Once an anal abscess breaks, it cannot be cured.

Perianal abscesses are not unhealable once they rupture. Although ruptured perianal abscesses will increase the difficulty of treatment, professional treatment methods such as drainage, medication and surgical intervention when necessary can effectively control the infection, promote healing, and even completely cure it. However, delaying treatment may lead to more complicated lesions, such as anal fistula formation, so early medical treatment is the key.

1. Why does an perianal abscess rupture?

Perianal abscess is usually caused by anal gland infection. In the early stage of infection, local redness, swelling, pain and obvious swelling will occur. If not intervened in time, the pressure in the abscess cavity will increase, local tissue will be damaged, and the abscess may eventually rupture spontaneously or even spread to the surrounding area.

Cause Analysis:

1) Physiological factors: The skin tissue is compressed by the abscess for a long time, which leads to obstruction of blood circulation, thinning of the skin and eventual rupture.

2) Uncontrolled infection: When the pathogens are not controlled, the inflammatory response will be aggravated and the pus will spread further.

3) External factors: Excessive friction, excessive pressure or local stimulation (such as sitting for a long time) may increase the risk of rupture.

Suggested actions:

If you find redness, swelling and pain around the anus, you should seek medical attention as soon as possible, evaluate the condition of the abscess cavity through medical imaging, and choose an appropriate removal method to prevent the abscess from worsening to the stage of spontaneous rupture.

2. How to treat perianal abscess after rupture?

When a perianal abscess ruptures, the likelihood of infection increases further. In this case, treatment needs to focus on infection control and promoting wound healing.

Treatment options include:

1) Drainage treatment: If the pus is only partially discharged, professional surgery is required to incise and remove the remaining pus to ensure that the source of infection is completely removed.

2) Drug treatment: Oral or topical anti-infection drugs, such as metronidazole and cephalosporin antibiotics, to kill residual bacteria.

3) Surgical intervention: For patients with complicated conditions or deep abscess formation, surgery is required to thoroughly debride the wound and prevent the occurrence of secondary anal fistula.

Daily care suggestions:

① Keep the wound clean and dry, and take a sitz bath with warm salt water every day to prevent the wound from being infected again.

② Improve your lifestyle habits and avoid strenuous exercise and long periods of sitting.

③ Eat high-fiber foods such as brown rice and green leafy vegetables to prevent constipation and reduce wound pressure during defecation.

3. Will perianal abscess definitely turn into anal fistula?

If the perianal abscess is not treated properly after rupture, there is indeed a high probability that it will develop into anal fistula. Anal fistula is an abnormal channel formed by the residual pus cavity of the abscess infection and the inner wall of the anus. The treatment requires more complex and in-depth treatment and cannot be ignored.

Causes and prevention of anal fistula:

1) Incomplete elimination of infection: Residual inflammation leads to chronic abscesses or tissue necrosis.

2) Delay in treatment: Delaying treatment after spontaneous rupture of an abscess will increase the incidence of anal fistula.

To avoid developing anal fistula, patients with abscess should strictly follow the doctor's treatment plan, insist on changing dressings and regular check-ups to prevent the condition from worsening.

Tips:

Perianal abscess is not an incurable disease, but it requires sufficient vigilance and early intervention. If the source of infection is not cleaned up in time after rupture, it may lead to serious complications and affect the quality of life. Especially when the pain worsens, the secretions increase, or the body temperature rises, you should seek professional medical help immediately. Instead of fearing the progression of the disease, it is better to take active and scientific countermeasures, which can not only restore health, but also prevent subsequent complex consequences. Paying attention to healthy bowel movements and keeping the anus clean will further reduce the risk of recurrence of perianal abscesses.