Anal Abscess Treatment in Iran
Rectal Abscess Treatment in Iran
An anal, or rectal abscess occurs when a cavity in the anus becomes filled with pus. Most anal abscesses are a result of infection from small anal glands. It causes extreme pain, fatigue, rectal discharge, and fever.
About 50% of patients with an anal abscess will develop a complication called a fistula. A fistula is a small tunnel that makes an abnormal connection between the site of the abscess and the skin.
In some cases, an anal fistula causes persistent drainage. In other cases, where the outside of the tunnel opening closes, the result may be recurrent anal abscesses. Surgery is needed to cure almost all anal fistulas.
4 types of rectal abscess
Depending upon their anatomic location, rectal abscesses are classified into 4 types (this classification is important for the treating doctor and maybe difficult to understand as a patient):
. Perianal: Most common type
. Ischiorectal: May spread to the opposite side to form a horseshoe abscess
. Intersphincteric: Extremely painful
. Supralevator: Least common type
Anal Abscess causes
Perirectal and perianal abscesses are thought to develop from the glands surrounding the anus; on occasion, perianal abscesses may develop from infected skin adjacent to the anus. Glands may plug up, usually leading to bacterial infection. When the glands fill with pus, they may burst inward, releasing their infected contents into the spaces around the rectum and anus. This pus causes an abscess, or pus collection, in the spaces surrounding the rectum or anus. The anal abscess may enlarge, causing pain, fever, and difficulty with bowel movements.
Who is at the risk of Anal Abscess?
Certain people are more likely to develop perirectal and perianal abscesses, including those with the following medical conditions:
. AIDS or HIV infection with low white blood cell counts
. Crohn's disease
. Persons on medications that suppress the body's immune system, such as steroids (prednisone, methylprednisolone), or those undergoing chemotherapy for cancer.
. Placement of foreign bodies into the anus
. Sexually transmitted diseases
. Anal fissures
. Use of the medication prednisone or other steroids
. Anal sex, which can increase the risk of anal abscesses in both men and women
For adults, using condoms during sexual intercourse, including anal intercourse, can help prevent anal abscesses. For infants and toddlers, frequent diaper changes and proper cleaning during diaper changes can help prevent anal fistulas and perianal abscesses.
Anal Abscess symptoms
Signs and symptoms of perirectal and perianal abscesses include the following:
. Pain in the anal area or buttocks
. Pus drainage near the anus
. A lump in the anal area
. Painful bowel movements
. Lower abdominal pain
. Swelling in the anal area or buttocks
. Night sweats
Diagnosis of Anal Abscesses
Usually, a clinical evaluation -- including a digital rectal exam -- is sufficient to diagnose an anal abscess. But some patients may require additional tests to screen for:
. Sexually transmitted infections
. Inflammatory bowel disease
. Diverticular disease
. Rectal cancer
In rare cases, an examination may be done under anesthesia. The doctor may also ask for an ultrasound, a CT scan, or an MRI.
Treatment of Anal Abscesses in Iran
Prompt surgical drainage is important, preferably before the abscess erupts. Superficial anal abscesses can be drained in a doctor's office using a local anesthetic. Large or deeper anal abscesses may require hospitalization and the assistance of an anesthesiologist.
After the procedure, most people are prescribed medications for pain relief. For otherwise healthy people, antibiotics are usually not needed. Antibiotics may be required, though, for some people, including those with diabetes or decreased immunity.
Sometimes, fistula surgery can be performed at the same time as abscess surgery. However, fistulas often develop four to six weeks after an abscess is drained. Sometimes a fistula may not occur until months or even years later. So fistula surgery is usually a separate procedure that can be performed on an outpatient basis or with a short hospital stay.
After abscess or fistula surgery, discomfort is usually mild and can be controlled with pain medications. People can expect to lose only a minimal amount of time from work or school.
People are usually advised to soak the affected area in a warm water (sitz) bath three or four times per day. Stool softeners may be recommended to ease the discomfort of bowel movements. Some people may be advised to wear a gauze pad or mini-pad to prevent the drainage from soiling their clothes.
After an anal abscess or fistula has properly healed, it's unlikely that the problem will come back. To prevent one from doing so, however, it's important to follow the advice of your doctor or colon and rectal surgeon.
Complications after surgery
. Anal fissure
. An abscess returning
Ways to prevent anal abscesses
There isn’t much known about how to prevent anal abscess. But there are some steps you can take, including:
. Protection against STIs and prompt treatment is important for any infection.
. Condom use, especially during anal sex, is key in preventing STIs that may cause anal abscesses.
. Good hygiene and cleanliness in the anal area is an important safeguard for both children and adults.
Anal abscesses can cause complications, but they’re treatable. Understand the risk factors and make sure to closely monitor and manage any health conditions that may increase risk. If you notice anal problems, contact your doctor to get treatment and to prevent them from becoming worse.
Perianal abscess treatment cost in Iran
The cost of incision and drainage of perirectal abscess (performed in hospital) starts from $ 440.