What causes perianal abscess due to hemorrhoids?

Hemorrhoids cause perianal abscesses because of repeated infection or damage of hemorrhoids, which causes bacteria to invade the perianal tissues, leading to local suppurative infection and abscess formation. This may manifest as redness and swelling of the perianal area, severe pain and fever. In severe cases, you should seek medical attention immediately.

Hemorrhoids are common anorectal diseases, which are divided into external hemorrhoids, internal hemorrhoids and mixed hemorrhoids. Some external hemorrhoids or mixed hemorrhoids are not cared for in time after swelling and rupture, which can easily lead to bacteria invading the surrounding soft tissues through the damaged parts and induce bacterial infection. Especially for hemorrhoids aggravated by constipation, diarrhea or long-term sitting, continuous friction or unclean care of the affected area can cause bacteria to breed and spread. In addition to hemorrhoid damage, decreased immunity of the body is also a predisposing factor for the disease. For example, if you have diabetes or take immunosuppressive drugs for a long time, the local infection will accelerate and worsen, and eventually form an anal abscess. Common bacteria that cause infection are Escherichia coli, Staphylococcus aureus, etc., which can cause severe pain around the anus and even fever, affecting daily life.

For perianal abscesses caused by hemorrhoids, the main treatments include medication, surgery, and health management. For mild abscesses, antibiotics can be used to control infection, commonly used ones are amoxicillin or levofloxacin. A warm water sitz bath can help relieve local pain. It is recommended to take 2-3 times a day with moderate water temperature, but avoid overheating. For those with more serious conditions, surgical treatment will be recommended, including incision and drainage, which can quickly remove pus and prevent the spread of infection; or in the late stage with fistula formation, complex resection or anal fistula repair is required for complete cure. After surgery, you should also avoid sitting for a long time and pay attention to anal cleanliness to promote disease recovery. Increase dietary fiber intake in your diet, such as eating more oats, apples, and green leafy vegetables, and drink enough water to create conditions for preventing constipation. Avoiding spicy foods can also reduce anal inflammatory reactions and significantly reduce the risk of worsening infection.

When facing hemorrhoids or perianal abscesses, do not be shy to seek medical treatment. Timely treatment and improvement of lifestyle habits are essential. Maintaining a healthy diet, regular bowel habits and proper exercise can effectively prevent the occurrence of related inflammation and avoid the adverse effects of repeated illness on the body and mind. By caring about your anorectal health, you can restore a more confident and relaxed life.