A. Characteristics of perianal abscess development.
1, the infection mostly comes from within the rectum of the anal canal, that is, caused by intestinal bacteria more.
2, simple drug treatment and incision and drainage of pus, can not be eradicated, specifically after simple drug treatment and incision and drainage of pus, the majority of patients will form anal fistula.
3, the disease develops faster, the symptoms are obvious, and the pain caused is great.
Causes of perianal abscess development.
1.Anal gland infection. The anal gland opens in the anal sinus at the junction of the anal canal and rectum, and the anal sinus is funnel-shaped and opens upwards, which is easily damaged and infected by the invasion of bacteria. Once the anal sinus is infected, it will cause the infection to suppurate and the inflammation to spread to the perianal gaps, because the paranal gaps have poor ability to resist bacterial infection, the infection is easy to spread in these gaps and form abscesses in different parts.
2. Weakened systemic resistance. Such as diabetes, old age and weakness, excessive fatigue, as well as reduced resistance of tuberculosis patients and AIDS patients, perianal abscesses can easily occur, and perianal abscesses can also occur in patients with rectal cancer.
3, local stimulation and injury of the anus. Such as eating chili, drinking alcohol and other irritating diets can lead to local congestion of the rectum of the anal canal, decrease in resistance and induce infection. In addition, dry and hard fecal lumps abrading the mucous membrane of the anal canal skin, dilute feces of diarrhea patients falling in the anal sinus leading to anal gland obstruction, as well as trauma to the anorectum or chicken, duck and fish bones swallowed with the diet stabbing the anal canal rectum, etc. can lead to infection around the anorectum and develop into perianal abscess.
Need for early treatment of perianal abscesses.
Perianal abscess should be treated surgically If perianal abscess is not treated in time, the infection will further spread to the surrounding tissues, further aggravating the lesion, turning it from a minor disease into a major disease, turning it from easy to treat into difficult to treat, and even leading to septicemia or sepsis. Early treatment can prevent changes in lesions, relieve patients from pain as early as possible, restore health as soon as possible and save medical costs. Early treatment of perianal abscess with internal antibiotics and Chinese herbal medicines for clearing heat and detoxification, and external application of Chinese herbal ointment for clearing heat and detoxification and dispersing pain and nodules can make the inflammation be controlled and not continue to expand, and the anal swelling and pain gradually disappear. However, the vast majority of such cases will recur and still require surgery for radical treatment. Therefore, once a perianal abscess is formed, it should be treated surgically as soon as possible.
How to treat perianal abscess
There are two types of surgical methods.
One method is to first cut open the abscess and drain the pus, and then perform radical surgery after the pus cavity is reduced, which takes relatively long to treat and was mostly used in the past.
The other method is to cut open and cure the perianal abscess at one time, which avoids the pain of secondary surgery and the treatment process is relatively short, so this method is mostly used to treat perianal abscess at present.
However, this method cannot be used to treat cases in which the internal opening cannot yet be clarified and patients whose systemic conditions are not suitable for cooperation with one-time radical surgery. It is understood that since perianal abscess is a purulent disease, the surgical wound has to be filled by the growth of granulation and gradually healed, so it takes at least 2-3 weeks for the wound to grow well after the one-time incision and radical treatment of perianal abscess. The hospitalization time usually takes 2-3 weeks, and if pus is drained first and then radical surgery is performed after becoming phlegm, the time required is longer, at least 1 month.
Three, how to prevent perianal abscess
1, pay attention to not eat or eat less irritating food, such as chili, drinking greasy products, etc., diet should pay attention to eat more easily digestible and nutritious food, eat more fresh vegetables, do not eat spoiled food, in order to prevent intestinal infectious diseases.
2, pay attention to rest, prevent excessive fatigue, enhance the body’s resistance, eat more watermelon in summer, not only to eliminate the heat, but also to replenish body fluids, to prevent constipation, so as to achieve the purpose of preventing perianal abscess.
3.Pay attention to the hygiene of the anal area, change underwear regularly, and wash the anus after the stool.
4.Actively treat diseases related to perianal abscess, such as diabetes, tuberculosis, anal sinusitis, diarrhea, etc. If there is any discomfort in the anal area, go to the hospital as soon as possible and use medicine under the guidance of the doctor.