Difference between external hemorrhoids and perianal abscess

The main differences between external hemorrhoids and perianal abscesses lie in the causes, symptoms and treatments. External hemorrhoids are a benign disease caused by vascular dilation in the anal area, while perianal abscesses are purulent lesions of the soft tissue around the anus caused by infection. The former is mainly characterized by tumors, while the latter is characterized by pain and redness.

External hemorrhoids are usually caused by prolonged sitting, dietary stimulation, constipation or pregnancy. They manifest as soft or hard swellings on the outside of the anus, usually without obvious pain, and symptoms only worsen after defecation or physical exertion. If accompanied by thrombosis, local nodules, tenderness or even slight swelling may occur. Perianal abscesses are mostly caused by bacterial infection, often related to local trauma, low immunity or a history of anal fissures. Clinical manifestations include redness, swelling, fever, severe and persistent pain around the anus. In severe cases or after the irritating mass ruptures, pus can be seen discharged, and it may also cause systemic symptoms such as fever and fatigue.

The treatment of external hemorrhoids is mainly to relieve symptoms. Warm water sitz baths, moderate exercise, and a balanced diet can be used to prevent symptoms from getting worse. If drug treatment is required, topical medications such as Mayinglong Hemorrhoid Cream and Puji Hemorrhoid Suppositories can be used, or minimally invasive surgery such as laser treatment or rubber band ligation can be performed. Perianal abscesses require anti-infection and early drainage. Mild patients can use antibiotics such as cephalosporins to improve local infection. If an abscess is formed and the range is obvious, surgical incision and drainage are required to accelerate healing and prevent fistula formation.

To prevent external hemorrhoids and perianal abscesses, it is recommended to maintain smooth bowel movements, avoid sitting or standing for long periods of time, avoid spicy foods, and pay attention to anal cleanliness to enhance resistance. Once abnormal symptoms are found, you should seek medical attention as soon as possible to get a clear diagnosis. Professional intervention can avoid worsening of the disease or secondary complications. Taking anal health seriously is a key step towards overall health.