Can a low-positioned abscess form an anal fistula?

Low-position abscesses may form anal fistulas, especially when the abscess is not treated in time or is improperly treated. The spread of infection in the abscess cavity may damage the anal canal and surrounding tissues, leading to fistula formation. Anal fistulas are one of the common complications of low-position abscesses, so early diagnosis and reasonable treatment are crucial.

Low-position abscesses are mainly caused by anal gland infection or local skin inflammation, and manifest as redness, swelling, pain, local fever and even suppuration around the anus. If the abscess cavity ruptures and communicates with the anal canal, it will lead to the formation of anal fistula, and the patient may show symptoms such as repeated pus discharge, swelling, and infection. The causes of abscess formation are complex, including poor hygiene habits, local friction damage, and blockage of the anal gland opening. People with low immunity or chronic diseases such as diabetes are more prone to serious infections, increasing the risk of anal fistula formation. Once perianal pain or suspected abscess occurs, you should see a doctor as soon as possible for a clear diagnosis to avoid disease progression.

The key to treating low-position abscesses is timely incision and drainage to completely drain the pus and eliminate the infection. Surgery is the preferred treatment method in the acute phase. Abscess incision and drainage can be used, while necrotic tissue can be cleaned up. Antibiotics can be used after surgery to control infection. If an anal fistula has formed, fistulotomy, hanging thread therapy or anal fistulectomy is required. The specific choice should be determined by the doctor based on the complexity of the fistula. Assisting in improving perianal hygiene, appropriately reducing sedentary time, and strengthening local care can also help alleviate symptoms and reduce the chance of recurrence.

Patients with low-position abscesses or anal fistulas should maintain an optimistic attitude, cooperate with doctors for treatment and take good aftercare, such as eating a proper diet to avoid constipation, drinking plenty of water to promote metabolism, and taking warm water baths to accelerate healing. Do not delay medical treatment or take medication without authorization, so as not to turn a minor illness into a major one. If you feel that the symptoms are serious, you must go to a regular hospital anorectal department for professional evaluation and treatment in time. Through scientific and standardized treatment, most patients can recover smoothly and return to normal life.