Perianal Abscesses are the most common type of anorectal abscesses.
It is the most common type of anorectal abscesses. These abscesses can cause significant discomfort for patients. They are located at the anal verge and, if left untreated it can extend into the ischioanal space or intersphincteric space.Since these areas are continuous with the perianal space they can also cause systemic infection if left untreated. An abscess is a localised collection of infected fluid.
Perianal abscess is a superficial infection that appears as a tender red lump under the skin near the anus. The infection occurs when bacteria gets trapped in the crypt glands that line the anal canal. The bacteria and fluid (pus) build up and becomes a lump that is red and painful
Ninety percent of all anorectal abscesses are caused by non-specific obstruction and subsequent infection of the glandular crypts of the rectum or anus. A perianal abscess is a type of anorectal abscess that is confined to the perianal space. Other causes can include inflammatory bowel diseases such as Crohn’s disease, as well as trauma, or cancerous origins. Patients with recurrent or complex abscesses should be evaluated for Crohn’s disease.
Superficial anal abscesses are often associated with
1. Pain, which is usually constant, throbbing, and worse when sitting down
2. Skin irritation around the anus, including swelling, redness, and tenderness
3. Discharge of pus
4. Constipation or pain associated with bowel movements
5. Deeper anal abscesses may also be associated with
6. Fever
7. Chills
8. Malaise
Sometimes, fever is the only symptom of deep anal abscesses.
The differential diagnosis for a perianal abscess includes anal trauma, anal fissure, anal fistula, thrombosed external hemorrhoid, pilonidal cyst, buttocks abscess, cellulitis, Crohn’s disease, ulcerative colitis, malignancy, proctitis, HIV/ AIDS, other sexually transmitted diseases, Bartholin’s abscess, and hidradenitis suppurativa.
1. Sepsis
2. Recurrent Abscess
3. Fistula formation
4. Fecal Incontinence
1. Myristica – Useful to treat an anal abscess due to its tendency to hasten the suppurative process. It helps shorten the recovery period and resolve the problem quickly.
2. Silicea – Useful for many suppurative (pus-forming) conditions including anal abscess. Useful where pus discharges are present in cases of an anal abscess which is highly offensive in nature.It is helpful to bring about quick discharge of pus and clears out the abscess. Also used to treat indurations (hardness) that are left behind following an anal abscess (in some cases). This remedy also helps in cases of anal fistula where there is an offensive pus discharge. In such cases, the area around fistula opening is hard, swollen and bluish red.
3. HeparSulph – Useful for painful, tender anal abscess. There is throbbing, beating or stabbing pain in nature.Also there is splinter-like pains which is sensitive to slightest touch.Very useful to reduce pain and speeds up the pus formation to encourage prompt recovery.
4. CalcareaSulph – Useful for anal abscess where there is thick, lumpy and yellow pus discharge which may be tinged with blood. Very useful in both acute abscess as well as recurrent abscesse
5. Belladonna – Usefull of Belladonna in the very initial stage of abscess formed around the anus.There is markedly red, hot with intense inflammation. Helpful when swelling around abscess is present in a high degree.There is throbbing, pulsating pain which is tender to touch. The person may also have a fever, along with the above symptoms.
6. Causticum – Useful in cases of a large, painful boil near the anus. There is discharge of pus, blood, and serum which is highly sensitive to touch.There is itching around the anus.Also recommended in cases of anal fistula where there pain and pulsation is felt in the perineum.
7. Merc Sol –Useful for treating an anal abscess. It is used in cases of anal abscess when the pus discharge is thin and green in color. The pus discharge may be streaked with blood, putrid and acrid in nature.
8. CalcareaPhos –Useful for abscess near the anus that discharges pus and blood. There is shooting and stitching pain in the anus may attend. In some cases there is throbbing and burning pains . The anus feels sore, especially in the morning.
9. Paeonia –Useful for anal abscess attended with itching. There is a discharge of offensive fluid from the abscess with itching,burning at anus.Useful for pain that gets worse from sitting,during and after passing stool.
10. FISTULA DROP
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