A perianal abscess is a painful, pus-filled infection near the anus caused by blocked anal glands. If left untreated, it can lead to serious complications like fistula formation or sepsis. Prompt medical care is essential, often involving drainage and antibiotics.
Physical Examination: Doctor checks for swelling, redness, tenderness, and warmth near the anus.
Digital Rectal Examination (DRE): To assess the depth and extent of the abscess.
Ultrasound or MRI (in complex or deep abscesses): To identify internal abscesses or associated fistulas.
Blood Tests: To check for signs of infection (high white blood cell count).
For painful, swollen abscesses with fever or discharge:
24/7 Emergency Admission
Immediate pain relief and IV antibiotics
Prompt surgical drainage to remove pus
Primary and most effective treatment
Local or general anesthesia depending on severity
A small cut is made to drain the pus and relieve pressure
Performed as an outpatient or daycare procedure
Used in conjunction with drainage
May be prescribed alone for very small or early abscesses (though often not enough)
Prevents spread of infection, especially in diabetic or immunocompromised patients
If a fistula develops from the abscess, further surgical intervention like fistulotomy, seton placement, or laser treatment may be required
MRI fistulogram might be advised to assess internal tracts
Some advanced centers offer laser drainage with minimal cutting
Less pain, faster healing, same-day discharge
Often paired with fistula laser closure if tract is present
Wound dressing and cleaning instructions
Pain and infection management
Sitz baths to promote healing
Dietary guidance to avoid constipation
Follow-up consultations for healing assessment and recurrence prevention
Same-day admission and discharge
Insurance coverage and cashless facilities
Private recovery rooms
24/7 emergency surgical support
Online follow-ups and home care guidance
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