The weather is getting colder and colder, hot pot and white wine have naturally become the gods of cold, do not eat not fast. Many people are prone to hemorrhoids, constipation, perianal abscesses and other perianal diseases after eating and drinking. This article mainly introduces some simple knowledge of perianal abscess, hoping to let friends know about this disease and its hazards, and go to the hospital as early as possible. A. Know yourself and your enemy A perianal abscess (i.e. canker sore) is an abscess formed by acute or chronic purulent infection of the perianal tissue or its surrounding space. It is called perianal abscess in Western medicine. It is also called “dirty poison”, “hanging carbuncle”, “sitting horse carbuncle”, and “trans-horse carbuncle” in Chinese medicine due to its different locations. “etc. Since there are many gaps around the rectum of the anal canal (2 pelvic rectal gaps, 1 posterior rectal gap, and 2 sciatic rectal gaps), the gaps are filled with loose connective tissue, compared to the relatively tough skin, and once the bacteria are infected here, the pressure at the infected area is higher than the surrounding area, and the abscess cannot penetrate the skin, it travels within the gaps and damages the sphincter, nerves, and blood vessels. The pus can spread from one side of the colorectal fossa to the other side of the colorectal fossa, and the pus cavities are interconnected to form a tricky horseshoe-shaped abscess. Second, the painful experience Most of the perianal abscesses can develop with hard nodes, redness and pain around the anus, or break down and flow pus, accompanied by fever and other general discomfort. For abscesses in higher locations, skin swelling and other manifestations are not obvious, but they can be manifested as pain and swelling at the anorectum. The pain is no longer stressed, the taste, let people sit and lie down, simply not too “cool”, who has to know who, want to know can get an experience. The perianal abscess can also destroy the anal sphincter, nerves, causing permanent damage, varying degrees of anal function or the development of anal fistula, serious cases can also develop into necrotizing fasciitis, which can be life-threatening. How doctors diagnose Since perianal abscess is an infectious disease, checking blood routine, white blood cell count and classification count can help determine the degree of infection. Ultrasound examination is of great significance for the diagnosis of perianal abscess. Through ultrasound, the clinical doctor can accurately determine the location, size and distribution of abscesses, and can also detect microscopic abscesses. For complex perianal suppurative disease, endorectal ultrasound or MRI can help determine the anatomical relationship between the abscess, fistula and sphincter and anal levator muscle. A contrast agent can also be injected into the fistula and an X-ray can be performed to understand the location, depth, size, and alignment of the fistula. Is a hard or painful perianal abscess to the touch? Not exactly. Anal canker sores are easily confused with perianal skin infections, presacral cysts, cystic teratomas, perianal tuberculous abscesses, necrotizing fasciitis, purulent sweat gland abscesses, Crohn’s disease, etc. Since perianal tuberculous abscess, necrotizing fasciitis, Crohn’s disease and other diseases are very dangerous and difficult to treat, it is necessary to go to a regular hospital as soon as possible when perianal abscess or perianal abscess-like manifestations appear, so as to avoid more serious consequences of the above diseases. The perianal abscess can be treated with medication in the early stage of perianal abscess. Chinese medicine has rich experience in treating sores and ulcers, and different treatment methods are used according to different types of evidence. For example, those with obvious redness, swelling and heat pain are mostly hot and toxic, so the treatment is mainly to clear heat and detoxify the toxin, and additional treatments such as Xianfang Live Life Drink and Turbine Pus San are often used. For those with diffuse masses, inconspicuous redness and swelling, soreness and discomfort, the main treatment is to dry dampness and dissolve phlegm, using Er Chen Tang and other additions. Western medicine is mainly used for antibacterial treatment such as sulfonamide and penicillin, and appropriate supplementation of vitamin C. For tuberculous abscess, anti-tuberculosis treatment should also be taken. Although medication for perianal abscess can improve the symptoms, if the abscess cavity is not treated surgically, the abscess will recur and easily develop into an anal fistula. Surgical treatment is the fundamental method to cure abscesses. Only through early incision and unobstructed drainage can an abscess be controlled and the formation of an anal fistula prevented. The common surgical methods are incision and drainage, perianal abscess incision and hanging, etc. After surgery, Chinese herbal medicine can be used in a sitz bath to reduce swelling and pain, and topical muscles can be used to promote wound healing during the wound recovery period. Sixth, prevention is the main focus Capricious eating and drinking is the style of many people, but remember, today’s fruit, is yesterday’s sins of their own making. As long as you are not afraid of the painful disease experience, eating spicy, fierce drinking, fatty is okay. For those who want to prevent the disease from happening, please note: 1. Actively prevent and treat dysentery, enteritis, anal fissures, hemorrhoids and other perianal diseases to prevent infection from forming abscesses. 2, perianal injury to disinfect, keep clean, if found burning and stinging, secretions, etc. as soon as possible to seek medical advice. 3, pay attention to anal cleanliness and hygiene, exercise, positive energy within, evil can not dry.