Anal abscess tight skin tendon pain for a few days

Written by Chen Tian Jing
Colorectal Surgery
Updated on March 14, 2025
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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.

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Written by He Cai Dong
Colorectal Surgery Department
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How to change dressings for perianal abscess during menstruation?

Dressing changes during menstruation for perianal abscesses require cleansing with warm water after defecation. Sitz baths are not recommended as they may lead to gynecological infections. After thoroughly cleaning the area, it can be wiped with iodine. A hemorrhoid suppository should then be inserted into the anus, and hemorrhoid cream or an anti-inflammatory ointment can be applied to the wound. Covering with a piece of gauze can have an anti-inflammatory and antibacterial effect. Secure it with adhesive tape, and decide the frequency of dressing changes based on the amount of wound excretion. If there is a lot of excretion, it is advised to change the dressing twice a day, in the morning and evening. If the excretion is minimal and there is no feeling of moisture or discomfort, changing the dressing once a day after defecation is sufficient. At the same time, pay attention to a light diet.

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Written by Chen Tian Jing
Colorectal Surgery
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Can an anal abscess be cured by taking medicine?

An anal abscess is formed due to repeated infections within the anal crypts, resulting in localized pus or an encapsulated abscess. During an episode, the patient experiences severe pain, strong positive tenderness, and notable swelling, heat, and pain around the anal area. In severe cases, it can affect normal sitting and even walking activities. When an anal abscess occurs, it generally requires prompt surgical incision and drainage followed by definitive surgery. Relying solely on oral or topical medications cannot completely cure an anal abscess and only serves to alleviate symptoms. Post-surgery for an anal abscess usually involves local dressing changes to prevent pseudohealing and maintain proper drainage of the wound.

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Written by Chen Tian Jing
Colorectal Surgery
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Precautions for Perianal Abscess

The precautions for perianal abscess mainly include those during an acute episode and post-surgical measures. If it is clearly an acute onset of a perianal abscess, it is important to seek treatment promptly. Treatment methods, besides incision and drainage, further include debridement to achieve a complete cure through surgery. Generally, simple incision and drainage only alleviate temporary pain symptoms. If not followed by definitive surgery, there is a high likelihood of developing anal fistulas, necessitating a second surgery. Post-surgical precautions for a perianal abscess primarily involve maintaining cleanliness of the local wound, changing dressings, and ensuring that the drainage from the wound remains unobstructed to prevent false healing.

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Written by Chen Tian Jing
Colorectal Surgery
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Anal abscess should visit which department?

Perianal abscess is a common disease in proctology, generally involving an infection of the local anal crypts and submucosal tissues near the anus. When a perianal abscess acutely flares, it is necessary to register with the department of coloproctology and undergo surgical treatment as soon as possible to prevent the abscess from expanding and leading to a systemic infection. The primary surgical treatment for perianal abscesses is a onetime radical surgery, but when there are changes resembling anal fistulas or leakage, options may also include incision, drainage, and seton procedures. After surgery, it is necessary to disinfect the local wound daily and ensure that the wound drainage is unobstructed.

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Written by Yu Xu Chao
Colorectal Surgery
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If pus is draining from a perianal abscess, does that mean it's getting better?

The discharge of pus from a perianal abscess does not indicate improvement. This situation is due to the spontaneous rupture of the perianal abscess, which can easily lead to the formation of an anal fistula. Since a perianal abscess is caused by an infection of the anal glands and can infect the surrounding tissues, the simple discharge of pus without clearing the internal opening and infected tissues will not resolve the problem. Furthermore, there is a risk of recurrent episodes that may even result in more severe swelling. Therefore, it is necessary to seek early treatment at a hospital's colorectal surgery department for a definitive one-time surgical resolution of the perianal abscess, removing the internal opening and infected tissues. Post-surgery, medications like anal washes and potassium permanganate solutions should be used for dressing changes. Additionally, medications like erythromycin ointment strips and mupirocin ointment can be used to promote healing of the local surgical site. Patients should also maintain perianal hygiene, ensure smooth bowel movements, and avoid dry, hard stools that may irritate and cause pain or bleeding at the wound site.