What is a rectal abscess? A rectal or anal abscess is a pus-filled cavity found in the region of the rectum or anus. The condition is quite painful and usually results from infection of one of the small internal anal glands. It is more common in men. The extent and severity of the abscess may vary; but it should be noted that quite commonly, a rectal abscess may be associated with formation of a fistula ( in almost 50% cases ) and hence needs proper evaluation and treatment
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
Cause of rectal abscess:
Bacterial Infection of the internal anal glands – Most common cause ( 90% cases ) Crohns disease, Ulcerative colitis Sexually Transmitted Diseases, receptive partner in anal sex Diabetes Trauma Tuberculosis Immunodeficiency due to HIV or malignancy
Symptoms of rectal abscess:
Throbbing pain that worsens on sitting Redness, swelling, pain on touch Discharge of pus Rectal bleeding Constipation due to painful defecation Fever with/without chills in deep seated abscesses
Diagnosis of rectal abscess Diagnosis is usually arrived at by a history of your symptoms and clinical evaluation. This includes a digital rectal examination. Occasionally, other tests may be required to find out the extent of the abscess or to screen for the cause that led to it.
Treatment of rectal abscess
Treatment Incision and drainage Antibiotics for high-risk patients Prompt incision and adequate drainage are required and should not wait until the abscess points. Many abscesses can be drained as an in-office procedure; deeper abscesses may require drainage in the operating room. Febrile, neutropenic, or diabetic patients or those with marked cellulitis should also receive antibiotics (eg, ciprofloxacin 500 mg IV q 12 h and metronidazole 500 mg IV q 8 h, ampicillin/sulbactam 1.5 g IV q 8 h). Antibiotics are not indicated for healthy patients with superficial abscesses. Anorectal fistulas may develop after drainage.
Perianal abscess treatment cost in Iran?
The cost of Incision and Drainage of Perirectal Abscess (Performed in Hospital) starts from $440 .
10 common Questions about this disease
1What causes rectal abscess?
A blocked anal gland, a sexually transmitted infection (STI), or an infected anal fissure can cause anal abscesses. Some other risk factors include: Crohn's disease or ulcerative colitis, which are inflammatory bowel diseases that cause the body to attack healthy tissue. diabetes.
2Can rectal abscess heal on its own?
Fortunately, superficial fissures usually heal quickly with medical treatment, and most symptoms disappear within a few days to a couple of weeks. Anal abscess - An anal abscess sometimes drains on its own, although it is always safer for a doctor to evaluate the problem.
3How long does it take for a rectal abscess to heal?
about 2 to 3 weeks
But you may have some mild pain in your anal area from the incision for several days after the surgery. Most people can go back to work or their normal routine 1 or 2 days after surgery. It will probably take about 2 to 3 weeks for your abscess to completely heal. Most people get better without any problems.
4Can perianal abscess be treated without surgery?
Many naturally start to drain and heal, but some may need treatment with frequent baths and antibiotics. Others may need to be treated with a small operation. Some perianal abscesses may not heal completely, with or without surgery. This can cause a tiny opening to develop where the abscess had been draining.
5Can an abscess go away without draining?
Some small skin abscesses may drain naturally and get better without the need for treatment. ... If a skin abscess isn't drained, it may continue to grow and fill with pus until it bursts, which can be very painful and can cause the infection to spread or recur.
6Is a perianal abscess serious?
Most anal abscesses are a result of infection from small anal glands. The most common type of abscess is a perianal abscess. This often appears as a painful boil-like swelling near the anus. ... About 50% of patients with an anal abscess will develop a complication called a fistula.
7What are the first signs of an abscess?
Signs of a skin abscess can include:
a smooth swelling under your skin that can feel hard or firm.
pain and tenderness in the affected area.
warmth and redness in the affected area.
a visible build-up of white or yellow pus under the skin in the affected area.
a high temperature (fever)
8How do you get rid of an abscess at home?
Abscess Treatment: Self-Care at Home
If the abscess is small (less than 1 cm or less than a half-inch across), applying warm compresses to the area for about 30 minutes 4 times daily may help.
Do not attempt to drain the abscess by squeezing or pressing on it.
9Can you die from an abscess?
It's not so much that you'll die of pain, of course, but dentists and research confirm that an untreated abscess can infect other parts of the body, either through the bones or the bloodstream. Most people won't die from a toothache, but it's a condition that if left untreated can lead to the worst: a fatal result.
10Is a perianal abscess an emergency?
Anal Abscess Facts
By contrast, a perianal abscess is a shallower collection of pus under the skin surrounding the anus; however, both are sometimes described as an anal abscess. Both types of abscesses need immediate medical attention; however, a perirectal abscess usually is the more severe infection.