Perianal abscess requires surgery

In most cases, perianal abscesses require surgical treatment, especially when the infection is severe or an abscess cavity is formed. Surgery is the only way to completely eliminate the accumulation of fluid and infection. However, mild cases can choose conservative treatment according to the specific situation, and at the same time, cooperate with lifestyle adjustments and medication to alleviate symptoms and avoid recurrence.

Next, we will analyze in detail the causes, symptoms, surgical treatment methods and the possibility of conservative treatment of perianal abscess, and provide lifestyle recommendations to help patients better cope with this problem.

1. The main causes and manifestations of perianal abscess

Perianal abscess is caused by infection of glands around the anus, which leads to suppuration, local redness, swelling, pain, fever and even pus exudation. The specific causes include the following:

-Infection triggers: Anal gland obstruction and bacterial infection are the main causes. Bacteria can invade tissues through trauma or intestinal damage, leading to further development of the infection.

-Environmental factors: Poor anal hygiene, long-term constipation or diarrhea may increase the risk of infection.

-Other diseases: Chronic diseases such as Crohn's disease and diabetes can lead to decreased immunity and make anal infections more likely.

Those with mild symptoms may only feel local itching or slight discomfort, while severe cases may cause intense pain, fever, and even suppuration and pus discharge. If symptoms such as persistent pain, abscesses, and high fever occur, it is recommended to seek medical attention immediately and treat the infection in a timely manner.

2. Treatment of perianal abscess: surgical and non-surgical options

The treatment of perianal abscess is divided into surgical and conservative treatment, which needs to be selected according to the specific situation. Most patients will choose surgery to solve the underlying problem, but mild infection may also be relieved by non-surgical methods.

(1) Surgical treatment

Surgery is the first choice for the treatment of perianal abscess. Common surgeries include the following three categories:

1. Incision and drainage: The most common treatment method is to open the abscess to release the pus, drain it adequately, and clean the infected area.

2. Anal fistulectomy: If the abscess infection persists and anal fistula has formed, the fistula needs to be removed to completely resolve the root cause of the disease.

3. Minimally invasive treatment: Some hospitals use minimally invasive techniques such as laser or cryotherapy to complete drainage surgery while reducing pain, but the cost is relatively high.

After surgical treatment, patients need to pay attention to care, including regular dressing changes, keeping the wound clean, and using anti-infection drugs under the guidance of a doctor to reduce the chance of recurrence.

(2) Conservative treatment

For some patients with mild perianal abscess, conservative treatment can be tried, but it must be done under the guidance of a doctor. The following methods can relieve symptoms:

1. Warm water sitz bath: Cleaning the anus with warm water can promote blood circulation and relieve minor swelling and discomfort.

2. Drug assistance: Topical antibiotics or local anti-inflammatory ointments can help relieve mild infections, but they must be selected with caution to avoid improper use that may aggravate the infection.

3. Lifestyle adjustments: Eat more foods rich in dietary fiber, keep bowel movements smooth, and reduce local pressure and irritation on the anus.

It should be noted that if the abscess shows a tendency to expand, conservative treatment is often unable to resolve the problem and it should be promptly switched to surgical treatment to avoid delaying the disease.

3. Daily prevention and postoperative precautions

Once an anal abscess forms, treatment is only the first step. Long-term prevention and care are equally important, especially for patients who have undergone surgery. Here are some practical suggestions:

-Maintain anal hygiene: Cleaning the anus every day and wiping it with a soft towel will help eliminate the chance of reinfection.

-Adjust your diet: Eat more whole grains, vegetables and fruits rich in dietary fiber, and avoid spicy foods to prevent constipation or intestinal discomfort.

-Adhere to moderate exercise: Sitting for a long time will increase the local pressure around the anus. It is recommended to get up and move around during work and exercise appropriately to promote blood circulation.

Patients who have undergone surgical treatment need to pay close attention to the healing of the wound. If secondary infection or persistent pus discharge occurs, they should return for a follow-up visit immediately and adjust treatment measures under the guidance of a doctor.

Patients do not need to panic when facing perianal abscesses, as they can be completely cured through surgical treatment. The choice of surgery and postoperative recovery care are particularly important. While adhering to scientific treatment, improving living habits and dietary structure is an important part of preventing recurrence. For every patient, maintaining an optimistic attitude and a healthy lifestyle will help stay away from the troubles of perianal abscesses. If the condition worsens or doubts remain, please consult a professional doctor in time to seek the most appropriate treatment plan.