The actual perianal abscess is actually a thing?
The actual abscess is actually the same as an ordinary abscess, but when the body’s resistance is insufficient, the tissue is connected to the outside world, and the bacteria take advantage of the opportunity to enter, and then the bacteria destroy the tissue, the tissue is corrupt and pus, and the pus cannot be discharged, becoming an accomplice to the bacteria, increasing the erosion of the tissue and forming an abscess over and over again.
Why do I have a perianal abscess?
From the above, we know that there are 3 prerequisites for the appearance of perianal abscess.
1. Insufficient body resistance. That is, the long-term fat, sweet and heavy food and drink has unknowingly weakened your immune system, so that you are defeated in the face of bacterial infestation;
2, the interior of the tissue is exposed to the outside. Unlike the extremities, organs and other organs and tissues, the anal canal as the most end of the digestive tube, the exit of excrement, itself is connected to the outside world. Due to the presence of anal sinus and anal glands on the dentate line of the anal canal, there are three ways for bacteria to contact the inside of the tissues.
(1) The anal sinus on the dentate line grows like a kangaroo mother’s large pocket (mouth facing upward), when the stool passes through the door of the bag there will be some into the bag, the construction of the bag so that it is not easy to discharge and reside, the bacteria in the stool begins to erode the anal sinus to form anal sinusitis. The bottom of the sinus is connected to the anal gland through the anal gland duct, and the bacteria reach the anal gland along this duct, causing anal adenitis. The wall of the anal gland is just a membrane that is easily pierced by bacteria, which can enter the surrounding tissues. The loose perianal tissues are like a maze of twists and turns, and no one knows where the bacteria will go with the pus, so a complex abscess is formed. This is the main reason for the formation of perianal abscess; attached.
(2) Similar to the process in other areas, there is damage to the perianal skin, bringing the muscles, fascia and other tissues into contact with the outside world.
(3) In addition, the perianal skin has well-developed sweat and sebaceous glands, and sometimes sebum and sweat hair can become similar to the presence of bacteria when the pores are blocked, causing the corresponding skin inflammation, and abscesses may form when the inflammation spreads inward.
However, abscesses caused by the latter two conditions can strictly speaking only be described as abscesses growing in the perianal area rather than perianal abscesses. A perianal abscess is an abscess with an internal opening to the anal canal through the dentate line, which is the first case.
In addition, if the stool is dry or unformed, if the time spent on the toilet is too long, if the pressure on the anal canal is too great due to long squatting and sitting, etc., the stool can easily enter the anal sinus, thus causing a series of symptoms later.
3, the erosive power of bacteria is strong enough. The walls of the castle are thin again, to some soft-legged shrimp is not a matter.
[Classification] Which kind of perianal abscess does mine belong to?
The classification of perianal abscess is still mainly used to distinguish by the location of abscess: from deep to shallow, there are mainly pelvic rectal fossa abscess, rectal submucosal abscess (rectal pelvic department), posterior rectal gap abscess (rectal pelvic department), [above is the abscess above the levator muscle, after that is the abscess below the levator muscle] sciatic rectal fossa abscess, posterior anal gap abscess, anal canal submucosal abscess, perianal subcutaneous abscess and horseshoe abscess etc.
Performance] What are the manifestations of perianal abscess?
Take anal gland infection as an example.
1. Suddenly, one day, you feel a small hard lump or lump in the perianal area;
2.After a few days, there will be sudden and severe pain, local redness, swelling and heat, inability to touch, restlessness due to pain, sleeplessness at night, or discomfort of anal swelling, generalized fever, fear of cold or even chills, cold sweat, fatigue, loss of appetite, constipation, poor urination and other symptoms. Deep abscesses may also cause perineal and sacrococcygeal swelling and pain, and may even cause systemic toxic symptoms. The above symptoms may vary depending on the type of abscess.
3.Abscess will be formed after about one week, and you will feel a large, soft and fluctuating swelling with higher temperature than the surrounding skin and less pain than before, and a little white or yellow pus may be discharged from the anus after squeezing.
4.After the abscess is formed, it can be cut and drained to drain the pus completely, or the pus can penetrate the skin by itself and flow out from the skin lesion. At this time, the pain is greatly reduced or even disappears, the body temperature will be normal, and the general condition is improved.
5, if the pus wound does not heal, or temporary healing and then recurrence of pus, repeatedly formed a fistula for anal fistula. This is the result of the pus not being clean, if it can be clean, plus diligent drug changes, it will heal smoothly.
The actual fact is that you will be able to get a good deal on your own.
Generally, when the pus has not started, it cannot be surgically drained, but only anti-inflammatory treatment, or local medication to pus out, after the abscess is formed, it can be surgically incised and drained, the pus will be released cleanly, the rotten flesh scraped away, the wound is open, the logistics of changing medication, strengthening immunity, and then it is waiting for the wound to heal.
Abscesses are definitely treated surgically. Unlike hemorrhoids, which you can decide whether you want to operate as long as you don’t mind it getting in the way, before forming an embedded hemorrhoid that causes severe pain or bleeding hemorrhoids that cause anemia, a perianal abscess is not so easy to talk to. It is good that it finally penetrated the skin to form an anal fistula by itself, at least the pus is out, so just choose a convenient time to remove the fistula. If it doesn’t come out on its own, we have to cut an opening to help it out, otherwise the bacteria in the pus will enter the bloodstream along the corroded muscle vessels, which can easily cause bacteremia or toxemia and endanger your life. So anti-inflammatory before surgery is very necessary, this time do not consider what the side effects of antibiotics or their ass to be pulled a mouth.
Prevention】What things should I pay attention to in my daily life to prevent abscesses?
The physiological structure of the anal canal we can’t change, and the virulence of bacteria we can’t do anything about, so we can only start with immunity. So we need to change our diet of eating and drinking, strengthen our body and immune system, if it is strong enough, we will be able to stand firm. And to develop good bowel habits. If you keep your stool moist and formed, and if you discharge it smoothly and painfully, it will not be easily scraped into the anal sinus by the anal sinus wall.
Literacy】Is perianal abscess contagious? Can it turn into cancer?
Generally not, but after all, it involves bacterial infection, not necessarily if someone else is infected with some very infectious and virulent bacteria. But it is not necessarily that you will also get a perianal abscess, maybe it is something else. The abscess itself will not turn into cancer, it takes quite a long time to become cancerous to stimulate, and you can’t endure that time. But pus drainage is not complete, repeatedly stimulating the perianal tissue, over time, no one can guarantee.