What are the symptoms of worsening perianal abscess?

Perianal abscess is a common anorectal disease. When the condition worsens, symptoms may include severe pain, increased redness, swelling, heat and pain, fever, and even pus exudation and persistent general discomfort. When these symptoms occur, you should seek medical attention in time to obtain appropriate treatment and care. Generally speaking, the worsening of perianal abscess requires comprehensive consideration of the scope and degree of infection, and early medical intervention, such as drug treatment, drainage decompression or surgical debridement.

1. Severe pain: When perianal abscess worsens, the pain will increase significantly. This pain often occurs continuously and may worsen during defecation, seriously affecting daily activities. To deal with the pain, you can relieve local discomfort by taking a warm water sitz bath and apply NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen to relieve symptoms.

2. Increased redness, swelling, heat and pain: Redness, swelling and heat around the anus are typical manifestations of infection. Once the condition worsens, the surrounding skin will become tighter and hotter, indicating that the scope of inflammation has expanded. At this time, local observation is required, and warm water should be used to wash the area to keep it clean, and irritation should be avoided as much as possible.

3. Fever and discomfort: Aggravation of infection is usually accompanied by a systemic immune response, leading to elevated body temperature, chills, and general discomfort. If the body temperature persists above 38 degrees Celsius, systemic antibiotic treatment should be considered, such as the use of amoxicillin and clavulanate potassium.

4. Pus exudation: When the condition worsens, the abscess may rupture on its own, causing pus to be discharged from the anus. This is a common way to relieve the condition, but it is not the best solution. It is still recommended to perform surgical drainage in a timely manner under the guidance of a doctor to completely drain the contents of the abscess.

To prevent the aggravation and deterioration of perianal abscess, patients need to focus on diet and lifestyle improvement:

-Dietary adjustment: A fiber-rich diet promotes intestinal health. It is recommended to consume fresh fruits, vegetables and whole grains every day.

-Proper exercise: Through proper exercise such as walking or yoga, you can enhance your body's resistance and maintain normal intestinal peristalsis.

-Keep it dry and clean: Clean the anal area regularly and pay attention to local dryness to effectively prevent secondary infection.

With the development of medical technology, the treatment of perianal abscess is also constantly improving. For patients with mild symptoms, conservative treatments such as oral antibiotics and topical medications can be selected; while for patients with recurrent attacks and severe conditions, minimally invasive surgery such as laser treatment or traditional surgical debridement and drainage have become common treatment methods. Each method has its own characteristics and indications, and needs to be selected according to the specific situation of the patient.

If you feel that your symptoms have changed or your condition has worsened, you should communicate with professional medical staff in a timely manner. Early detection of changes in the condition can help avoid further complications and reduce the psychological burden on patients. Healthy living habits, regular medical examinations, and timely medical treatment are the key to ensuring effective control of perianal abscesses. With the joint efforts of doctors and patients, many patients can effectively relieve the discomfort caused by perianal abscesses and maintain a good quality of life.