor the wound daily. It is crucial to prevent excessive granulation or pseudohealing at the local site, which could encapsulate the infection and prevent complete recovery, potentially leading to recurrence in the future.

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Written by Chen Tian Jing
Colorectal Surgery
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What is the best medicine to take for a perianal abscess?

Perianal abscess is a type of acute infectious disease localized around the anus, and oral medication is not necessarily the best treatment method for perianal abscesses. Rather, the best treatment for perianal abscesses is surgery. Surgical methods generally include incision and drainage procedures, as well as further definitive surgeries, because perianal abscesses are associated with infections in the anal crypts. Thus, medication alone can only relieve symptoms and cannot completely clear the infection. If treatment is solely through medication or if it is incomplete, there is a high likelihood of recurrent infections, which may even lead to the formation of anal fistulas. Once an anal fistula forms, it can only be cured through surgical procedures that involve cutting and threading.

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Colorectal Surgery
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Precautions for Perianal Abscess

The precautions for perianal abscess mainly include those during an acute episode and post-surgical measures. If it is clearly an acute onset of a perianal abscess, it is important to seek treatment promptly. Treatment methods, besides incision and drainage, further include debridement to achieve a complete cure through surgery. Generally, simple incision and drainage only alleviate temporary pain symptoms. If not followed by definitive surgery, there is a high likelihood of developing anal fistulas, necessitating a second surgery. Post-surgical precautions for a perianal abscess primarily involve maintaining cleanliness of the local wound, changing dressings, and ensuring that the drainage from the wound remains unobstructed to prevent false healing.

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Written by Yu Xu Chao
Colorectal Surgery
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Can an anal abscess without pus be treated without surgery?

Perianal abscesses require surgical treatment even if there is no pus present, as early-stage perianal abscesses are primarily characterized by pain and noticeable lumps near the anus, with the lumps typically being hard. This condition is mainly considered to be an infection and inflammation of the anal glands, which then infects the surrounding tissue, leading to the development of lumps. Surgical treatment should be undertaken as soon as possible even in the absence of pus, because as the infection worsens over time, it may lead to the formation of pus. Early treatment can be advantageous as the infected area is not very extensive, thus resulting in a smaller surgical wound. For early-stage perianal abscesses, a one-time radical surgery may be chosen to remove the internal opening and the infected tissue thoroughly, followed by postoperative care using medicated substances such as erythromycin ointment gauze, anal washes, or mupirocin ointment to promote healing of the surgical wound.