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Tuesday, 20 December 2022

Anal abscess antibiotics

 

Anal abscess:

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On the article:

Causes of anal abscess

Symptoms of anal abscess

Diagnosis of anal abscess

Treatment of anal abscess

An anal abscess is a painful collection of pus near the anus. Most anal abscesses are the result of infection through small anal glands.

This often manifests as a painful boiling swelling near the anus. It may be red and warm to the touch. Deeper tissue anal abscesses are less common and may not be noticeable.

 

Surgical incision and drainage are the most common treatments for all types of anal abscess and are usually successful.

 

About 50% of patients with anal abscess develop a complication called a fistula. A fistula is a small tunnel that creates an abnormal connection between the site of an abscess and the skin.. In other cases where the tunnel opening is closed from the outside, recurrent anal abscesses may develop. Surgery is required to cure almost all anal fistulas.

 

Causes of anal abscess:

An anal abscess can have many causes. These include:

Anal fissure, an infected anal canal fissure

Sexually transmitted disease

Clogged anal glands

Risk factors for anal abscess include:

Colitis

Inflammatory bowel disease, such as Crohn's disease or ulcerative colitis

Diabetes mellitus

Diverticulitis

Pelvic inflammatory disease

Being a receptive partner for anal sex

Use of drugs such as prednisone

 

In adults, using a condom during sexual intercourse, including anal intercourse, helps prevent anal abscesses. In infants, frequent diaper changes and proper cleaning between diaper changes help prevent anal fistulas and perianal abscesses. Symptoms of anal abscess

A superficial anal abscess is often associated with:

 

A constant, throbbing pain that usually gets worse when sitting

Inflammation of the skin around the anus, such as swelling, redness, and tenderness

discharge of pus

A deeper anal abscess may also be associated with:

Heat

Cold

Stagnation

Fever may be the only symptom of a deep anal abscess:

Diagnosis of anal abscess:

A laboratory examination, including a digital rectal exam, is usually sufficient to diagnose an anal abscess. However, some patients may need additional tests for screening.

Sexually transmitted disease

Inflammatory bowel disease

Diverticulosis

Colon cancer

Rarely, an examination under anesthesia is possible. Your doctor may also ask for an ultrasound, CT scan, or MRI.

 

Treatment of anal abscess:

Immediate surgical drainage is important, preferably before the abscess erupts. A superficial anal abscess can be drained in a clinic under local anesthesia. Hospitalization and help from an anesthesiologist may be necessary if the anal abscess is large or deep.

 

After surgery, most people are prescribed medication to relieve pain. Antibiotics are usually not needed in otherwise healthy people. However, some people, such as those with diabetes or a weakened immune system, may need antibiotics. Fistula surgery may be performed at the same time as abscess surgery. However, a fistula often occurs 4-6 weeks after the abscess has drained. A fistula may appear months or years later. Therefore, fistula surgery is usually another procedure that can be performed on an outpatient basis or with a short hospital stay.

Post-abscess or fistula surgery discomfort is usually mild and can be controlled with pain relievers. People can expect to lose minimal time from work or school.

 

 

Sufferers are usually advised to soak the affected area in a warm water bath (sitz bath) three to four times a day.Stool softeners may be recommended to ease discomfort during bowel movements. Some people recommend wearing gauze bandages or mini-bandages to prevent drainage from staining clothing.

 Complications after surgery include:

Infection

Anal fissure

Abscess recurrence

Scarring

After an anal abscess or fistula has healed properly, the problem is unlikely to return.However, it is important to follow the advice of your doctor or colorectal surgeon to prevent this from happening.

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