Furuncle or perianal abscess

Although boils and perianal abscesses may look similar, they are two different inflammatory diseases. If you find local redness, swelling, heat, pain, or pus exudation, do not ignore it. This may be a sign of perianal abscess. You should see a doctor as soon as possible for a clear diagnosis and early treatment.

Furuncle refers to a local bacterial infection of hair follicles and sebaceous glands, mostly caused by Staphylococcus aureus. It usually manifests as local redness, swelling, induration, and pain on the skin. In severe cases, it will develop into an abscess, which can discharge pus on its own after rupture. Perianal abscess is a suppurative disease caused by bacterial invasion, mainly deep infection of the soft tissue around the anus. Perianal abscess is often derived from digestive system infection, low immunity or anal fissure. Patients show local swelling and severe pain in the anus, accompanied by systemic symptoms such as fever and fatigue.

Boils usually do not require surgical treatment. They can be treated by keeping the area clean, using antibacterial ointments, and warm compresses to promote the discharge of infection. In severe cases, antibiotics such as cephalosporins or amoxicillin can be taken under the guidance of a doctor. The treatment of perianal abscesses is more complicated and may require surgery to drain the pus. Surgical options include simple incision and drainage, anal fistulectomy, or hanging thread therapy. The specific plan is determined by the physician after evaluation. For post-treatment care, the focus of boils is to prevent friction and keep dry; and for perianal abscesses, to prevent recurrence of infection, it is recommended to change the dressing regularly and avoid sitting or standing for long periods of time.

To prevent boils and perianal abscesses, you need to pay attention to personal hygiene, eat a light diet, avoid high-sugar foods, and enhance immunity. Patients with boils should avoid squeezing the infected area with their hands to avoid aggravating the infection or causing bacteremia. Patients with perianal abscesses should avoid spicy food and constipation. If necessary, they can take probiotics to regulate intestinal flora. If symptoms recur or worsen, please seek medical attention and professional help in time. Your health deserves every attention and care.