Symptoms of suspected secondary recurrence of perianal abscess

When perianal abscess recurs for the second time, it usually manifests as worsening local pain, repeated fever, reappearance of redness, swelling and hard masses, and pus discharge. These symptoms indicate that the infection has not been completely controlled or new lesions have appeared, and they need to be taken seriously as soon as possible.

Perianal abscess is a suppurative disease caused by anal gland infection. It may initially be caused by decreased local immunity, perianal damage or bacterial invasion. Once it occurs, the patient will feel obvious local tenderness, accompanied by swelling and fever, and in severe cases it may even affect normal standing or sitting. After drainage or treatment, some patients may experience secondary recurrence due to improper postoperative care or residual bacteria.

Symptoms after recurrence may be similar to those of the initial attack, but they also have their own characteristics. Common manifestations include the expansion of the location and range of pain, which may be accompanied by continuous or intermittent pus exudation; touching the affected area will feel a noticeable lump, or see the redness and swelling around the small hole increase. If the infection spreads, there may also be persistent low-grade fever or even general fatigue. Some patients will notice that the original surgical area has not healed completely, or even a new fistula has formed.

To prevent or reduce the possibility of recurrence, the anus needs to be kept clean in daily life. For example, wash the anus with warm water after defecation to avoid local humid environment; at the same time, pay attention to the intake of more foods rich in dietary fiber, such as vegetables and fruits, to maintain smooth bowel movements and reduce the irritation of the anus caused by straining to defecate. During the treatment and recovery period, try to avoid sitting for a long time, choose clothes with good breathability to reduce local friction. If you experience initial discomfort, it is recommended to observe the symptoms in time and seek professional advice to avoid the risk of delaying the disease and worsening it.