Perianal/perirectal abscess also known as rectal/ anal abscess or anorectal abscess is an infection in form of abscess present adjacent to the anus.The abscess arises from an infection at one of the anal sinuses which further lead to inflammation and abscess formation. Perianal abscess is defined as the collection of pus in the area of anus and rectum. Perianal abscess is the infection in the soft tissue surrounding the anal canal and forming the discrete abscess cavity.
There are four types of anorectal abscess and are as follows
• Perianal abscess.
• Ischiorectal abscess.
• Intersphincteric abscess
• Supralevator abscess.Perianal/perirectal abscess Common In
Occurence of anorectal abscess is most common in middle age group. It is more frequent in men than in women.It is also common in infants.
Anal abscess occurs as a result of following causes:
• Blocked anal glands.
• Infection of an anal fissure.
• Sexually transmitted infections.
• Pelvic inflammatory disease.
• Crohn’s disease or ulcerative colitis.
• Painful lump in anal area.
• Pain during bowel movements.
• Drainage of pus near anus.
• Lower abdominal pain.
• Swelling in the anal area or buttocks.
• Night sweats.
• Clinical evaluation.
• Digital rectal exam.
• In case of doubt of other diseases: ultrasound. CT scan, MRI.
• Surgical drainage of pus.
• Anal fistula.
• Persistent pain.
• Recurrence of symptoms.
• Pressure, burning and stinging in abscess with redness and hot swelling.
• Pus is scanty and flocculent.
• Sensitive to cold air.
• Bleeding in the abscess with stinging and cutting pains.
• Bluish-red swelling in the surrounding parts with itching.
• It enhances the collection of pus.
• Intolerable burning pain and the abscess may become gangrenous.
• Pus copious, bloody, corroding, ichorous, watery, and of a putrid smell.
• Great debility with restlessness.
• Tearing pain while passing stool.
• Irritable and exhausted after stool.
• Sensation as if rectum was torn.
• Suited to patient with hydrogenoid constitution.
• Sensation as if something will break on straining.
• Apis acts on the outer parts, skin, coatings of inner organs, serous membranes, etc.
• It is a remarkable healing agent when applied locally.
• Useful for open wounds.
• It promotes healthy granulations and rapid healing.
• Drawing pain in back after stool.
• Stinging pain during stool.
• Suited to people of lax fiber, weak, diminishes vital heat.
• A relaxed, plethoric, sluggish, cold remedy.
• Discharge accompanied by chilliness, sick stomach, cutting colic and tenesmus.
• Pain worse at night and warmth of bed.
• Merc sol is very useful remedy in bullae, abscess, snuffles, marasmus, stomatitis or destructive inflammations.
• It is a useful remedy in suppurative processes.
• It ripens abscesses since it promotes suppuration.
• Suits the patient who is chilly and hugs the fire, wants plenty of warm clothing and worse in winter.
• Anal region is extremely sensitive to touch of even cloth.
• Involuntary stool while passing urine.
• Anus feels tight, as of nothing could go through it.
• Pain darting up the rectum every time he coughs or sneezes.
• Patient has a hemorrhagic tendency.
• Sensation of tension in various parts.
• Drink plenty of water and fruit juices so as to avoid constipation
• Adopt hygienic measures in cleaning the area.
• Avoid straining while defecating.
• Sitz bath after passing stool. sit in a shallow bath tub filled with antiseptic lotions or warm salted water for 10 minutes.
• Hot compresses.
• Consume high fiber diet.
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