Perianal “bumps” – folliculitis

Is a perianal abscess the result of a perianal bump? I think I’m in the right place after Baidu, what kind of disease do I have? In today’s information-developed world, too many people rely on the Internet, but it is still important to “look, smell, ask, and cut” to see a doctor, and face-to-face diagnosis is very important. Today, we’re going to talk about perianal abscess’ “sister” – perianal folliculitis. What is perianal folliculitis Folliculitis is a purulent inflammation that occurs when staphylococci invade the hair follicles. It often occurs in the head, neck, buttocks and perianal area. Folliculitis that occurs in the perianal area is called perianal folliculitis and is common in patients with more hair growth in the perianal area. In Chinese medicine, it is called “mayfly boils”, “mayfly bunches”, “goat’s beard sores”, “big beard sores”, and so on. It is believed that this disease has a tendency to recur, often occurs in multiple places, is stubborn, and is difficult to heal. The reason for the perianal folliculitis 1, Chinese medicine cause: this disease is mostly due to dampness and heat, external heat evil, fumigation of the lung system, contained in the skin, depression for a long time into heat, heat Sheng flesh rot into pus, pus poison flow, mutual penetration, the development of this disease. Or the weakness of the body, the weakness of the external guard, external heat and poison; or because the skin is unclean, and then attacked by wind and poison, internal and external wrestling knot caused. 2.Western medical etiology: The pathogenic bacteria of this disease is staphylococcus, mainly occurs in immunocompromised or diabetic patients, mostly due to scratching, skin damage, the pathogenic bacteria take the opportunity to invade the hair follicles, and cause inflammation. It may be related to occupation, or to certain therapeutic factors. Frequent contact with tar-like substances, or long-term application of tar-like substances or corticosteroid drugs, as well as the skin often receiving friction and other stimuli, are the triggering factors of this disease. Clinical manifestations of perianal folliculitis The clinical manifestations of this disease are early itching and pain at the mouth of the follicle, followed by the appearance of a small red papule with a small yellowish-white pustule forming at the tip of the papule, surrounded by an inflammatory red halo and with a hair follicle passing through the center. There is mild pain with itching. Generally, there are no systemic symptoms, and after a few days, the pustules will heal by self-crusting. If you scratch with your hands during the attack, it can cause secondary infection, resulting in severe pain at the inflamed area, pus flow, and even fever and other systemic symptoms. If it is prolonged and recurring, it can cause chronic folliculitis. The treatment of perianal folliculitis Once the disease has attacked, you should drink more water or mung bean soup to eliminate toxins from your body, and if necessary, you can take oral Chinese medicine to clear the heat and detoxify the toxins. Oral antimicrobials can also be taken to control inflammation and appropriate oral vitamin B to help heal as soon as possible. Topical medications can be selected from herbs such as Gong Ying, Di Ding, Phellodendron, Bitter Ginseng, etc. decoction bath, and then choose anti-inflammatory, antiseptic ointment to control the spread of inflammation. The affected area can also be cleaned and dried with 10% Furfuryl Sulfate lotion. The disease is more frequent in the spring and summer sweating season, fat people are more likely to develop, so diligent bathing, pay attention to hygiene can effectively prevent this disease.