What You Need to Know About Perianal Abscess and How to Deal with It in an Emergency Case?

What is Perianal Abscess?

An illness called a perianal abscess collects pus in the tissues next to the anus. The anal glands, which are small glands adjacent to the anus that secrete mucus to lubricate the anal canal, are typically the cause of it.

The anal glands can get infected when they plug up with bacteria. This infection results in the formation of an abscess, which is a pus-filled pocket, while the body’s immune system fights the infection.

All ages, including infants, kids, and adults, are susceptible to developing perianal abscesses. They could be brought on by a number of things, such as:

Blocked Anal Glands:  An environment favourable to bacterial development and infection is produced when the anal glands become closed.

Anal Fissures: These are minute tears or fissures in the anal canal’s lining. They may aid in the formation of an abscess if they contract an infection.

Crohn’s disease: Due to the persistent inflammation and immune system malfunction brought on by this inflammatory bowel disease, people with Crohn’s disease are more likely to develop perianal abscesses.

Typical signs of a perianal abscess include:

• Redness and swelling around the anus.

• Tenderness and pain in the affected area.

• In certain situations, fever and overall malaise.

• Trouble sitting or discomfort when going to the toilet.

A fistula, a tiny tube connecting the abscess to the skin close to the anus, can develop into a perianal abscess if it is not treated. Constant discharge and recurring infections are two effects of fistulas.

What is Emergency Case of Perianal Abscess?

When a perianal abscess develops severe and needs rapid medical attention, it is referred to be an emergency case. A small collection of pus that develops close to the anus or rectum is known as a perianal abscess. It frequently results from an infection that is brought on by the anal glands becoming blocked or obstructed.

A perianal abscess may occasionally develop into an emergency for the following reasons:

Extreme Pain: An abscess may produce excruciating pain that makes it impossible for the individual to sit, walk, or carry out daily tasks.

Rapidly Worsening Symptoms: If the abscess’s swelling, redness, and soreness suddenly get worse, it could be a sign that the infection is spreading or that complications are developing.

High fever, chills, and general malaise: These symptoms point to a systemic infection that may need immediate medical attention.

Stool or Urine Passing Difficulties: If the abscess grows and exerts pressure on the adjacent structures, it may become difficult to pass stools or urine. This can indicate a deeper, more serious problem.

Spreading Infection: In some situations, an abscess-related infection can spread to nearby tissues or the bloodstream, resulting in sepsis. Sepsis is a potentially fatal illness that needs quick medical attention.

If you suspect you have a perianal abscess that has to be treated right away or show any of the symptoms listed above, you must seek medical attention right once. A medical professional can assess the situation, provide the necessary care, and help to prevent complications because of the abscess.

Treatment for perianal abscess

A mix of medicinal and surgical procedures are frequently used to treat a perianal abscess. The major objectives of treatment are to promote healing, drain the abscess, and get rid of the infection. Here are some typical methods:

  • Drainage and Incision
  • Antibiotics and pain relief
  • Post-Procedure Care

A tiny incision is typically used to drain the pus from a perianal abscess. A general and laparoscopic surgeon usually does this. If there is evidence of a severe infection or if a fistula is present, antibiotics may occasionally be recommended.

If you think you may have a perianal abscess, you should contact a doctor right away since timely care can ease your symptoms, stop more problems, and speed up the healing process.


Mirascare Clinic, headed by Dr. Mir Asif Rehman, dedicatedly offers all kinds of Advanced Laser, General and Laparoscopic Surgeries. We are providing all kind of Piles/Bawaseer Treatment including Stapled hemorrhoidopexy and advanced Laser Hemorrhoids Treatment, Complex fistula Surgeries, Advanced Laparoscopic Hernia Surgery, Single Incision Laparoscopic Surgery (SILS) Gallbladder Treatment, Weight loss Surgery or Bariatric surgery, lipomas Treatment. We are dedicated to providing outstanding Surgical & Non-Surgical Care to patients.