What happens if you have a long-term perianal abscess?

If long-term perianal abscess is not treated in time, it may develop into a complex fistula, and even cause serious problems such as chronic inflammation and spread of infection, causing irreversible damage to anal function and physical health.

Perianal abscess is a common anorectal disease, mostly caused by infection, inflammation or gland obstruction. Abscesses that have not healed for a long time may extend to deeper layers, forming fistulas, and thus evolve into anal fistulas. When the abscess persists, bacteria can spread along the infection channel to the surrounding tissues, causing more extensive tissue necrosis or abscess cavities. Patients may experience symptoms such as persistent pain, purulent secretions, local swelling and fever. In severe cases, repeated infections can lead to the formation of multiple fistulas and increase the difficulty of postoperative healing. Long-term perianal inflammation may also induce perianal skin lesions, and even in rare cases, promote malignant changes.

In order to avoid worsening of the disease, timely treatment is the key. In terms of drug treatment, antibacterial and anti-inflammatory drugs can be selected according to the degree of inflammation, such as oral cephalosporin antibiotics, topical use of mupirocin ointment or Chinese medicine fumigation to improve the local environment. If the abscess is large or a fistula is formed, surgical treatment is required. Common options include incision and drainage, hanging thread therapy or radical fistula resection. It is equally important to take good care after surgery. Keeping the perianal area clean, avoiding sitting for long periods of time and constipation can promote recovery. Pay attention to a light and high-fiber diet, such as consuming more green leafy vegetables, oats, etc., which can help soften stools and reduce irritation to the affected area. Habits such as warm water sitz baths can relieve symptoms and reduce the risk of recurrence.

Even though perianal diseases may seem trivial, they cannot be ignored. If you have related symptoms, be sure to consult a professional doctor. Early detection and early treatment can avoid long-term troubles and restore a comfortable and healthy life. People should respect the body's signals, pay attention to their inner needs, and take the initiative to take care of themselves.