Anal Abscess

Anal Abscess

Anus abscess is a lump containing pus formed in the anus. Anus abscess causes pain, especially when sitting or defecating.

Anal Abscess

Anus abscesses are generally marked with a small reddish lump in the anus tract. In some cases, an abscess can also appear in the rectum (the final part of the large intestine connected to the anus).

If it is not immediately addressed, the anus abscess can cause the formation of an abnormal channel in the anus (Fistula Ani). This condition will make the pain worse, even causing difficulty controlling defecation.

Symptoms of anus abscess

The general symptom of anus abscess is pain in the anus or stabbing rectum. This pain continues and gets worse when sitting, coughing, and defecating.

Other symptoms that arise due to an anal abscess are:

  • Constipation
  • Fever and shivering
  • Tired body
  • Difficult to urinate
  • Irritation, swelling, and redness around the anus
  • Exit pus or blood from anal

When to go to the doctor

Check with your doctor if the symptom appears above. The anal abscess that is left can develop into ani fistula, which is an abnormal channel formed in the rectum. Ani's fistula must be handled by operation and will usually take a long time to recover.

Immediately to the IGD when experiencing a high fever accompanied by vomiting, shivering, difficulty defecating, and unbearable pain around the anus. These symptoms can indicate an infection that has spread to the bloodstream. If it is not quickly handled, sufferers can experience sepsis and death.

Causes of anus abscess

Anus abscess occurs when the glands around the anus are infected by bacteria. As a result, the glands enlarge and contain pus. When the glands break, a collection of pus will come out and look.

Causes of anal abscesses include:

  • Clogged glands in the anus
  • FISURA ANI (wound or tear in the anus) who has an infection in the anus tract
  • Sexually transmitted disease
  • Injury in the anus

Anus Abscess Risk Factor

Anus abscess can occur in anyone, but more at risk of attacking someone who has the following factors:

  • Suffer from inflammation of the intestine (ulcerative colitis and Crohn's disease)
  • Suffer from pelvic inflammation, diabetes, diverticulitis, diarrhea, or constipation
  • Having a weak immune system, for example, due to HIV / AIDS
  • Consume corticosteroid or chemotherapy drugs
  • Have anal sex (especially those who are recipients)

The diagnosis of anus abscess

The doctor will ask about the symptoms experienced by the patient and do a physical examination in the rectal area of the patient. Through a physical examination, the doctor can distinguish whether a lump in anal patient abscess or hemorrhoids.

Doctors will also carry out support checks to ensure the causes of abscesses formed in the anus. The examination includes:

  • Blood test, to detect the presence of diabetes, inflammation of the intestine, or HIV / AIDS.
  • Endoscopy or colonoscopy, to see the condition of the anus and rectum.
  • Scanning with ultrasound, CT scan or MRI, to detect the location of the abscess deeper and not visible at the time of physical examination.

Treatment of anus abscess

Anus abscess is handled by operation. The type of operation is done depends on the location of the abscess. If the abscess is located in an area that is not too deep, the doctor is quite a small operation and usually, the patient will be allowed to go home after the condition is recovered. However, if the abscess is located in a deeper part, the patient must undergo hospitalization.

The anus abscess operation was carried out by making an incision in the abscess area and removing pus from the anal. After surgery, the doctor will prescribe antibiotics to deal with infections and pain relievers, such as paracetamol. Patients are also advised to soak the anus in warm water or Sitz Bath.

To help the healing process, patients can consume soft foods and contain high fibers, and drink lots of water. Patients can also use stool punishment drugs to relieve pain when defecating.

Complications of anus abscess

If not treated or not routinely checked after an anus abscess operation can cause many complications below:

  • Ani Fistula
  • Continuous pain in the abscess area
  • Abscesses reappear after surgery
  • Unable to control the chapter (fecal incontinence)
  • Infection that spreads to the bloodstream (sepsis)

Prevention of anus abscess

Several ways can be done to prevent the formation of anus abscess, including:

  • Preventing sexually transmitted infections one of them by using a condom or immediately treat it when attacked by the disease.
  • Treating diseases that can increase the risk of attacking anal abscess, such as diabetes and inflammation of the intestine.
  • Avoid having sex through anal (anal).
  • Maintain genital and rectal hygiene.
  • Change child diapers regularly.

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