• Dr.Bhavik Rana(Consultant)|Vapi & Valsad

  • +91-97242 47109

Disease

Abscess

An anal abscess is a painful condition in which a collection of pus develops near the anus.

This often appears as a painful boil - like swelling near the anus. It may be red in color and warm to the touch . Anal abscess located in deeper tissue are less common and may be less visisble.
About 50 % of patients with an anal abscess will develop a complication called a Fistula . A fistula is a small tunnel that makes an abnormal connection between the site of the abscess and the skin.


Causes

  • An anal fissure, a tear in the anal canal , that becomes infected.
  • Sexually transmitted infections.
  • Blocked anal glands.

Risk factor for anal abscesses include :

  • Colitis
  • Inflammatory Bowel Diseases such as Crohn's diseases or Ulcerative colitis.
  • Diabetes
  • Diverticulitis
  • Pelvic Inflammatory disease
  • Being the receptive partner in anal sex
  • Use of medications such as Prednisone.

Symptoms

Superficial anal abscesses are often associated with:


  • Pain, which is usually constant, throbbing, and worse when sitting down
  • Skin irritation around the anus, including swelling, redness, and tenderness
  • Discharge of pus
  • Constipation or pain associated with bowel movements

Deeper anal abscesses may also be associated with:

  • Fever
  • Chills
  • Malaise
  • Constipation or pain associated with bowel movements

Diagnosis

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Usually, a clinical evaluation -- including a digital rectal exam -- is sufficient to diagnose an anal abscess. But some patients may require additional tests to screen for:

  • Sexually transmitted infections
  • inflammatory bowel disease
  • Diverticular disease
  • Rectal cancer

In rare cases, an examination may be done under anesthesia. The doctor may also ask for an ultrasound, a CT scan, or an MRI.

Treatment of Anal Abscesses

Prompt surgical drainage is important, preferably before the abscess erupts. Superficial anal abscesses can be drained in a doctor's office using a local anesthetic. Large or deeper anal abscesses may require hospitalization and the assistance of an anesthesiologist.

Ayurveda has a unique approach in preventing recurrences :

A medicated setone 'Ksharsutra."
Ksharvarti are introduced in to the wound three to five bays a ter,surgery for few hours. This helps in the drainage.
the infected wound. The herbal medicines coated on the thread dissolve and lctear the payogenic membrane / septa in the wound- This is followed by packing the wound with gauze socked in herbal anti aseptic solution which helps to keep the wound clean and promote quick and efficient healing.