How to heal the wound of perianal abscess

The healing of the wound after the rupture of the perianal abscess requires timely treatment and scientific care to avoid infection and further aggravation of the condition. Usually, it includes debridement and disinfection, promoting wound healing, treatment of the underlying cause, and maintaining improved living habits, such as regular bowel movements and dietary conditioning. For cases of slow healing or recurring episodes, medical treatment should be sought as soon as possible to avoid complications such as anal fistula.

1. Why does an perianal abscess rupture?

An abscess is a collection of pus in the anal tissue caused by infection. It usually ruptures spontaneously because the inflammation is not controlled in time. Its causes may include:

-Infection leads to increased abscess pressure: The accumulation of pus will cause increased pressure in local tissues, which will eventually break down and allow pus to flow out.

-Spontaneous or external rupture: Actions such as squeezing and daily friction can cause an abscess to rupture.

- Spread of inflammation triggers tissue degeneration: The tissue at the bottom of the abscess is damaged due to long-term infection, resulting in its inability to support the perianal skin and eventually ruptures.

2. How to deal with the wound after rupture?

If the wound after the abscess ruptures is not properly treated, it is easy to aggravate the infection or further develop into a complex anal fistula. The following measures are recommended:

- Debridement and disinfection:

If the abscess has ruptured, it should be washed locally with saline or warm water first, and the pus should be gently wiped away, while avoiding rubbing the wound. Then the wound can be disinfected with skin-tested iodine or diluted hydrogen peroxide to prevent the infection from getting worse. The frequency of debridement is recommended to be maintained at 2-3 times a day, and the frequency can also be increased according to the bowel movement.

- Promote wound drainage and healing:

Incomplete drainage may lead to residual abscess after surgery. Inflammation can be relieved and drainage can be unblocked by keeping the wound clean, local ventilation or assisted sitting bath (sitting bath with diluted potassium permanganate solution is recommended). Some ruptured abscess wounds may require a drainage tube to assist in drainage by a doctor. Do not treat them by yourself.

-Topical and oral antibiotics:

After evaluation by a doctor, ointments that promote healing can be applied to the wound, such as Jingwanhong ointment, moist burn ointment, etc. If necessary, oral antibiotics such as cephalexin or levofloxacin can be taken to inhibit the further development of deep infection. It is recommended to adjust the dosage and course of these drugs according to the doctor's advice.

3. How to avoid recurrence and promote complete healing?

Long-term healing difficulties and repeated inflammation may be related to the underlying cause (such as anal gland infection) not being completely resolved or to bad lifestyle habits. Improving the following aspects can help maximize wound healing and prevent recurrence:

-Healthy diet and regular bowel movements:

It is very important to prevent constipation and feces from irritating the wound. It is recommended to consume more dietary fiber, such as vegetables, fruits, and whole grains. Keep the daily water intake above 1500 ml, which can not only excrete toxins from the body, but also effectively soften the stool. Avoid spicy and high-fat foods that irritate the intestines.

-Correct defecation posture and anal care:

Avoid excessive force during bowel movements to reduce pressure on the healing area of ​​the perianal abscess. If bowel movements are painful, external lubricants or enema can be used to assist with bowel movements. After bowel movements, the anus should be cleaned with warm water and kept dry to prevent the spread of bacterial infection.

-Maintain a regular schedule and strengthen immunity:

Sufficient sleep and moderate exercise can effectively improve immunity and enhance the body's ability to resist infection. At the same time, you should reduce sitting time and avoid continuous pressure on the anus.

4. When is a doctor’s intervention needed?

If the wound fails to heal, accompanied by persistent pain, yellowing and smelly pus, repeated high fever, etc., it may be a sign of worsening infection or poor drainage of the abscess cavity. You need to go to the hospital as soon as possible for surgical incision and drainage or other treatment methods. At the same time, recurrent perianal abscesses or wounds that do not heal for a long time may indicate the formation of anal fistula, which in most cases requires surgical treatment.

Friendly reminder

After the perianal abscess ruptures, timely and scientific care is the key, but a thorough solution to the problem cannot be separated from the guidance of a professional doctor. During the treatment process, maintain a light diet, regular work and rest, and a good mental state. Don't be afraid to seek medical treatment, timely intervention can avoid greater pain and complications. Health is your own responsibility, take action to make your body recover faster!