Will the swelling of perianal abscess go away on its own without surgery?

Perianal abscesses usually do not go away on their own, so it is recommended that you seek medical attention and professional treatment as soon as possible. Perianal abscesses are caused by pus accumulation due to anal gland infection or anal fissure. If not treated promptly, they may develop into a complex anal fistula. Below, we will discuss the causes of perianal abscesses in detail, as well as different treatment options.

1. Causes: Perianal abscesses are usually caused by infection, with anal gland infection being the most common cause. Genetic factors play a limited role in perianal abscesses, but people with weakened immune systems are more susceptible. Environmental factors such as poor hygiene and unhealthy eating habits can also increase the risk of infection. Physiological factors include constipation or long-term diarrhea, which can exacerbate local infections.

2. Treatment methods:

Drug treatment: For mild perianal abscesses, doctors may prescribe antibiotics to help control the infection. At the same time, analgesics can also relieve pain. Common antibiotics include amoxicillin, clindamycin, etc.

Surgery: Severe perianal abscesses usually require surgical drainage. Surgical methods include local incision and drainage and anal fistula resection. The former is used for simple abscesses, while the latter is suitable for complex lesions.

Lifestyle adjustments: Increase fiber intake, such as eating more fruits, vegetables, and whole grains, to keep bowel movements smooth. Regular hot water sitz baths can also effectively relieve local discomfort. Maintaining good personal hygiene is also an important measure to prevent recurrence.

3. When facing perianal abscess, early medical treatment is the key. Although it is not as critical as a serious illness, delayed treatment may lead to serious complications. If persistent pain or lumps occur, please consult a professional doctor in time. At the same time, maintaining a healthy lifestyle, enhancing immunity, and paying attention to personal hygiene can also effectively prevent the occurrence of such problems. Through professional medical care and scientific lifestyle adjustments, the vast majority of patients can achieve good treatment results and improve their quality of life.