Dr. Ertan Beyatlı

4 Symptoms of Anal Abscess

(Update: ) - Digestive System Diseases

Anal abscess Anus painful accumulation of pus in its area (anus). It is usually caused by inflammation of the anal glands.

The most common type of abscess is perianal abscess. This is usually seen as a painful, red, tender swelling near the anus. Deep tissue anal abscess less common.

Approximately 50% of patients with anal abscess develop a fistula. In some cases, anal fistula may be persistent and recurrent anal abscesses (see. What is an anal fistula and how is it treated?).

Causes of Anal Abscesses

Anal abscess can be caused by many different reasons:

Some of the risk factors are:

For adults, using condoms during sexual intercourse, including sexual intercourse, can help prevent anal abscesses. For infants and young children, proper cleaning during frequent diaper changes and diaper changes can help prevent anal fistulas and perianal abscesses.

Symptoms of Anal Abscesses

Superficial anal abscesses can usually lead to the following symptoms:

  1. Rectal pain. Pain that is usually constant, throbbing, and worse when sitting
  2. Swelling and redness. Skin irritation around the anus, including sensitivity
  3. Stream. Discharge of pus
  4. Constipation or pain associated with bowel movements

Deeper anal abscess may also include:

  • Fire
  • Tremors, sweating
  • Weakness
  • malaise

Sometimes fever is the only symptom of deep anal abscesses.

Diagnosing Anal Abscesses

Breech (digital rectal) examination is sufficient to make a diagnosis. Extra tests may be required in some special cases:

  • Sexually transmitted infections
  • Inflammatory bowel disease IBD
  • Diverticular disease
  • Rectal cancer

In rare cases, an examination can be done by being put to sleep (under anesthesia). The doctor may also order an ultrasound, CT scan, or MRI.

Treatment of Anal Abscesses

Surgical incision and drainage is the most common treatment for all anal abscesses and is usually successful.Abscess Drainage).

How is perianal abscess drained?

It is important to perform surgical drainage, preferably before the abscess ruptures. Superficial anal abscesses can be drained in a doctor's office using a local anesthetic. Large or deeper anal abscess may require hospitalization and the assistance of an anesthesiologist.

Anal Abscess Drainage - Abscess drainage

After the procedure, most people are given pain medication. Otherwise, antibiotics are generally not needed for healthy people. However, for some people, including those with diabetes or those with reduced immunity antibiotics may be required.

Sometimes fistula surgery can be done at the same time as abscess surgery. However, fistulas usually develop 4-6 weeks after an abscess is drained. Sometimes a fistula may not show up for months or even years. Therefore, fistula surgery is usually a separate procedure that can be performed on an outpatient basis or with a short hospital stay.

Discomfort after abscess or fistula surgery is usually mild and can be controlled with pain medication. It does not affect people's work and school life.

3-4 times a day lukewarm water sitz bath recommended. Stool softening medications may be recommended. Some people may be advised to wear gauze or mini pads to prevent drainage from contaminating their clothing.

Post-operative complications can include:

  • infection
  • Anal fissure
  • recurrence of abscess
  • Scarring

Once the anal abscess or fistula heals properly, the problem is unlikely to return. However, to avoid this, it is important to follow your doctor's advice.

Frequently Asked Questions (FAQ)

Which antibiotics are used in perianal abscess?

Broad spectrum antibiotics can be used in the first place. Then, for the selection of antibiotics, the culture is made according to the antibiogram result. The resistant and susceptible condition of the bacteria determines the antibiotic option.

What part does an anal abscess look at?

Anal and perianal abscesses are examined and treated by a General Surgery specialist.

How many days does anal abscess heal?

The patient's body resistance, the presence of concomitant diseases (eg diabetes and vascular disease), and the diameter and depth of the abscess may affect the healing time. Average duration is 5-10 days.

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