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Anorectal Abscess or Perianal Abscess

Many glands are found within the body’s rectum. If one of these glands ends up being blocked, it can get contaminated, and an abscess can develop. An abscess is a collection of pus and if that collection is found near the anal opening, it is called perianal or anorectal abscess.

Signs and symptoms of anorectal abscess

Symptoms of an anorectal abscess or perianal abscess

  • Pain or pain near the anus or buttocks
  • Exhaustion
  • High temperature
  • Evening sweats
  • Bowel irregularity or uncomfortable bowel movements
  • Swelling or soreness near the rectum
  • Lump or uncomfortable hard cells near the anus
  • Discomfort in the lower abdomen
  • Pus drain near the rectum or butts

Anorectal Abscess or Perianal Abscess

Cause of the anorectal or perianal abscess

These problems might increase your chances of establishing an anorectal abscess:

  • Pregnancy
  • Diabetes
  • Crohn’s disease or ulcerative colitis, inflammatory diseases of the bowel
  • Specific medicines, such as radiation treatment medicines for cancer cells treatment
  • Medicines that subdue the immune system after an organ transplant
  • Foreign body in the rectum
  • Rectal cracks, or chronic fissures, pertaining to bowel irregularity that continues for a long period of time.
  • Sexually transmitted disease (STD).

How to diagnose anorectal abscess

Colorectal surgeon can identify an anorectal abscess by looking externally at the rectum and also with an electronic anal exam. This test entails the healthcare provider inserting a gloved, lubricated finger into your rectum. A speculum can be placed to permit the entire anal location to be seen. In some circumstances, a healthcare provider will certainly require to do a proctosigmoidoscopy. This is an examination in which an adaptable tube with a light and a camera is placed in the anus to see the area. In various other circumstances, an MRI, CT scan, or ultrasound might be required to figure out where the area of the abscess.

Treatment of anorectal abscess or perianal abscess

Anorectal abscess is treated by giving an incision in the skin near the rectum so the pus can drain. Anaesthesia is required and one night hospital admission may also be required.

Usually an Examination under Anaesthesia is done in operation theatre, before proceeding to drain the abscess.

At times the pus is accompanied by anal fistula. A draining seton is inserted to ensure that the pus keeps draining and definite anal fistula surgery is done after a few weeks.

What happens after the anorectal abscess is drained

About fifty percent of individuals with an anorectal abscess will develop an anal fistula. This is an irregular opening in the skin near the anus. Pus bursts from the abscess as well as permeates out intermittently. A fistula generally needs surgical treatment to repair it. Discomfort, infections, and reoccurrence are various other feasible complications of anorectal abscess.


You can reduce your possibilities of creating this condition by handling diabetic issues, STDs, and also other risk aspects. If you have inflammatory bowel condition, such as Crohn’s, medicines are usually needed to aid stay clear of anorectal troubles like abscess.

When to call the doctor

An anorectal abscess needs prompt clinical focus prior to various other complications take place. If you have any type of discomfort, pain, or swelling in the rectum or anus, see your doctor to figure out the reason.

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