Can you eat fish with a perianal abscess?

Written by Chen Tian Jing
Colorectal Surgery
Updated on November 16, 2024
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Patients with perianal abscesses should avoid eating seafood or consuming excessive amounts of seafood products. Because fish and seafood are considered to provoke symptoms in traditional beliefs, their overconsumption can lead to congestion and swelling of the local mucosa. Along with an acute infection of a perianal abscess, food may exacerbate the infection. Therefore, the diet of patients with a perianal abscess should primarily be bland. Additionally, once a perianal abscess is detected, it is necessary to perform an incision and drainage procedure for the abscess promptly, as well as a one-time debridement and radical surgery to prevent the further expansion of the abscess cavity or recurrent infection leading to the formation of anal fistulas.

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Written by Yu Xu Chao
Colorectal Surgery
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Has the perianal abscess that was drained a month ago and is neither painful nor itchy healed?

This situation often shows good post-operative recovery. Whether this situation is completely resolved depends on whether anal fistulas develop later, as most perianal abscesses drained can easily form anal fistulas. This is because drainage of perianal abscesses merely removes pus and secretions as much as possible, but does not completely clear the internal opening of the abscess and infected tissues. Thus, anal fistulas are likely to form later, and the patient needs to continue monitoring. Moreover, it’s important to maintain a light diet, avoiding spicy, irritating, and dry-hot foods as much as possible while also keeping bowel movements smooth. Frequent constipation or diarrhea should be avoided as they can cause wound pain or lead to inflammation and infection of the anal glands, potentially causing recurrence of the perianal abscess or the formation of anal fistulas later. However, the current situation indicates a relatively good post-operative recovery.

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Written by Chen Tian Jing
Colorectal Surgery
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Can conservative treatment be effective for perianal abscesses?

Conservative treatment of perianal abscesses can only relieve temporary inflammatory symptoms and cannot achieve a curative effect. There is also the potential for conservative treatment to delay the condition, leading to an increase in the size of the abscess cavity or the rapid expansion of pus, thereby exacerbating the condition. Once a perianal abscess is identified, surgical treatment should be carried out as soon as possible. First, the abscess cavity needs to be opened, and the enclosed pus drained completely, and then either a local incision with suture or debridement surgery chosen for treatment. Additionally, it is necessary to maintain the normal function of the anal sphincter. If only conservative medication is used for a perianal abscess, it can only temporarily relieve the current symptoms and does not benefit the healing of the disease or its long-term development at all.

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Written by Yu Xu Chao
Colorectal Surgery
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How to eliminate a perianal abscess mass?

Perianal abscess nodules are primarily caused by inflammatory infections that lead to local fibrosis, which then forms the nodules. For these nodules, it is recommended to employ a one-time radical cure surgery for perianal abscesses, mainly to remove the internal opening and the inflamed infected tissues. Since a perianal abscess can form a fistula after bursting on its own, failing to completely remove the infected tissue may lead to the development of anal fistulas later. Therefore, clinically, for perianal abscess nodules, it is advised to treat them with a one-time radical cure surgery for perianal abscesses. Post-surgery, medications such as anal washes and red oil ointment gauze strips are chosen for dressing changes. As for early-stage perianal abscess nodules, these are mainly inflammatory infections causing red and swollen lumps, which gradually turn into purulent and liquefied masses. Once suppuration occurs, they can be opened and drained, thereby causing the nodules to disappear. The nodules formed after incision and drainage are mainly considered to be from inflammatory spread to fibrotic tissue, and thus, surgical removal is required in these cases.

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Written by He Cai Dong
Colorectal Surgery Department
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How to change dressings for perianal abscess during menstruation?

Dressing changes during menstruation for perianal abscesses require cleansing with warm water after defecation. Sitz baths are not recommended as they may lead to gynecological infections. After thoroughly cleaning the area, it can be wiped with iodine. A hemorrhoid suppository should then be inserted into the anus, and hemorrhoid cream or an anti-inflammatory ointment can be applied to the wound. Covering with a piece of gauze can have an anti-inflammatory and antibacterial effect. Secure it with adhesive tape, and decide the frequency of dressing changes based on the amount of wound excretion. If there is a lot of excretion, it is advised to change the dressing twice a day, in the morning and evening. If the excretion is minimal and there is no feeling of moisture or discomfort, changing the dressing once a day after defecation is sufficient. At the same time, pay attention to a light diet.

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Written by Chen Tian Jing
Colorectal Surgery
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How to drain pus when a perianal abscess bursts?

If an anal abscess ruptures, it then forms an anal fistula. Both the acute phase of an anal abscess and anal fistula require surgical treatment. If only the local pus is drained, it is generally recommended to open the abscess cavity for local debridement and disinfection, and to further excise the infection focus. During surgery, to protect the function of the local anal sphincter, a seton stitch procedure is also needed. Post-surgery, it is necessary to disinfect and change dressings for the local wound, and ensure normal growth of the granulation tissue to prevent the occurrence of false healing.