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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Can you eat mutton with a perianal abscess?

During the acute phase of a perianal abscess, do not consume mutton, as it is considered a "heaty" food. Excessive consumption of mutton may lead to congestion of the local rectal and anal mucosa, which can potentially cause enlargement of the local abscess or worsen the condition. The primary treatment for a perianal abscess is surgical, and the diet following surgery should consist mainly of light and easily digestible liquid foods. To avoid the pain associated with overly dry stools in the early stages, patients can consume more vegetables, fruits, and a suitable amount of staple foods.

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Written by Yu Xu Chao
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Can a perianal abscess that is draining pus heal by itself?

Perianal abscesses cannot heal on their own after they spontaneously rupture and discharge pus, which can lead to the development of anal fistulas. This is mainly due to infection of the anal glands that initially causes swelling and lumps around the anus. Once these rupture and release pus, they can form channels that develop into anal fistulas, causing repeated perianal swelling, pain, and the discharge of pus and blood. In this case, it is advised to visit the proctology department of a hospital as soon as possible for a perianal MRI scan to determine the location of the infection and the direction of the fistula tract, followed by determining the surgical method. After the rupture and discharge of a perianal abscess, a definitive one-time surgical procedure is required to treat the abscess to prevent the potential development of a fistula or a complex, high fistula, which could cause significant damage to the patient and increase the complexity of later surgeries.

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Colorectal Surgery
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What is causing the stabbing pain in the wound half a year after perianal abscess surgery?

Six months after surgery for a perianal abscess, if there is local pain at the wound site, it is first necessary to rule out the presence of local infection and recurrence. To differentiate between infection and recurrence, it is necessary to conduct a digital rectal examination and a perianal ultrasound to confirm the diagnosis. If infection and recurrence are ruled out, consider the possibility that the pain may be due to contraction and softening of the scar tissue at the site of the perianal abscess surgery, leading to painful stinging at the wound. Local application of anti-inflammatory ointments or gels can be used to treat the inflammation. If the pain or discomfort is severe, Chinese herbal washes or dilute salt water can be used for fumigation and hot compresses on the local scar.

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Can a perianal abscess in children heal by itself?

Although they are all perianal abscesses, each child's condition is different. The size of the perianal abscesses varies; some are as small as a grain of rice and may heal on their own, but there are also larger ones the size of a walnut, or even cause the entire buttock area to become swollen and red. Such cases require hospitalization, especially for younger children who also exhibit systemic symptoms like fever. They generally require hospital treatment. Meanwhile, it is recommended that parents take good care of the baby's perianal area, maintain a healthy diet and bowel habits, avoid diarrhea and constipation, ensure cleanliness around the anal area, and use soft, non-irritating wet wipes when cleaning the area to avoid friction injuries that could lead to infections, as the skin of small infants is very delicate.

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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.