Anal abscess tight skin tendon pain for a few days

Written by Chen Tian Jing

Colorectal Surgery

Updated on March 14, 2025

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If a perianal abscess undergoes a rubber band ligation surgery, the rubber band may fall off within a week to ten days. If the local rubber band is too loose or takes longer to fall off after surgery, the doctor can further tighten the local rubber band to promote its earlier detachment and ensure the function of the local sphincter around the anus. After tightening the rubber band, the local wound may experience significant pain and minor bleeding due to the pulling of the rubber band. The pain usually lasts about one to two days and will gradually subside as the local wound heals.

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Written by Yu Xu Chao

Colorectal Surgery

1min 15sec

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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 Chen Tian Jing

Colorectal Surgery

59sec

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Can I eat eggs with a perianal abscess?

Patients with perianal abscess can eat eggs, but during the acute onset period of a perianal abscess, besides sticking to a light diet, it is more important to seek surgical treatment as soon as possible. A perianal abscess is an acute infectious disease near the anal sinuses. Typically, it presents with severe local pain in the anus. Once pus forms, it is encapsulated in the abscess cavity and needs to be surgically drained as soon as possible to remove the infection thoroughly. This helps to prevent further enlargement of the abscess cavity and worsening of the condition. Furthermore, in the early postoperative period, patients can consume liquid foods and eat eggs in moderation or other easily digestible foods. However, they should avoid spicy and irritating foods such as chili peppers and seafood.

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Written by Chen Tian Jing

Colorectal Surgery

59sec

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Which department should I go to for perianal abscess?

During the acute phase of a perianal abscess, patients experience significant local redness, swelling, heat, and pain around the anus. The pain is severe and in some cases, patients are unable to sit or walk normally due to the discomfort. During this acute phase, the swelling of the skin around the anus can easily be confused with skin carbuncles, leading patients to mistakenly visit a dermatologist. However, a perianal abscess is a local anal disease that requires registration with a colorectal surgery department, as it is not merely a skin carbuncle but an infection caused by an infection at the anal crypts inside the anal canal. This necessitates prompt surgical incision and drainage, and, if a fistula has formed, a fistulotomy may also be necessary.

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Written by Chen Tian Jing

Colorectal Surgery

50sec

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Can an anal abscess be left untreated without surgery?

Surgical treatment is required during the acute phase of a perianal abscess. If surgery is not performed, it could lead to an expansion of the abscess cavity or worsening of the infection. Severe cases may lead to a local cellulitis around the anus, forming an inflammation of the cellular tissue. The surgical approach for a perianal abscess primarily involves incision and drainage, complemented by a one-time radical cure. The surgical principle mainly involves excising the infected local lesions altogether, thoroughly disinfecting and dressing the area, accelerating the shedding of the local infection, and ensuring normal growth of granulation tissue. Postoperative dressing changes are also crucial for the recovery from a perianal abscess.

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Written by Chen Tian Jing

Colorectal Surgery

55sec

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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.