Causes of perianal abscess during pregnancy

The formation of perianal abscess during pregnancy may be related to a variety of factors, including changes in immune function caused by hormonal fluctuations, anal canal compression and infection caused by constipation, and poor blood circulation during pregnancy. These factors work together to increase the risk of local infection and inflammation.

From a genetic perspective, pregnant women who have a history of chronic inflammatory bowel disease (such as Crohn's disease or ulcerative colitis) themselves or their families may be at higher risk of developing perianal abscesses. In the external environment, insufficient dietary fiber, irregular work and rest, and long-term sitting increase the incidence of constipation, and the increased burden on pregnant women's liver function may also lead to a decrease in local detoxification ability, further exacerbating this situation. Physiological factors such as changes in hormone levels during pregnancy can affect perianal blood circulation and tissue moisture, while the enlargement of the embryo will compress the pelvic area, making defecation difficult and frequent. In terms of trauma, anal fissures, small wounds, or anal gland infections caused by excessive force during defecation may be the cause of abscess formation. If not treated in time, these minor injuries may cause more serious purulent infections and even spread to other tissues.

For perianal abscesses during pregnancy, the treatment needs to balance infection control and safety for the fetus. Topical anti-infective drugs, such as miconazole nitrate cream or mupirocin ointment, are generally the first choice for drug treatment to avoid potential problems caused by systemic antibiotics. In severe infections, doctors may consider surgical drainage surgery, and safer methods such as local anesthesia can be selected. For mild abscesses, warm water sitz baths twice a day can help relieve discomfort, and mild perianal cleaning products can be used in combination. Dietary fiber intake should be increased, such as eating more oats, brown rice, apples, etc. to prevent constipation. Moderate low-intensity exercise, such as walking for 15-30 minutes, can also help promote intestinal peristalsis, improve perianal blood circulation, and reduce the risk of infection.

In the face of perianal abscess during pregnancy, please consult an obstetrician or anorectal specialist for personalized advice. By optimizing diet, paying attention to care during bowel movements, managing lifestyle and other measures, the possibility of recurrence can be greatly reduced. At the same time, keeping a relaxed mood and getting enough sleep are especially important for restoring immune function. Caring for the health of pregnant women is also caring for the growth of the fetus. Standardized treatment not only protects the body of the expectant mother from inflammation, but also provides a stable breeding environment for the development of the fetus.