How to treat anal fistula caused by perianal abscess

When perianal abscess has formed anal fistula, surgery is needed, which is the most effective solution at present. Although medication or conservative treatment can relieve some symptoms, it cannot fundamentally cure anal fistula. Intervention surgery as soon as possible can avoid further deterioration of the disease and bring more complications.

Anal fistula is usually caused by long-term unhealed perianal abscess or repeated infection. It manifests as abnormal fistula connection formed in the perianal skin, accompanied by pus discharge, pain, itching and other discomforts. The treatment is mainly surgical, and the methods include "fistulotomy", "fistulectomy" and "thread hanging therapy". Fistulotomy is often used for simple anal fistula, which can directly open the fistula to remove the infection; fistulectomy is suitable for complex anal fistula, and the entire fistula is removed to reduce the risk of recurrence; thread hanging therapy is used to protect the function of the anal sphincter, especially for patients with high anal fistula. The specific choice needs to be evaluated by a specialist to develop a personalized plan. If the fistula is not intervened in time, it may lead to the expansion of the fistula, aggravation of infection, and even induce more complex diseases.

Postoperative care is critical to recovery. The diet should be light and high in fiber. It is recommended to eat more green leafy vegetables, whole grains, and foods rich in prebiotics, and avoid spicy food. Daily warm water sitz baths are an important step to help keep the wound clean and prevent infection; keeping the bowels open is also crucial, which can be achieved by drinking plenty of water or using stool softeners under the guidance of a doctor. Regular follow-up after surgery can monitor the healing process and prevent recurrence of fistulas. Effective treatment requires a balance between mental and physical health. Timely medical treatment and scientific care are the key to staying away from perianal abscesses and anal fistulas.