It is not possible to say which one is more terrible when compared to anal fistula and perianal abscess; in severe cases, both diseases are terrible and dangerous.
Perianal abscess can gradually develop into anal fistula if left untreated. Perianal abscess is an acute suppurative infection of the soft tissues around the anal canal and rectum or the surrounding space. Patients may experience significant pain and localized swelling, and surgery is the best treatment. If a severe perianal abscess is left untreated, the spread of infection can lead to sepsis, infectious shock and other dangers, so it is important to give treatment promptly.
An anal fistula is a granulomatous tube around the anal canal that consists of three parts: an internal opening, a fistula, and an external opening. Most anal fistulas are caused by perianal abscesses. The external opening of the anal fistula is intermittent and prolonged with pus, bleeding water and feces. Common treatments include fistulotomy, hanging thread therapy and anal fistulotomy.
It is difficult for anal fistula to heal by itself and must be treated surgically. Complex anal fistula can cause extensive destruction of perianal tissues, such as horseshoe anal fistula, etc., which seriously affects normal life.
Patients with both anal fistula and perianal abscess should go to the hospital in time for examination and active treatment under the guidance of the doctor. Usually pay attention to their own personal hygiene, avoid tobacco and alcohol, avoid overwork and so on.