How to identify perianal abscess or external hemorrhoids

Perianal abscess and external hemorrhoids are two common perianal diseases. Although their symptoms are similar, they can be distinguished by the following points: Perianal abscess usually presents as an obvious mass accompanied by severe pain and redness, and often with systemic symptoms such as fever, while external hemorrhoids are characterized by local masses, mild discomfort or occasional pain, and no obvious infection or systemic reaction. If perianal abscess is suspected, you should see a doctor as soon as possible.

Perianal abscess is a purulent infection caused by anal gland infection or bacterial invasion of perianal tissues. It is more common in the anatomy of the perianal area or the junction of the anus and the outside. In addition to lumps and pain, systemic manifestations such as exudation, fever and decreased appetite may also occur depending on the severity, especially when the abscess ruptures, it will cause pus discharge and other symptoms. External hemorrhoids are caused by subcutaneous varicose veins or thrombosis in the anus. They feel soft or hard lumps when touched. The condition is usually mild and not easy to get infected. However, sudden thrombosed external hemorrhoids can cause short-term severe pain, which requires vigilance. If perianal abscess is not treated in time, it may develop into anal fistula, which is complicated and recurrent, so diagnosis is crucial.

For the treatment of perianal abscess, mild cases can be treated with antibiotics (such as cephalosporins) and drainage to control inflammation, while severe cases require surgical incision and drainage to completely clear the pus; while external hemorrhoids are mostly treated with conservative treatments, such as sitz baths (adding potassium permanganate to warm water), local medications (such as hemorrhoid suppositories), and drugs to relieve varicose veins. In severe cases, traditional hemorrhoidectomy or minimally invasive treatments such as laser treatment can be chosen. Daily health care is also very important. Whether it is perianal abscess or external hemorrhoids, avoid sitting for long periods of time, drinking, and spicy food. You should consume more dietary fiber to promote defecation, and keep the anus clean to prevent the disease from developing.

Health not only comes from early diagnosis and treatment, but also requires daily maintenance. If the symptoms cannot be judged or continue to worsen, please consult a specialist in time to avoid delaying the disease. The body is the foundation of health. Please learn to listen to its signals and take timely measures. I believe that through scientific treatment and good living habits, you will be able to regain a comfortable and healthy life.