Treatment of high perianal abscess

The treatment of high perianal abscess mainly includes drug therapy, surgical intervention and auxiliary life care. Generally speaking, high perianal abscess is complicated and deep, and most of them require surgical drainage to cure, while drug therapy and life conditioning mainly play an auxiliary role. The specific treatment plan should be formulated by the doctor according to the size of the abscess, the scope of infection and the individual condition of the patient.

1) Drug treatment: relieve symptoms and assist in radical cure

For high perianal abscesses in the early stage or with a small infection range, antibiotics can play a certain role, especially in controlling inflammation and preventing the spread of infection. Commonly used antibiotics include metronidazole, cephalosporins or quinolones. However, this treatment method usually only plays an auxiliary role and it is difficult to completely eliminate the contents of the abscess cavity. It is suitable for patients with mild symptoms or for use after surgery. The doctor may also recommend painkillers such as ibuprofen to help relieve discomfort. It should be noted that all medications must be used as prescribed by the doctor and cannot be adjusted without authorization.

2) Surgical treatment: the key to radical cure

Surgery is the main treatment for high perianal abscess, especially for patients with large abscess cavities or prolonged course of disease. Typical surgical methods include the following three:

-Abscess incision and drainage: Under local or general anesthesia, the abscess cavity is incised and the pus is drained thoroughly to prevent the spread of infection.

- Thread hanging technique: When abscess and anal fistula coexist, the thread hanging method is used to promote the gradual healing of the abscess cavity.

- Perianal abscess resection: For larger abscesses, the infected tissue can be completely removed to reduce the possibility of recurrence. After the operation, hospitalization is generally required for observation and regular review of the healing of the abscess cavity.

3) Life care: promote postoperative recovery and reduce the risk of recurrence

During the treatment process, developing good living habits can help promote recovery and reduce the possibility of relapse.

-Dietary adjustments: Eat more foods rich in dietary fiber, such as vegetables, fruits, and whole grains, and pay attention to the amount of water you drink to prevent constipation. Constipation increases pressure in the perianal area and is not conducive to healing.

-Keep the area clean: Wash the anal area with warm water every day and keep it dry to avoid bacterial growth. Some doctors may recommend washing the affected area with a diluted potassium permanganate solution.

-Avoid sitting for long periods of time: Sitting for a long time may increase the pressure around the anus, which is not conducive to postoperative recovery. It is recommended to adjust your lifestyle habits appropriately and do more gentle exercises.

If a high perianal abscess is not treated promptly, it may develop into anal fistula or even cause more serious complications such as sepsis or tissue necrosis. If symptoms such as swelling, severe pain, and fever occur, you should seek medical attention immediately to prevent the condition from worsening. Regular follow-up visits are also required after surgery to monitor recovery progress.

Although high perianal abscess is inevitably painful, it can be completely cured through scientific treatment methods and reasonable life management. Maintaining a healthy lifestyle not only helps the body recover, but also reduces the recurrence of this disease. Early detection and early treatment are the best protection for your health. Do not ignore the signals sent by the body, and actively seek help from doctors, which is the long-term way to maintain health.