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GI and Laparoscopic

Perianal abscess


Perianal abscess Treatment in Hyderabad

Perianal abscess treatment typically involves surgical drainage, followed by antibiotics if needed. Pain relief and warm sitz baths may be recommended for symptom management.

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Dr Krishna Chaitanya
Dr. Krishna Chaitanya
(Fellowship in Minimal Access Surgery)
GI and Laparoscopic Surgeon
Timings : 10 am - 6 pm
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---- Overview ----

Perianal abscess

A perianal abscess is a painful collection of pus that forms near the anus. It is usually caused by a bacterial infection that enters through small openings or glands in the anus. Symptoms may include pain, swelling, redness, and fever. Treatment involves surgical drainage of the abscess to remove the pus and alleviate pain. Antibiotics may be prescribed to prevent or treat infection. Warm sitz baths and pain relievers can help with symptom relief and healing.

what are the causes of Perianal abscess?

Perianal abscesses are commonly caused by bacterial infections. The most common bacteria involved is usually a strain of Staphylococcus aureus or Escherichia coli. The infection typically starts when bacteria enter small openings or glands around the anus, such as anal glands, hair follicles, or fistulas. Factors that can contribute to the development of perianal abscesses include poor hygiene, chronic diarrhea, conditions like Crohn's disease or inflammatory bowel disease, sexually transmitted infections, and weakened immune system.


what are the Symptoms of Perianal abscess?

Symptoms of a perianal abscess may include:

  • Pain: Perianal abscesses are typically accompanied by pain in the anal region, which can be severe and throbbing.
  • Swelling: The affected area may become swollen, tender, and visibly red or inflamed.
  • Localized warmth: The abscess can feel warm to the touch due to the presence of infection and inflammation.
  • Pus or discharge: As the abscess fills with pus, it may eventually lead to the formation of a visible or palpable lump, and there may be drainage of pus or foul-smelling discharge.
  • Fever: In some cases, an accompanying fever may develop, indicating an infection.
  • Difficulty sitting or discomfort during bowel movements: The pain and swelling can make sitting and passing stool uncomfortable.

It is important to note that these symptoms can vary depending on the size, location, and severity of the abscess.


what are the Investigations of Perianal abscess?

The investigations performed for a perianal abscess may include:

  • Physical examination: The doctor will visually inspect the affected area and may perform a digital rectal examination to assess the extent and location of the abscess.
  • Imaging studies: In some cases, imaging tests such as ultrasound or MRI may be recommended to determine the size, depth, and extent of the abscess, especially if it is complex or involves deeper structures.
  • Blood tests: A complete blood count (CBC) may be ordered to check for signs of infection, such as an elevated white blood cell count.

These investigations help in confirming the presence and nature of the abscess, assess its severity and extent, and aid in planning the appropriate treatment approach.


what are the treatment options for Perianal abscess?

The treatment options for perianal abscesses typically involve a combination of surgical intervention and medication. Here are the common treatment approaches:

  • Incision and Drainage (I&D): The primary treatment for a perianal abscess is surgical drainage. This procedure involves making an incision to release the pus and drain the abscess. It is usually performed under local anesthesia in a healthcare setting.
  • Antibiotics: In some cases, antibiotics may be prescribed to prevent or treat an infection associated with the abscess. However, antibiotics alone are generally not sufficient to treat the abscess and are often used as a supplementary measure.
  • Sitz Baths: Warm sitz baths, where the affected area is soaked in warm water, can help in soothing discomfort and promoting healing. This is typically recommended after the incision and drainage procedure.
  • Pain Relief: Over-the-counter pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may be suggested to manage pain and reduce inflammation.
  • Follow-up Care: After the initial treatment, regular follow-up visits may be required to monitor the healing process and ensure proper recovery. In some cases, additional procedures or treatments, such as fistulotomy or fistulectomy, may be necessary to address underlying fistulas or prevent recurrence.

It is crucial to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan tailored to individual circumstances.

---- FAQs ----

Perianal abscess

No, a perianal abscess typically requires medical intervention for proper treatment. Without treatment, the abscess may not heal, and the infection can spread or recur.

The healing time can vary depending on the size and severity of the abscess, as well as individual factors. Generally, the wound from the surgical drainage procedure may take a few weeks to heal completely. However, the overall recovery time can vary from a few weeks to several months, especially if there are underlying factors such as fistulas or complications.

No, perianal abscesses themselves are not contagious. They result from bacterial infections that typically arise from the individual's own gut flora. However, certain bacteria causing the abscess, such as Staphylococcus aureus, can be contagious and may spread from person to person through direct contact or contaminated objects. It is important to maintain good hygiene practices to prevent the spread of bacteria and minimize the risk of infection.

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