Anal Abscess Treatment in Indore

Anal Abscess - Introduction

An anal abscess is a tender collection of pus in the tissue near the anus or rectum. Most are caused by an infection of an anal gland. The majority of these arise from bacterial infections; if left untreated, they can lead to an anal fistula. Anal abscesses may occur at any age but are more often acquired by males.

Common symptoms include:

Severe pain around the anus that worsens with sitting or during bowel movements

Swelling or lump near the anus

Redness and warmth over the affected area

Fever or malaise in severe infections

Pus or blood discharge, if the abscess ruptures spontaneously

Early diagnosis and treatment are important to avoid complications such as the formation of fistulas, sepsis, or chronic infection.

Types of Anal Abscess

Anal abscesses are categorised by location relative to the anal sphincters:

1. Perianal abscess

Located just beneath the skin surrounding the anus

Most common type

Usually visible as a swollen, painful lump

2. Ischiorectal Abscess

Located deeper in the tissue next to the rectum (ischiorectal fossa)

Pain may be severe, with less obvious swelling externally.

3. Intersphincteric Abscess

Between the internal and external anal sphincter muscles

May cause deep anal pain

4. Supralevator Abscess

Above the levator ani muscle, rare and severe

Causing high fever, pelvic pain, and systemic infection

Treatment of Anal Abscess

1. Short-term Measures

Pain management: Analgesics

Warm sitz baths: Relieve discomfort

2. Surgical Treatment

I&D is the primary treatment for the purpose of evacuating pus and alleviating pressure.

Packing may be utilised to avoid re-accumulation.

Antibiotics are usually given only if:

There is cellulitis or a spreading infection

Patient is immunocompromised (diabetes, HIV)

Follow-up is important to detect fistula formation.

3. Treat Underlying Causes

Treat underlying chronic constipation, diabetes, or Crohn's disease to prevent recurrence.

Prevention of Anal Abscess

1. Anal Hygiene

Keep the anal area clean and dry

Giving gentle cleanings after bowel movements

2. Constipation Prevention

High-fiber diet

Adequate hydration

Stool softeners, if necessary

3. Treat Early Infections

Manage minor anal infections or fissures promptly to prevent progression.

4. Manage Chronic Conditions

Control diabetes, inflammatory bowel disease, or immune deficiencies 5. Avoid Trauma Care with anal procedures or injuries to decrease the risk of infection