It is infection or pus formation in Crypts of glands present near the anal canal resulting in Severe Pain, Fever, Sepsis.
It may lead to fistula in ano if timely treatment not taken commonly called as Bhagandar.
Severe pain – Constant , Throbbing
Redness & Swelling besides anus
Fever
Inability to sit
Rupture with Pus or boil
Assessment of patient as per following
Transanal or as close to anal verge as possible
Fistulotomy / Fistulectomy may be needed if determined for fast recovery & avoid recurrence
Pus Culture report may be sent for accurate evaluation
There is no medical treatment of perianal abscess.
They are classified on basis of location as
Perianal | 60 % |
Ischiorectal | 20 % |
Intersphincteric | 5 % |
Supralevator | 4 % |
Submucosal / Intermuscular | 1 % |
Warm Water Sitz bath
Do not pack wound with gauze dressing after 1st day – As it increases pain
Laxatives & Stool Softeners
High fiber diet
Control Sugar if diabetic
Local Hygiene of wound
Urinary retention
Bleeding ( 1 – 2 % )
Fistula in ano ( 20 – 40 % )
Incontinence ( 1-5 %)
Clear the pus / abscess
Identify surrounding infection
Identify fistula tract if any
Book OPD appointment with Dr. Chintan B Patel at Kiran Hospital, Surat, Gujarat, India
Monday – Saturday
Morning10.00 AM – 12.30 PM
Evening04.30 PM – 06.00 PM
