Perianal/perirectal abscess and the chronic form of an abscess, a fistula (a tunnel under the skin that produces infected drainage), are common conditions. Still, no one ever talks about them :-). Sometimes, they are the result of inflammatory bowel disease, but more often, they’re not the result of any concerning underlying condition. Painful swelling around the anus is a signal that you may have developed an abscess, and you should seek immediate medical attention. For expert care, call us for an appointment.
What is a perianal abscess?
A perianal abscess is an infection that begins in a mucus-producing gland inside of the anus and borrows its way out towards the surface of the perianal skin. If you are experiencing painful swelling or something like a boil in your rectal area, you may have an abscess.
What causes a perianal abscess?
Perianal abscesses occur in many people with no obvious risk factors. Certain factors, however, may increase one’s chance of developing an abscess and becoming more serious. These factors are:
- Crohn’s disease
- Diabetes
- Being on steroids or other immunosuppressive agents
- Diarrhea or constipation
What is a fistula?
A fistula is a tunnel from inside the anal canal to the skin just outside the anus, which drains infected fluid. It is the result of a perianal abscess. About half of people with an abscess develop a fistula. A fistula can cause ongoing drainage when it breaks through the skin, and if the skin closes around the area, you are more likely to develop another abscess.
What is the treatment for a perianal abscess?
I will numb the area and drain the infected material from the abscess in the office. This shouldn’t be a terrible experience; you will feel better immediately. Most of the time, antibiotics are not required after the abscess is drained. You should be able to get back to your normal activities within a few days.
If you suspect you have an abscess, you should seek early medical attention; a small abscess that can be treated in the office can become more complicated the longer it’s left untreated. Call The Sternberg Clinic or make an appointment online today.
When should I consider surgery?
The natural history of anal fistulas is that they come back, but when they do and just how symptomatic they become is unpredictable. If your fistula or recurrent abscess begins to interfere with life, then you should make an appointment with Dr. Sternberg to explore your options.
General and Colon and Rectal Surgery Patient FAQ
Read more patient tips for preparing and recovering from general surgery, colorectal surgery, or removing lumps and bumps.
AnoRectal Post Op Instructions
Read specific post operative instructions for AnoRectal surgery.
