Perianal abscess with hard lump but no pus

Perianal abscesses with lumps and no pus discharge may be early inflammation or incomplete discharge of pus. It is important to seek medical attention in time to prevent the spread of infection or complications. Many people think that only pus discharge is a manifestation of abscesses, but the presence of lumps, pain, swelling, etc. indicates a problem and should be treated immediately.

The causes of perianal abscesses are mostly related to the following factors: genetic genes may lead to abnormal development of anal glands, increasing the risk of inflammation; external factors such as long-term moisture in the anus, bacterial infection, and lack of attention to hygiene can also induce it; internal factors such as low immunity, constipation, anal trauma, and long-term sitting can all lead to local gland blockage and infection; certain diseases, such as diabetes and Crohn's disease, may further aggravate inflammation. When a lump appears without pus, it is generally because the pus is deeply hidden under the skin or the fistula has not been completely ruptured, which will prolong the course of the disease. The clinical manifestations are often accompanied by local redness, swelling, heat, and pain, and may even affect defecation and walking. If not intervened in time, it may deteriorate into complications such as spread of infection and anal fistula.

In terms of treatment, inflammation can be controlled by anti-inflammatory drugs in the early stage, and oral antibiotics such as amoxicillin clavulanate potassium or metronidazole can be taken according to the doctor's orders. Warm water sitz bath (38°C~40°C, 10~15 minutes each time, 2~3 times a day) helps soften lumps and promote blood circulation. Severe cases require surgical intervention, such as abscess incision and drainage surgery or anal gland removal. It is particularly important to change the dressing every day after surgery and keep the wound dry. In terms of diet, eat more foods rich in dietary fiber, such as oats, brown rice, and green leafy vegetables, and avoid spicy and greasy foods. Moderate exercise, such as walking or yoga, can help smooth bowel movements and reduce perianal pressure.

During the treatment of the disease, the psychological state is also very important, especially during the recovery stage after repeated infections or surgery. Patients can establish a positive concept of recovery by consulting a professional doctor to avoid excessive anxiety caused by pain or recurrence. If you find that the pain of the lump continues to worsen and is accompanied by symptoms such as fever, you need to seek medical help as soon as possible without delay. During the treatment, please trust the doctor's professional judgment and follow the doctor's instructions for regular checkups to completely solve the problem and prevent recurrence. A healthy lifestyle and proper daily care can help you protect the health of the anus and avoid similar problems.