Early symptoms of perianal abscess

Written by Chen Tian Jing
Colorectal Surgery
Updated on March 25, 2025
00:00
00:00

When perianal abscesses occur, there are usually significant triggers, most commonly seen after acute diarrhea or when a patient's immunity has recently declined. In the early stages of a perianal abscess, there are sudden symptoms of localized swelling and pain around the anus, accompanied by a sensation of heaviness. As the local abscess cavity enlarges and the infection worsens, the patient may also experience general weakness, fever, and even a decrease in appetite. During the acute phase of a perianal abscess, due to severe local pain, patients are unable to carry on with normal life activities, including sitting and walking. The pain may further involve pelvic muscles and nerves, leading to difficulties with defecation and urinary retention.

Other Voices

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
54sec home-news-image

Early symptoms of perianal abscess

When perianal abscesses occur, there are usually significant triggers, most commonly seen after acute diarrhea or when a patient's immunity has recently declined. In the early stages of a perianal abscess, there are sudden symptoms of localized swelling and pain around the anus, accompanied by a sensation of heaviness. As the local abscess cavity enlarges and the infection worsens, the patient may also experience general weakness, fever, and even a decrease in appetite. During the acute phase of a perianal abscess, due to severe local pain, patients are unable to carry on with normal life activities, including sitting and walking. The pain may further involve pelvic muscles and nerves, leading to difficulties with defecation and urinary retention.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
39sec home-news-image

Anal abscess tight skin tendon pain for a few days

If a perianal abscess undergoes a rubber band ligation surgery, the rubber band may fall off within a week to ten days. If the local rubber band is too loose or takes longer to fall off after surgery, the doctor can further tighten the local rubber band to promote its earlier detachment and ensure the function of the local sphincter around the anus. After tightening the rubber band, the local wound may experience significant pain and minor bleeding due to the pulling of the rubber band. The pain usually lasts about one to two days and will gradually subside as the local wound heals.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
51sec home-news-image

What is causing the stabbing pain in the wound half a year after perianal abscess surgery?

Six months after surgery for a perianal abscess, if there is local pain at the wound site, it is first necessary to rule out the presence of local infection and recurrence. To differentiate between infection and recurrence, it is necessary to conduct a digital rectal examination and a perianal ultrasound to confirm the diagnosis. If infection and recurrence are ruled out, consider the possibility that the pain may be due to contraction and softening of the scar tissue at the site of the perianal abscess surgery, leading to painful stinging at the wound. Local application of anti-inflammatory ointments or gels can be used to treat the inflammation. If the pain or discomfort is severe, Chinese herbal washes or dilute salt water can be used for fumigation and hot compresses on the local scar.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
58sec home-news-image

How many days of antibiotic injections are needed to treat a perianal abscess?

During the acute phase of a perianal abscess, the main focus is on the nature of the local abscess. If it is a hard swelling without pus formation, anti-inflammatory injections or antibiotics can be used for symptomatic treatment. Generally, a five to seven-day course of antibiotic and anti-inflammatory treatment can reduce the local swelling, but it cannot guarantee a 100% chance of non-recurrence in the future. If a local pus cavity or swelling has already formed, and there is pus formation, simply using anti-inflammatory injections for symptomatic treatment will not be curative. Surgery is also required, mainly involving opening the local pus cavity, cleaning out the pus thoroughly, and removing local infection foci to promote normal growth of fresh granulation tissue, which could then lead to the healing of the local wound.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
1min 17sec home-news-image

What anti-inflammatory medication should be taken for a perianal abscess?

If the perianal abscess is in the acute phase, one can opt for oral medication that clears heat, cools the blood, reduces swelling, and relieves pain, specifically designed for hemorrhoids, and it can be combined with oral antibiotics for anti-inflammatory treatment. However, treating a perianal abscess with oral medication alone can only alleviate symptoms or prevent the pus cavity from spreading too quickly, and does not provide a radical cure. The definitive treatment for a perianal abscess primarily involves surgery. The surgical method generally used is a one-time radical surgery for perianal abscesses, as the abscess forms a pus cavity and pus under the skin around the anus. Therefore, the surgery initially requires draining of the local pus, followed by thorough debridement of the walls of the pus cavity to allow fresh granulation tissue to regrow, filling the wound and facilitating the recovery of the local wound. (Note: This answer is for reference only. Please consult a doctor and follow the guidance of a professional physician before using any medication. Do not self-medicate.)