Perianal abscess clinical manifestations

Written by Chen Tian Jing
Colorectal Surgery
Updated on December 13, 2024
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Perianal abscess is an acute infectious disease of the local skin, mucosa, and sphincter around the anus, characterized by certain acute clinical symptoms, most commonly pain. The onset of a perianal abscess is generally sudden, occurring within one to three days. Due to the formation of a local pus cavity, intense pain is experienced along with the red, swollen, and hot skin in the affected area. The nature of the pain is often throbbing or pecking. If the infection worsens or is not actively treated, it may also cause systemic symptoms such as fever and chills due to the pain and infection. With repeated attacks over a long term, or if the patient's physical condition is poor, further symptoms like fatigue might occur. Acute episodes of perianal abscess require prompt surgical intervention.

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Written by Chen Tian Jing
Colorectal Surgery
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How should a perianal abscess be treated effectively?

During the acute phase of a perianal abscess, there is generally severe pain in the anal area, accompanied by redness and throbbing of the skin, and there may be a pus cavity or pus encapsulation under the skin. The treatment of perianal abscess is mainly surgical. The surgical method is incision and drainage, combined with a one-time radical surgery. If the infection involves the local sphincter or has already formed a clear fistula, further incision and ligation surgery may be required. After surgery, it is necessary to thoroughly disinfect and change the dressings of the wound to prevent excessive granulation or the formation of false healing at the local wound. Postoperative diet should consist mainly of light, liquid foods, and spicy and irritating foods should be avoided.

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Written by Chen Tian Jing
Colorectal Surgery
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Can an anal abscess be cured by taking medicine?

An anal abscess is formed due to repeated infections within the anal crypts, resulting in localized pus or an encapsulated abscess. During an episode, the patient experiences severe pain, strong positive tenderness, and notable swelling, heat, and pain around the anal area. In severe cases, it can affect normal sitting and even walking activities. When an anal abscess occurs, it generally requires prompt surgical incision and drainage followed by definitive surgery. Relying solely on oral or topical medications cannot completely cure an anal abscess and only serves to alleviate symptoms. Post-surgery for an anal abscess usually involves local dressing changes to prevent pseudohealing and maintain proper drainage of the wound.

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Written by Yu Xu Chao
Colorectal Surgery
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How long will it take for the perianal abscess anti-inflammatory medicine to work?

Once a perianal abscess is discovered in clinical practice, it's recommended to undergo surgical treatment as soon as possible, rather than using anti-inflammatory drugs for anti-infection treatment. This is because perianal abscesses are primarily caused by inflammation of the anal glands, leading to swelling and redness around the anus. Treating with only anti-inflammatory medications can temporarily control the condition, but the already infected tissues and the internal opening are not adequately treated. Improper diet or staying up late can lead to recurrence, or even lead to anal fistulas or necrotizing fasciitis. Therefore, for perianal abscesses, it is recommended to promptly undertake procedures such as incision and drainage of the perianal abscess, or a one-time radical surgery for perianal abscesses. However, for a minority of patients with perianal abscesses, such as subcutaneous perianal abscesses, if the area is relatively small, applying ichthammol ointment topically combined with oral administration of anti-inflammatory drugs or antibiotics can generally improve the condition within five to six days. (Please follow the doctor's advice regarding medications.)

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Written by Li Jiao Yan
Neonatology
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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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Written by Chen Tian Jing
Colorectal Surgery
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Is the recurrence rate of perianal abscess high?

Perianal abscess is an acute infectious disease localized around the anus. If a perianal abscess acutely erupts, it requires prompt surgical treatment. Without surgery, there is a possibility of recurrent episodes of perianal abscesses or the formation of anal fistulas due to the rupture of the abscess. After surgery for a perianal abscess, it is also important to pay attention to a light diet and regular bowel movements. It is crucial not to allow the stool to become too dry, nor to experience diarrhea. Recurrent diarrhea can lead to infection of the anal crypts, thereby causing perianal abscesses and local infections. Therefore, the care of a perianal abscess is very important; maintaining good dietary and bowel habits is essential to prevent recurrence of the abscess.