How is a perianal abscess treated?
Disease description:
What caused my anal fissure? The area around my anus is swollen and very painful. I would like to ask, how should perianal abscess be treated to recover properly?
Doctor's answer (1)
Dr. Li Jingxiang
The treatment of perianal abscess mainly includes medication and surgical treatment. In terms of medication, for superficial abscesses, oral broad-spectrum antibiotics such as ceftriaxone and levofloxacin can be used to control infection. Additionally, external application, washing, or sitting baths with traditional Chinese medicine are also effective treatment methods, for example, using Kushen Decoction (Kushen Tang) or Zhitong Rushen Decoction. If the abscess is severe, combination antibiotic therapy or oral administration of traditional Chinese medicine may be required. Surgical treatment is the only curative method for perianal abscesses and includes incision and drainage or one-stage radical surgery for perianal abscess; the specific approach should be selected according to the location and depth of the abscess.
After surgery, it is important to keep the wound clean and avoid strenuous activity to promote recovery. Patients should develop regular lifestyle habits, follow a light diet, and maintain smooth bowel movements to help prevent the occurrence of perianal abscesses. If discomfort symptoms arise, prompt medical attention is recommended.
