What is a Perianal Abscess?
A perianal abscess is a painful, pus-filled swelling next to the anus. It occurs when germs infect small glands at the border of the anus. If timely perianal abscess treatment is not done, it can lead to an anal fistula, which is an abnormal tunnel between the skin and the inside of the anus.
Perianal Abscess Symptoms
If you have an infection in the area around the anus, you may notice the following symptoms:
- Experience inflammation and redness around the anus
- Soreness and sensitivity in the targeted area
- Fever, which may be high grade or low grade
- Or if the abscess has burst, then drainage of pus from the previous swelling area
Causes of a Perianal Abscess
Some common causes include:
- Blocked anal glands
- Chronic constipation or frequent diarrhea
- History of or active anal fissure
- Any trauma to the anal region
- Sexually transmitted infection can also cause perianal abscess.
- Weak immune system that may be related to your underlying disease, such as diabetes or HIV infection
How is a Perianal Abscess Diagnosed?
This is purely a clinical diagnosis, and a doctor will look at that inflamed area and make the diagnosis. This is because of the tenderness and redness you have around that area. If required, a doctor may offer you some tests to see if you have an ischiorectal, intersphincteric, supralevator, or simple perianal abscess (that is the most superficial one).
Treating a Perianal Abscess: 3 Treatment Options
The Abscess Drainage Method
The primary perianal abscess treatment is an abscess drainage procedure. This involves:
- Giving a cruciate incision at the site of the abscess
- Draining the pus to relieve pain and swelling
- Later an abscess cavity is packed with sterile gauze piece and pyodine
This takes a total of about 6 weeks to 8 weeks in healing, depending on how deep the cavity was and how bad the wound was at the time of surgery.
Perianal Abscess Minimally Invasive Surgery
In any abscess and especially in perianal abscess, Dr. Abdullah is an expert in performing a minimally invasive surgery that is done without any big incisions and a need for dressing. This surgery is done with the help of lasers and some chemicals that reduce the chances of recurrence and immediately relieve your pain and suffering.
Antibiotics for perianal abscess
Small abscesses can be managed with antibiotics; however, large abscesses or recurrent abscesses are not recommended to be managed conservatively and have to be operated in a sterile environment. If treated with antibiotics, it may usually worsen the abscess and may even cause fistula formation.
Recovery from Surgery for a Perianal Abscess
After the open or conventional surgery, it may take some time to heal, around 6 to 8 weeks; however, with laser, recovery is quick and complete, with fewer chances of recurrence and fewer chances of having a complication such as a fistula. Some quick tips for quick and complete healing include:
- Keep the area clean using a sterile gauze piece and pyodine
- Take a proper sitz bath (5 to 15 minutes) in warm and sterile water.
- Eat a high-fiber diet and avoid using spicy, oily, or fast food for at least 6 weeks.
- Avoid constipation and straining.
- Use commode and do not use Indian washroom. Also, avoid sitting on the floor and avoid using stairs.
Finding the Best Doctor for Perianal Abscess in Karachi
If you or someone you know needs perianal abscess treatment, it is important to visit an expert. Here are a few reasons why you should choose us:
Best Perianal Abscess Specialist in Karachi
Dr. Abdullah Iqbal is the best perianal abscess specialist in Karachi. He has successfully treated 1000’s of perianal abscess patients with 100% successful results. His success lies in his approach towards the patient.
Top Proctologist in Karachi for Perianal Abscess
Dr. Abdullah Iqbal is the top proctologist (doctor who treats anal diseases) in Karachi. He is the first laser proctologist who introduced laser proctology for the first time in Pakistan. He is an expert in treating perianal abscess with no incision approach. You can trust him to treat you with minimally invasive surgery with no pain and no chances of having recurrence.
Perianal Abscess Surgery Cost in Karachi
The cost of perianal abscess treatment (surgery) in Karachi may depend on various factors, which are summarized below. But be cautious in your approach—lower cost may compromise results and may preclude you from having other infectious diseases, or it may leave you with unbearable pain or a recurrence that may lead to multiple surgeries, or even in the worst situation, you may have permanent damage to the sphincter (which controls your stool). Only choose an expert who has experience rather than someone who is cheap—because one wrong decision could cost you far more than money.
Factors that may influence costing include:
- Type of hospital you choose.
- Your doctor’s experience
- The complexity of the abscess and the need to stay at the hospital.
- Whether you need any concomitant procedures (such as anal fistula treatment).
- Choosing between conventional surgery with a big scar or laser surgery with a smaller scar and quicker healing.
- Generally, the cost for a perianal abscess with laser treatment is somewhere between 75,000 to 200,000 PKR.
Conclusion
While a perianal abscess treatment can be painful, it can be fully treated. Remember: you must seek immediate medical care if you notice redness and swelling around the anus that is also painful. Dr. Abdullah Iqbal is a proctologist and best general surgeon in Karachi who offers the best and minimally invasive perianal abscess treatment option for your perianal abscess in Karachi.
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