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What Is a Perianal Abscess?

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Noticing a painful lump or bump near the anus? We know this might be a rather embarrassing topic, and one you may wish to simply ignore; however, naturally, you may be worried or freaked out about this lump. This lump could be a perianal abscess, which causes a large, painful boil-like bump in this exact region. This bump is the result of a bacterial infection that often affects one or more glands around the anus. Fortunately, a gastroenterologist can easily diagnose and help you treat your perianal abscess.

What causes a perianal abscess?

Just like bacteria and debris that gets trapped under the skin results in a pimple, trapped bacteria in the glands around the anal canal can continue to build up until it develops a boil-like bump near the rectum. This is most common in male infants under one year old. A perianal abscess is not to be confused with a perirectal abscess, which is a deep pelvic infection that can be the result of inflammatory bowel disease.

How is a perianal abscess diagnosed?

It’s fairly easy for a gastroenterologist to diagnose a perianal abscess. All that’s needed is a simple physical examination of the area. Since the infection can spread, it’s important to seek treatment from a medical expert to prevent this from happening.

How is a perianal abscess treated?

In some cases, the abscess may be treated with simple home care such as Sitz baths and warm soaks a couple of times a day to help the abscess naturally drain on its own. If this happens further treatment may not be necessary; however, if the infection has spread, your gastroenterologist may prescribe antibiotics to treat the infection. If the abscess doesn’t drain on its own, your doctor can safely drain the abscess. Do not pop or try to drain the abscess yourself, as this could spread the infection. Since this problem can return, it’s important to keep the area clean to prevent future infections.

If you notice a large, painful lump around the rectum or anus, it’s natural to be concerned. Fortunately, a gastroenterologist is going to be the medical specialist you’ll want to turn to for answers and treatment.

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Dr. Joel Kertznus and Dr. Francisco R. Maderal
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