Anal or perianal abscess or anorectal abscess The name of the disease is caused by the accumulation of pus from the infection around the anus. If the glands near the anus are closed, pus and infection accumulate and the glands around the anus become swollen. This condition causes abscess disease. Anal abscess is a painful disease that has different types.
It is more common in men and in patients with some gastrointestinal diseases. Abscesses may form right in the area of the anus or deep in the right wall of the intestine.
Although the anal area is full of exposed bacteria Infection Are but do not accumulate in the intestine due to blood flow infection.
Types of abscesses
1- Anal abscess:
The first type of abscess that forms around the anus and which in its kind constitutes the highest percentage (60%) of abscess diseases.
2- Ischemia anal abscess:
The second type Anal abscess Abscess is ischemic and (20%) constitutes abscess diseases. Which is created in the area of the external anal sphincter by the secretion of pus into the isoquinal space.
3- Intrasphincteric abscess:
Third Anal abscess Which (5%) constitutes abscess diseases. The pus is located between the tighter area of the inner and outer anus and may make the canal inside the anus very painful and the patient unable to sit.
4- Superalveolar abscess:
It is the fourth abscess (4%) of abscess diseases. It may occur above the levator ani muscle. Supervalve abscess is more common in women than men.
It is the fifth abscess that occurs in (1%) cases under the anal mucosal tissue.
6- Peritoneal abscessSixth is an abscess that indicates anal abnormalities or caused by obstruction of the anal glands. In (90%) rectal periase abscesses occur first in the intrasphincter and then along the adjacent potential.
Types of anal abscesses
Anal abscess Sometimes it is superficial and sometimes it is deep, if it is superficial, there is a lot of pain at the edge of the anus, where the abscess area is warmer than other places, and redness and inflammation are seen in the surrounding tissues. Occasionally there is a residual abscess that can penetrate deep into the abscess.
Superficial abscesses are the most common type of anal abscess, which is described in this article. Anal abscess The surface is swollen and more painful, making it difficult for the patient to sit and walk, and sometimes the abscess opens and infection and blood come out, which reduces the severity of the pain.
How to treat anal abscess
Surgery is the most common treatment for all types of superficial and deep abscesses in the anal area, which will often be successful. Abscess healing is slow, and the time to treat an abscess varies depending on the level of the abscess. If the complication does not occur, the abscess will heal completely within 6 months.
In 50% of diseases Anal abscess There is another possibility of a complication called a fistula, which is a narrow tunnel or tube that occurs abnormally between the anal canal and the surface of the skin around the abscess, which in some fistulas AnusThey have a continuous discharge and in most cases there is no choice but fistula surgery. In the next articles in Dr. Salam, we will focus more on fistulas.
What are the complications if anal abscess is not treated?
Lack of timely treatment of this disease causes the infection to spread and the infection in the body to increase. If the complication worsens, dead tissue around the abscess should be removed.
Prevention of anal abscess
You can prevent anal abscess by doing the following:
Prevent constipation, avoid enemas.
Pharmacological treatment of anal abscess infections
Use antibiotics or antifungal medications under the supervision of a doctor to eliminate infections of this type of abscess.
In cases where the abscess does not drain spontaneously, the only definitive treatment is to cut the abscess and drain it. The severity of the pain is reduced following the removal of pus by local anesthesia or general anesthesia performed by a surgeon.
After draining the pus, it is necessary for the patient to sit in a basin of warm water containing a few drops of betadine 3 to 4 times, each time for 20 minutes, to disinfect the pus and dress it after drying the site. This continues until the inflammation is completely gone, which is about two weeks.
It is important to note that failure to treat an anal abscess in a timely manner can spread the symptoms of the infection and spread the infection throughout the body. If the disease becomes severe, dead tissue around the abscess should be removed.
Lack of timely treatment of abscesses in the elderly and people with diabetes or people with low physical fitness can also be life-threatening.
Traditional treatment of anal abscess:
1- Treatment of abscess with honey
Abscess treatment with honey is in such a way that first you can rub honey on the abscess area and gently massage it so that the honey is absorbed into the area.
2- Treatment of abscess with fruits
Use fruits such as watermelon, grapes, pears, oranges and vegetables a lot and do not use bananas, apples and kiwis because they are harmful.
To prevent stretching and re-rupture of the anal ulcer, lubricate the anal opening with the leaf oil before defecation and defecation.
After lunch and dinner, pour 2 tablespoons of asparagus in a glass of sweetened water and after glazing, drink it and be sure to drink a glass of water after that. Increasing dietary fiber can help reduce the risk of constipation.
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