What are the causes of recurrence of perianal abscess?

The causes of recurrence of perianal abscess include genetic factors, repeated local infection, inadequate treatment, etc. Understanding and intervening in these factors can reduce the risk of recurrence.

From a genetic perspective, some people are susceptible to perianal abscesses, which may be related to family genetic diseases or immune system defects. For example, chronic inflammatory bowel disease (such as Crohn's disease) increases the probability of recurrence. Environmental factors include poor daily hygiene habits, long-term sitting and lack of exercise leading to poor blood circulation, and a high-fat and low-fiber diet that causes constipation and increases anal gland pressure during defecation. Recurrent local inflammation is an important cause. For example, the infection is not completely controlled, the pathogenic bacteria in the abscess cavity continue to multiply, and the patient may not strictly follow the doctor's orders to complete the treatment; incomplete surgery and failure to remove all lesions can also lead to the re-formation of abscesses. Physiological factors related to other health problems, such as diabetes and metabolic disorders, also affect the ability of local wounds to heal.

In order to prevent the recurrence of perianal abscess, local care should be done, anal hygiene should be maintained, warm water sitz baths should be used to improve local blood flow, spicy and high-fat diets should be avoided, and more fiber-rich foods, such as vegetables, whole grains, bananas, sweet potatoes, etc., should be consumed to promote intestinal peristalsis. Regular exercise is helpful in enhancing immunity and blood circulation. Gentle exercises such as walking and yoga are recommended. The doctor's treatment plan should be strictly followed, which may include thorough debridement surgery or long-term anti-infection treatment, and the wound healing status should be evaluated during follow-up. Once recurrence or related symptoms (such as pain, fever, anal redness and swelling) occur, you need to go to the hospital as soon as possible for professional diagnosis and treatment.