The perianal abscess burst and pus oozes out

If the pus in the perianal abscess ruptures and discharges pus, it may mean that the infection has worsened. At this time, the patient needs to seek medical attention in time to avoid the spread of inflammation or the formation of anal fistula. In the short term, cleaning care and pain relief can be used to relieve symptoms, but thorough treatment needs to be carried out under the guidance of a doctor, including surgical drainage, anti-infection drugs and comprehensive postoperative care.

1. Causes of perianal abscess rupture

Perianal abscess is mainly caused by drainage obstruction of anal gland secretions and bacterial infection. Common causes include:

-Infection factors: Anal gland infection is the main cause. Bacterial invasion triggers a local suppurative reaction, causing localized abscesses in the perianal tissue.

-Immune factors: Infection is more likely to occur when immunity is reduced. For example, patients with long-term fatigue, malnutrition, diabetes, etc. are at higher risk.

- Trauma or other diseases: Local diseases such as anal fissures, hemorrhoids or colonic diseases that are not treated in time may induce perianal infection and gradually lead to abscesses.

After the abscess spontaneously ruptures, the outflow of pus does not mean recovery. At this time, the residual infection foci and inflammation may still worsen and even further form anal fistula.

2. Treatment methods after rupture

For emergency treatment of pus discharge after abscess rupture, the infection should be controlled as soon as possible and the disease progression should be prevented:

- Clean promptly: Wash the wound with warm water 2-3 times a day, keep the area clean, and gently dry it with sterile cotton cloth or medical gauze.

-Avoid local irritation: Do not use irritating disinfectants (such as alcohol, iodine), avoid friction or bad sitting posture, and reduce pressure on the wound.

-Seek medical attention as soon as possible: Spontaneous rupture can easily lead to pus retention in the deep tissue wall, causing inflammation again or spreading to other parts. Doctors usually recommend surgical intervention or drug treatment to completely control the infection.

3. Standard treatment options for perianal abscess

Complete treatment of perianal abscess requires choosing the appropriate method according to the severity of the condition. The following are several common medical interventions:

-Surgery

-Incision and drainage: It is mostly used in the acute suppurative stage to drain the pus through incision of the abscess and relieve symptoms.

-Anal fistula repair: If the abscess has formed a fistula, further surgery is required to remove the lesion and repair the tissue.

-Hospitalization postoperative care: Regular dressing changes are required after surgery, and postoperative infection or recurrence should be prevented.

-Medication

-Antibiotics: used to control bacterial infections. Commonly used drugs include amoxicillin, cephalosporins, and metronidazole.

- Nonsteroidal anti-inflammatory drugs: such as ibuprofen, can reduce local inflammation and pain.

- Mild topical ointments: such as Mayinglong Hemorrhoid Ointment or Erythromycin Ointment, can help promote wound healing.

-Daily care

-Dietary adjustment: Eat more high-fiber vegetables and fruits, avoid spicy and irritating foods, relieve constipation and prevent wound damage.

- Sitz bath therapy: Taking a 15-minute sitz bath with warm salt water or potassium permanganate solution every day can effectively relieve swelling of traumatized tissues and promote blood circulation.

4. How to prevent relapse

Even with successful treatment, there is a risk of recurrence of perianal abscesses, so care habits must be strengthened:

-Keep the anal area clean: change underwear frequently and avoid sitting for long periods of time and in humid environments.

-Improve life stress: avoid excessive physical fatigue and enhance immunity.

-Regular physical examinations: Diabetic patients and those with weakened immune function should pay special attention.

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Perianal abscess is a complex but common anorectal disease. Although the symptoms are temporarily relieved after spontaneous rupture, it is not the real solution to the problem. Actively seeking medical treatment and receiving professional treatment as recommended by the doctor is the best way to prevent further deterioration of the disease. The treatment process requires patients to remain patient and pay attention to adjusting their lifestyle habits. If you find similar symptoms, please consult a professional doctor immediately. Good health is the cornerstone of life and cannot be ignored!