Treatments
Perianal Abscess Treatment
Pus-filled infection sites that occur around the anus are called perianal abscesses.
What Is a Perianal Abscess (Anal Abscess)?
What Is a Perianal Abscess (Anal Abscess)?
Pus-filled infection sites that occur around the anus are called perianal abscesses.
If the abscess is close to the skin around the anus, it is called an anal abscess; if it is close to the rectum, the final part of the large intestine, it is called an anorectal or perianal abscess.
In people who experience symptoms such as swelling, pain, burning, chills, shivering, and fever around the anus (anal canal), the possibility of an anal abscess or fistula should be considered.
If perianal abscesses are not treated adequately and urgently, they can lead to serious problems.
In about one-third to one-half of patients with a perianal abscess, an anal fistula may develop after treatment.
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Causes of Perianal Abscess (Anal Abscess)
The formation of perianal abscesses is thought to be linked to the infection of the secretory glands around the anus. This infection leads to the formation of pus-filled cavities around the anus and rectum as a result of the blockage of the secretory gland's outflow tract.
Some individuals may be more likely to develop a perianal abscess. Factors that can increase abscess formation include the following:
- Diabetes
- Anal fissure
- Crohn's disease
- Individuals with weakened immune systems (such as those using cortisone and similar medications, or cancer patients undergoing chemotherapy)
- Sexually transmitted infections
- AIDS (HIV infection)
- Pregnancy
- Presence of a foreign body in the anus
What Are the Symptoms of a Perianal Abscess (Anal Abscess)?
- Redness forming around the anus
- Swelling and intense pain in the anal area
- A burning sensation inside the anus
- Itching and inflamed discharge around the anus. In addition to these symptoms, fatigue may also occur. Spontaneous drainage of the abscess can relieve pain by causing discharge. The drained abscess can stain underwear by leaving a foul-smelling discharge.
- Chills and shivering
- Fever; a high fever can be a sign of a serious problem.
How is an anal abscess diagnosed?
It is very important to describe your symptoms to your doctor in detail. In some cases, talking about this may be uncomfortable or embarrassing, but it is important to make the correct diagnosis and start treatment immediately.
Superficial abscesses are usually easy to diagnose. Sometimes no other tests are needed. In some cases, tests such as blood and urine tests, pelvic MRI (Magnetic Resonance Imaging), CT (Computed Tomography), and ultrasound may be necessary for differential diagnosis and to determine the size of the abscess and its relationship with anatomical structures. Which of these tests is necessary will depend on your symptoms and what you tell the doctor. Do not hesitate to discuss any questions you may have.
Perianal Abscess Digital Examination
In many patients, the patient's complaints and a simple examination are sufficient to make a diagnosis. An anal fistula or anal abscess can be diagnosed by digital examination of the anus.
Perianal Abscess Magnetic Resonance Imaging (MRI)
These imaging techniques can show the location and size of the abscess, its relationship with neighboring organs, and the muscles that control the anus. In some patients, in addition to the examination, endoscopy and certain radiological investigations may be needed both to avoid missing another underlying condition and to determine the treatment method. In some patients, especially with deeply located abscesses, anal ultrasound or magnetic resonance imaging (MRI) may be required for differential diagnosis.
Perianal Abscess (Anal Abscess - Perianal Abscess) Treatment
The abscess is treated by draining pus through an opening made in the skin near the anus. To allow the pus to drain easily, it may be necessary to remove part of the skin over the abscess. A tampon may then be placed where the abscess has drained. A large or deep abscess may require surgery. Sometimes, depending on the doctor's preference, this can be done under local anesthesia (numbing). Patients who are prone to more serious infections, such as those with diabetes and weakened immune systems, may need to be hospitalized for treatment. Some patients may also be given antibiotics.
Perianal Abscess (Anal Abscess) - Draining the Abscess
An anorectal abscess, also known as an anal abscess, is a condition characterized by the formation of an abscess as a result of the anal canals in the anal region becoming blocked for various reasons. An anal abscess is not a condition that heals on its own, and its treatment is always surgical. The treatment of an anal abscess is aimed at draining the inflammation in the abscessed area. Patients with an anal abscess complaint may be reluctant to seek treatment because the condition occurs in a private area, and in some cases the condition may be neglected. An anal abscess is not a condition that can be treated and healed with herbal methods as patients expect and hope. Anal abscess surgery is performed by draining the abscessed area. For patients, the post-treatment healing process is as frightening as the treatment method itself. For detailed information about the healing process after anal abscess surgery, you can read our article on the anal abscess surgery healing process.
Healing of the abscess cavity can take 3-5 weeks. Sometimes there may be a bloody discharge and itching in the surrounding tissue. You will need to see your doctor again within a few days to check whether the abscess is healing.
An anal fistula may develop in about one-third to one-half of drained perianal abscesses. This is the natural course of these rectal abscesses. Patients who develop a fistula may therefore require surgery.
Situations to Watch Out for in Perianal Abscess Treatment
- Pain that does not go away despite painkillers
- Increased pain after treatment
- Fever, chills, shivering
- Bleeding that does not stop despite dressing changes
- Difficulty urinating
- Inability to pass stool for three days in a row
- Diarrhea: more than 3 watery stools within 24 hours
- Nausea, vomiting
If you experience any of these symptoms, you should see a doctor immediately.
What Are the Advantages of Non-Surgical Treatment in Perianal Abscess Treatment?
- The biggest advantage for patients is that they can go home or to work without any loss of time.
- Since no anesthesia is used during the operation, there is no anesthesia risk.
- The abscess is completely drained.
- Pain is significantly reduced.
- After the operation, the patient has no restriction of movement.
- Because the abscess is completely drained, the risk of recurrence or fistula formation is very low.
Perianal Abscess Treatment
Laser Method
The laser treatment method applied by Yasir Gozu, MD, who spares his patients from surgery by combining treatments, has enabled tens of thousands of patients to continue their daily lives on the same day.
Blogs Related to Perianal Abscess
What Is a Perianal Abscess?
A perianal abscess is a painful, pus-filled infection that forms in the tissues around the anus or rectum. Usually caused by a bacterial infection, this condition presents with symptoms such as severe pain, swelling, and fever.
Perianal Abscess Symptoms
Symptoms of a perianal abscess include severe pain, swelling, redness, and purulent discharge around the anus. In addition, patients often experience fever and a general feeling of fatigue, which are among the signs that the infection is spreading through the body.
Laser Perianal Abscess Treatment
Laser perianal abscess treatment clears the abscess by precisely vaporizing the infected tissue without harming the surrounding healthy tissue. Compared to traditional surgery, this method offers a less painful and faster healing process, allowing patients to return to their normal lives more quickly.