Crohn's perianal abscess treatment

The treatment of Crohn's perianal abscess requires surgical drainage, antibiotic treatment or biological agent intervention according to the severity of the disease, combined with long-term nutritional support and adjustment of lifestyle habits when necessary. Early intervention can effectively control infection, alleviate symptoms and reduce the risk of complications.

Crohn's disease is a chronic inflammatory disease involving the entire digestive tract. Perianal abscess is a common complication, which is mainly manifested by perianal redness, swelling, pain and pus secretion. The cause is mainly related to local infection caused by chronic inflammation of the digestive tract, especially deep ulcers in the intestinal wall extending to the perianal tissue. Treatment needs to focus on local and systemic control of infection. Surgical drainage is the most commonly used first aid method. It is suitable for patients with obvious abscesses and severe pain. It can effectively control the infection with antibiotic treatment, such as ciprofloxacin and metronidazole. For complex abscesses, incision drainage, anal fistula resection or anal fistula hanging threading may be required. For patients with severe intestinal inflammation, biological agents such as infliximab can help reduce inflammatory responses and prevent recurrence of abscesses. Patients usually need to adjust their diet structure, reduce the perianal burden through a low-residue, easily digestible diet, and receive parenteral nutrition support when necessary.

During treatment, attention should be paid to perianal care, keeping the area clean to avoid worsening infection; regular follow-up examinations should be conducted to assess the control of the disease. Patients should pay more attention to their own mental health and avoid excessive anxiety and mood swings. If symptoms recur or systemic infection symptoms such as fever occur, it is recommended to seek medical attention in a timely manner and receive diagnosis and treatment from a professional team to prevent further worsening of the disease. Through standardized treatment and scientific daily management, most patients can improve their quality of life and return to normal life.