Patient who feels ill, has fever and pain in the rectum could be suffering from an anal abscess.
It is an infected cavity filled with pus found near the anus or rectum.
An anal abscess results when a perianal gland becomes infected. It causes severe pain in the region around the anus. There may also be discharge of pus or blood from the anus with an offensive odor.
Perianal abscesses can be small and localized to the anal region (perianal abscess), be confined to the space between the internal and external anal sphincter (intersphincteric abscess), be large extending into the buttock region (ischiorectal), or rarely be high above the muscular floor of the pelvis (supralevator abscess).
Anal abscess is treated by making an opening in the skin near the anus to drain the pus from the infected cavity and thereby relieve the pressure. Often this can be done in the doctor’s office using local anesthetic. A large or deep abscess may require this procedure to be performed in the operating room. Patients who are diabetic, immunocompromised, or having spreading infection might need hospitalization for intravenous antibiotics.
POST ANAL ABSCESS DRAINAGE INSTRUCTIONS
Complete recovery from anorectal surgery typically takes about 2-3 weeks.
- Remove dressing in 6 hours.
- A small amount of bleeding is common. A sanitary napkin or gauze may be worn over the anal opening to keep the underclothing clean.
- Take Sitz baths (sit for 15 minutes in warm water) at least 3 times a day and after each bowel movement.
- Avoid straining.
- To avoid constipation take fiber products (Metamucil, Citrucel, Konsyl, etc) one teaspoon twice a day. Take a stool softener such as Colace twice a day as well. Take mild laxative as Milk of Magnesium (1oz) twice daily.
- Take pain medications as prescribed.
- Sitz bath with warm water either in your bath tub or Sitz basin for 15 minutes 2-3 times a day.
CALL OFFICE / GO TO NEARBY EMERGENCY
- If your temperature is greater than 101 degrees.
- If you have prolonged or profuse bleeding with the passage of clots.
Siouxland GI Surgery
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