Definition of Perianal Abscess
Abscess was a collection of pus. Meanwhile, Perianus ' abscess means a group of pus near the buttocks, usually due to a bacterial infection in the anus cryptoglobular gland. A perianus abscess is the most common type of abscess of the anses.
The presence of bacterial infections can cause pus because when bacteria enters the body, the immune system will fight it with white blood cells in the infected area. When white blood cells attack the bacteria, some of the surrounding tissues are dead and form a kind of hole that is then filled by pus. The pus contains a mixture of dead tissues, red blood cells, and bacteria.
Symptoms of Perianal Abscess
Symptoms of Perianal Abscess generally include:
Lumps or swelling that is painful near or around the anus. It will appear red and warm when it is felt.Pain in Perianal Abscess usually occurs continuously.
Remove pus and blood if abscesses rupture.
In addition to bumps or swelling, Perianal Abscess can also cause some symptoms, such as:
- Constipation or diarrhea.
- Causes of Perianal Abscess
- Most anus abscesses are caused by obstruction and infection of the glands in the anus. In addition, some other causes of Perianal Abscess are inflammatory bowel disease (eg, Crohn's disease), trauma, or malignancy.
Risk Factors Perianal Abscess
Risk factors for the occurrence of Perianal Abscess, among others:
- Age more than 40 years.
- Has a history of inflammatory bowel disease, HIV, trauma, or malignancy.
Diagnosis of Perianal Abscess
A reliable examination to enforce the diagnosis of Perianal Abscesss is a physical examination. The doctor will examine the lump or the neglect with the inspection of the anus and the surrounding area to ensure that there is a suspected mass of pus, as well as see the color and involvement of surrounding tissues.
In cases where the signs of time of pus are not found, but there are pain complaints in the area around the anus, imaging checks can be performed, such as Computed Tomography (CT) Scan, Magnetic Resonance Imaging (MRI), or anorectal ultrasound (ULTRASOUND). In addition, laboratory tests are likely to exhibit the number of white blood cells increasing as a sign of inflammation.
Treatment and side effects of Perianal Abscess
The presence of Perianal Abscess indicates a strong indication of the incision and drainage. The doctor will open a lump or swelling with sterile tools in the clinic or hospital using local anesthetic and remove the pus until clean. In some cases, broad Perianal Abscess need to be performed in the operating room with general anesthesia. Afterwards, the likelihood of antibiotics will be administered and should be used according to the doctor's rules and instructions.
Side effects of surgery usually occur if the lack of hygienic or hygiene in the wound healing after surgery. Possible possibilities include infections, bleeding, or loose stitches. Side effects for antibiotic therapy may vary depending on the type of antibiotic given.
Complications of Perianal Abscess
The most common complication in the case of Perianal Abscess is the occurrence of perirectal fistulas. Perirectal fistulas are a kind of conduit between the skin and the anus. In the event of perilicking fistulas, bacteria in the gastrointestinal tract (intestines) may be trapped within this channel and cause recurrent infections. Perirectal fistulas can be treated with a surgical method called fistulectomy to eliminate the presence of these channels/fistulas.
Prevention of Perianal Abscess
Until now there is no special preventive method to avoid the disease periancose abscess. However, some of the following things can be done to reduce the risk of Perianal Abscess:
Avoiding sexually transmitted infectious diseases especially those involving the anus.
If you have an infection, immediately consult your doctor for appropriate therapy.
Keep the anus area clean.
When to go to a doctor?
If you feel a painful lump in the area around the anus, accompanied by fever or chills, immediately consult a doctor. You can immediately make an appointment with a doctor in the hospital according to your domicile here.
Other Article :