How to drain perianal abscess

The drainage of perianal abscess is mainly through surgical incision or drug-assisted drainage. In order to avoid worsening infection or the formation of anal fistula, you should see a doctor as soon as possible, and a professional doctor will choose the best treatment method according to the specific situation.

Perianal abscess is a purulent lesion caused by infection of the tissues around the anus. The main causes include decreased autoimmunity, anal gland infection, digestive tract diseases, and systemic underlying diseases such as diabetes and colitis. Internal factors such as bad bowel habits, long-term constipation, diarrhea, etc. can also cause local mucosal damage and induce infection. Some patients are invaded by bacteria due to trauma, anal fissures or improper injections, eventually forming subcutaneous abscesses. Typical symptoms are redness, swelling, pain, and fever around the anus, accompanied by abscess exudation or severe distension and pain in severe cases. If not treated in time, the abscess may spread to deep tissues and even induce anal fistula, aggravating the condition.

There are three main methods of drainage. The first is conventional incision and drainage, which is suitable for patients with obvious and shallow abscesses. The doctor will cut the abscess under local anesthesia and completely drain the pus. This method is safe and effective, but the wound must be kept clean after surgery to prevent recurrence. The second is ultrasound-guided puncture drainage, which is mostly used for abscesses in deeper areas. Severe infections may require hospitalization and combined with antibiotics (such as cephalosporins, metronidazole) for anti-inflammatory treatment. For small and early abscesses, plasters (such as ichthyol ointment and golden ointment) can be applied locally under the guidance of a doctor to accelerate the maturation and discharge of pus.

In order to speed up recovery, you need to keep the anus clean and use warm salt water sitz baths every day to relieve pain and promote blood circulation. In terms of diet, eat more foods rich in dietary fiber, such as oats, green leafy vegetables, sweet potatoes, etc., to prevent constipation and reduce perianal pressure. Avoid spicy and irritating foods to avoid inducing intestinal discomfort and repeated inflammation. Moderate exercise such as walking or yoga can help enhance physical fitness and immunity, but you need to avoid sitting for long periods of time or strenuous exercise. If there is still recurrence or symptoms persist after treatment, you should see a doctor again for a comprehensive evaluation to detect potential chronic diseases or sources of inflammation early. Through standardized treatment and lifestyle adjustments, the vast majority of patients with perianal abscesses can achieve a good prognosis.