Anal rectal abscess

　　Anal rectal abscess is a common disease that has a significant impact on patients' lives, making it impossible for them to work and study normally. So how does anal rectal abscess form? I will introduce it to you below.

　　There are many causes of anal rectal abscess, and the main reasons include the following aspects:

　　1, Infectious factors:Modern medicine believes that infection is the main cause of the disease.

　　2, Iatrogenic factors:Clinically, it is not uncommon to have perianal abscesses caused by iatrogenic factors.

　　① Hemorrhoids inserted with withered hemorrhoids or injection therapy, due to improper operation or unclean medicine, leading to submucosal abscess formation.

　　② Chemical drug injection around the rectum, causing tissue necrosis, leading to perianal abscess.

　　③ Sigmoidoscopy, causing peritoneal perforation and infection, leading to rectal posterior space abscess.

　　④ Local anesthesia infection, or poor absorption of oil solution injection, leading to the formation of an abscess.

　　3, Postoperative factors:Clinically, it is also possible to see perianal abscesses caused by infection after anal rectal surgery, as well as postoperative infections of the urethra, perineum, postpartum perineal suture line infection, and postoperative infection of sacral bone marrowitis.

　　4, Other:Rectal foreign body injury and infection, actinomycosis, rectal diverticulitis infection, rectal and anal cancer ulceration or deep infection, and body weakness, low resistance, or chronic consumptive diseases, or malnutrition are all causes of perianal abscess.

　　Anal rectal abscess refers to infection within or around the rectum and anal canal, developing into an abscess. Anal rectal abscess is prone to complications such as anal fistula. Once there is a canal with purulent secretion discharge near the anus, one should be vigilant about the occurrence of this disease.

　　Perianal and rectal abscesses refer to infections within the rectal and anal canal tissues or their surrounding spaces that develop into abscesses. Most abscesses form anal fistulas after breaking through or being incised. What are the symptoms of perianal and rectal abscesses?

　　1. Perianal subcutaneous abscesses are mainly characterized by pain, initially distension, jumping pain when suppurating, and pain worsens during defecation. An abscess in front of the anus can cause urinary retention, and an abscess behind the anus can cause coccygeal pain. Systemic toxic symptoms are mild, with local swelling, redness, tenderness, and fluctuation.

　　2. Patients with ischiorectal abscesses have systemic discomfort, fever, chills, and elevated body temperature, with systemic toxic symptoms. Locally, there is swelling, redness, burning pain, jumping pain, tenderness, restlessness in sitting and lying down, and pain worsens during activity and defecation. There may also be difficulties in urination.

　　3. Patients with pelvic rectal pouch abscesses have severe systemic symptoms, with initial chills and high fever, fatigue throughout the body, and severe cases may have symptoms of septicemia. Local symptoms are mild, with only a feeling of rectal sinking, soreness, or discomfort, and difficulties in urination may also occur.

　　4. The systemic symptoms of retrorectal abscesses are similar to those of pelvic rectal pouch abscesses, but the local symptoms are mainly sacral and coccygeal acid and坠胀痛, radiating to the back and both thighs, with tenderness over the coccyx, and patients cannot sit up straight.

　　4. Patients with submucosal rectal abscesses have systemic discomfort, fatigue, and fever. Local symptoms are mainly rectal irritation, with symptoms such as urgent need to defecate, sinking sensation, frequent bowel movements, or the feeling of urgency. Tuberculous perianal and rectal abscesses are different from the above bacterial infections. Patients often have chronic onset, and the abscesses take several weeks or months to form. Local pain is not severe, accompanied by low fever, and local redness and swelling are not prominent. The pus discharged after rupture is thin and milky white, with an indented abscess orifice, the surrounding skin turns blue or bluish white, and there are often multiple pus discharge orifices that do not heal for a long time.

　　Perianal and rectal abscesses refer to infections within the rectal and anal canal tissues or their surrounding spaces that develop into abscesses. Most abscesses form anal fistulas after breaking through or being incised. Abscesses occur at different locations, with varying clinical presentations. The disease progresses rapidly, is localized, causes persistent pain, limits sitting, and has systemic symptoms such as chills and fever. Taking appropriate measures can prevent the occurrence of perianal and rectal abscesses or reduce the severity of the abscesses.

　　1. Adjust bowel movements

　　Whether constipation or diarrhea occurs frequently, both can lead to anal cryptitis and cause perianal and rectal abscesses. When constipated, the feces stored in the rectum is prone to block the anal crypts, causing anal cryptitis and forming perianal and rectal abscesses. At the same time, dry and hard stools can also cause skin abrasions or anal crypts, leading to perianal and rectal abscesses. Long-term diarrhea can cause loose stools to enter the anal crypts, stimulating inflammation, and thus triggering infection.

　　2. Develop good hygiene habits

　　Develop the habit of cleaning the local area after each bowel movement to prevent infection.

　　3. Adjust diet appropriately

　　Diet should not be overly refined, and foods with strong刺激性 should not be eaten, which is conducive to the excretion of feces.

　　4. Actively treat anal cryptitis and anal papillitis

　　Adopt sitz baths, anal suppositories, oral antibiotics, or traditional Chinese medicine therapy to prevent inflammation from spreading and even developing into perianal and rectal abscesses.

　　5. Actively treat systemic diseases

　　Active treatment should be given to systemic diseases such as intestinal tuberculosis, Crohn's disease, ulcerative colitis, etc.

　　Perianal and rectal abscesses occur at different locations with different onset situations. The disease progresses rapidly, is localized, has persistent pain, limited sitting, and systemic symptoms such as chills and fever. Tests that need to be done for perianal and rectal abscesses include:

　　1. Rectal examination.

　　2. Ultrasound examination.

　　3. Blood routine examination.

　　Perianal and rectal abscesses refer to infection within or around the rectal and anal canal tissues, developing into an abscess. Most abscesses form anal fistulas after rupture or incision. The abscesses occur at different locations with different onset situations, rapid disease progression, localized location, persistent pain, limited sitting, and systemic symptoms such as chills and fever. Below, the editor introduces the dietary taboos and benefits of perianal and rectal abscesses.

　　Perianal and rectal abscesses should eat:

　　1. Vegetables like spinach, celery, winter melon, luffa, pumpkin, mung beans, soybeans, rapeseed, chrysanthemum flowers, mushrooms, kelp, radish, etc., are very light and delicious, and they also contain a lot of fiber, which can clear heat and detoxify. Regular use of these vegetables can alleviate local anal swelling and pain as well as symptoms of pus and water discharge.

　　2. People with perianal and rectal abscesses should eat more fruits that clear heat and detoxify, such as watermelons, apples, pineapples, oranges, pears, etc. Because they all have the effect of moistening intestines and promoting defecation.

　　Perianal and rectal abscesses should avoid eating:

　　1. Like wine, chili, ginger, garlic, cinnamon, etc., they can stimulate local inflammation and worsen the condition of perianal and rectal abscesses.

　　Perianal and rectal abscess refers to infection within or around the rectal and anal canal tissues, developing into an abscess. Abscesses often easily lead to anal fistula. How to treat perianal and rectal abscesses.

　　1. In the early stage of abscess formation, anti-infection treatment can be adopted (including antibiotics for aerobic and anaerobic bacteria, traditional Chinese medicine for clearing heat and detoxifying, promoting diuresis and ventilation, laxatives, hot sitz baths, physical therapy, rest, etc.).

　　2. Surgical drainage should be performed as soon as an abscess forms.

　　3. Symptomatic supportive therapy.

　　4. If an obvious internal orifice is found during the incision and drainage of an abscess, the hanging thread operation can be performed at the same time.