Perianal abscess – treatment in Gdańsk
A perianal abscess is a painful infection involving a collection of pus in the tissues surrounding the anus. It requires urgent surgical treatment involving incision and drainage. If left untreated, it may lead to the formation of an anal fistula. At Wyspa Medycyny Przyjaznej in Gdańsk, we provide prompt diagnosis and treatment.
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Key information at a glance
| What it is | a collection of pus caused by an infection of the tissues surrounding the anus |
| Symptoms | severe pain, swelling, redness and sometimes fever |
| Treatment | urgent incision and drainage of the abscess |
| Urgency | treatment should not be delayed due to the risk of the infection spreading |
| Possible complication | an anal fistula may develop |
Symptoms of a perianal abscess
The most common symptoms include severe and increasing pain around the anus, swelling, redness, a painful lump and a sensation of pressure. Fever and general weakness may also occur. Symptoms usually worsen rapidly over the course of several days.
What does the treatment involve?
The main treatment for an abscess is incision and drainage, which involves removing the pus and usually provides rapid relief. Antibiotic treatment alone is generally insufficient. The procedure is performed under anaesthesia, and appropriate wound care and follow-up appointments are important afterwards.
Perianal abscess and anal fistula
A perianal abscess and an anal fistula are often two stages of the same disease process. In some patients, a fistula remains after the abscess has healed and requires separate treatment. For this reason, follow-up appointments are important after treatment of the abscess.
Diagnosis
Diagnosis is based on a proctology consultation and physical examination, supplemented when necessary by anoscopy or imaging tests. Other conditions affecting the anal area may cause similar symptoms, which is why assessment by a specialist is important.
Frequently asked questions
Can a perianal abscess resolve on its own?
No. A perianal abscess usually requires incision and drainage. Antibiotic treatment alone is rarely sufficient, and delaying treatment may allow the infection to spread. The sooner the procedure is performed, the sooner the pain is relieved and the lower the risk of complications.
Is the procedure painful?
Incision and drainage are performed under anaesthesia, making the procedure well tolerated. Removing the pus usually provides immediate relief from the painful sensation of pressure associated with the abscess.
Can an anal fistula develop after an abscess?
In some patients, an anal fistula remains after the abscess has healed and requires separate treatment. Follow-up appointments are therefore recommended so that a fistula can be detected promptly and any further treatment can be planned.
When should I seek urgent medical attention?
Severe and increasing pain around the anus, swelling, redness and fever are signs that require prompt medical assessment. Treatment of an abscess should not be delayed, as early intervention is simpler and more effective.
Specialists
Severe pain and swelling around the anus? A perianal abscess requires prompt medical attention.
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