What is the best way to treat high perianal abscess?

The best treatment for high perianal abscess is surgical drainage, with anti-infective drug therapy as an auxiliary, as well as adjusting diet, keeping the area clean and regular follow-up visits. High perianal abscess is an anal infection that needs to be treated promptly. Delayed treatment may lead to serious complications, such as anal fistula. The following will explain its treatment methods and precautions in detail.

1. Surgical drainage: Complete removal of pus

Surgery is the core of the treatment of high perianal abscess. Depending on the severity and location of the abscess, common surgical methods include:

-Incision and drainage: It is suitable for situations where an abscess has already formed. During the operation, the doctor will make an incision in the abscess cavity to drain the pus under local or general anesthesia, which can effectively relieve swelling and pain.

- Perianal abscess hanging thread surgery: It is suitable for complex high-position perianal abscesses, such as those with anal fistula. During the operation, a hanging thread device is placed to gradually drain the blood, which is beneficial for preventing reinfection and restoring normal anal function.

-Perianal abscess repair: Some patients require surgical repair to repair damaged tissue. However, this type of surgery is usually reserved for more severe cases or when there are complications.

After the operation, you need to follow the doctor's advice, change the dressing regularly, keep the surgical site clean, and prevent postoperative infection.

2. Drug treatment: control infection and relieve inflammation

Medical treatments are often used as an adjunct to surgery to help clear the infection and relieve symptoms. They include:

-Antibiotics: Antibacterial drugs such as amoxicillin and clavulanate potassium are especially suitable for patients with obvious bacterial infection. Medication needs to be taken according to the doctor's instructions and the course of treatment to avoid drug resistance.

- Non-steroidal anti-inflammatory drugs: For those with more severe pain, drugs such as ibuprofen can be used for a short period of time to relieve pain and inflammation.

- Local disinfectants: such as iodine or potassium permanganate solution sitz baths, help keep the skin around the wound clean and prevent secondary infection.

3. Adjust your diet to speed up healing

Diet is very important for perianal health, and patients should pay attention to the following points:

-Increase dietary fiber intake: such as whole grains, vegetables and fruits, which can promote intestinal peristalsis, avoid dry stools, and reduce irritation to perianal wounds during defecation.

-Drink plenty of water: This helps keep stool soft and indirectly reduces perianal pressure and pain.

-Avoid irritating foods: Spicy foods, alcohol, etc. will aggravate local inflammation and should be avoided as much as possible.

4. Keep the anal area clean: prevent recurrence

Perianal care is the key to postoperative recovery. Clean the anal area with warm saline or potassium permanganate solution every day to reduce bacterial growth. It is recommended to use warm water to wash after defecation instead of wiping with dry paper to avoid irritating the wound.

5. Regular follow-up visits: ensuring treatment effectiveness

The recurrence rate of high perianal abscess after surgery is high, so it is very important to follow up at the hospital regularly and receive evaluation and guidance from the doctor. If symptoms such as persistent pain, increased pus or fever occur, the doctor should be informed immediately to adjust the treatment plan.

Kind tips

Patients with high perianal abscesses often experience pain and psychological stress due to the disease, but proper treatment and care can relieve symptoms and prevent recurrence. When similar symptoms occur, it is recommended to go to the anorectal specialist in the hospital as soon as possible without delay. Patient care after surgery and good living habits can help you recover as soon as possible. The body is the cornerstone of life, and positive attitude and scientific treatment are the best strategies to deal with the disease.