Information About Perianal Abscess Treatment

A peri-anal perforation of the rectum may look like a painful, swollen lump on the anus


The affected area can also be somewhat painful to the touch.


If it is inside the anal cavity, however, you will probably not feel it. The affected perforation may produce an intense and chronic pain, even though no external lacerations exist.


Anal perforations may occur due to a variety of reasons: periurethral fistulas, intestinal perforations, peritonal hemorrhoids, bile ducts, and strangulated hemorrhoids. A large perforation in the rectum may result in a bowel obstruction that can be difficult to treat.


Perforations that can be located outside the anal cavity, such as in the abdominal cavity, are relatively rare. Typically, these are a result of an infection or an injury to this area. Infections of the colon and bladder may result in perforations that do not have any symptoms. Injury to the colon or bladder, such as an accident, can produce a perforation.


Intramural perforations of the rectum can also be found if there is internal bleeding within the walls of the rectum. If this happens to your baby, they may develop colic or intestinal perforations.


Internal hemorrhoids may cause anal perforations that appear as small lumps or bumps. They can also be painless and appear as hard lumps.


If the anal abscess is found through surgery, it is possible for bacteria to travel from another part of the body to your anal area. Bacteria found in the upper digestive tract can travel to the anal area, causing an infection there. If you suffer from chronic inflammation, an infected organ can be a source of the bacteria.


Perforated perforate or perforation of the rectum may be performed in the doctor's office or through a perforation excision through the anus. Though most people choose to have surgery, some choose to do an excision, which involves opening up the external wall of the anus to remove the infected tissue.


The surgery to remove a perforatectomy is called a peritonectomy. This type of surgery is best done under general anesthesia.



The perforatectomy is usually done by cutting through the anus to access the perforatectal area. Depending on the location of the abscess and the size of the incision, the doctor may have to make several smaller incisions to reach the inner lining of the anal wall. Smaller cuts may be made around the anus to allow access to the perforatectal and intestinal areas.


After the perforatectomy, the anal wall will be closed by stitches. The anal sphincter will be repositioned to ensure that the sphincter is not in an obstructed position. This will help in the healing process.


It may take two weeks or more before you can go home after the procedure. If you choose to go home with local anesthesia, you may have to stay overnight.


If you have had your procedure done in the doctor's office, it may be necessary to keep your anal area clean and dry. You should avoid having sex for several days after the procedure to help prevent irritation.


The anal area should be covered with tape for a few days to a week, but it can be removed after that time. If your stitches are not removed, you may want to use petroleum jelly to moisten your anal area while waiting for the stitches to be removed.


Keep in mind that the anal area will be tender during the first few days. You may be able to apply a warm compress to help relieve this pain.


You may also find that you will have to have food that will cause the anal area to become a bit sore. This is normal and happens to most people after any surgery.


While this procedure is relatively minor, you may want to seek medical advice from your doctor. You should be able to get a prescription for medication to help deal with the pain.




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