Perianal abscesses around the anal and rectum

　　Approximately 90% of the occurrence of anal rectal perianal abscesses is related to the infection and suppuration of anal glands. The normal anal glands are mostly located between the internal and external anal sphincters, with openings at the anal crypts. When feces and bacteria enter the anal glands through the openings, it can cause anal sinusitis and anal gland inflammation, which can spread to the perianal and rectal tissues around the rectum to form perianal abscesses. The spaces around the perianal and rectal areas are usually filled with fatty tissue and lymphatic tissue, with loose tissue. Abscesses are more likely to occur in these spaces during infection. Other causes include injury, foreign bodies, proctitis, skin diseases, and so on. However, it should be pointed out that some lesions do not originate from anal glands, such as some perianal and rectal abscesses that can directly originate from anal fissures,破裂的血栓性外痔、脱垂性血栓性内痔、内痔或rectal prolapse after drug injection, or can originate from perianal skin infection, sepsis, blood diseases, or direct trauma. A few cases may also originate from tuberculosis, ulcerative colitis, or Crohn's disease, etc. Most are caused by anal gland infection, and can also be secondary to perianal skin infection, injury, anal fissure, internal hemorrhoids, drug injection, sacral tail bone inflammation, and so on.

　　Easily becomes an anal fistula and causes perianal cellulitis, especially deep cellulitis, which is a relatively serious problem. Sometimes it spreads to the perineum, inguinal region, and lower abdomen; sometimes it causes sepsis, leading to loss of life. Early treatment is recommended to prevent spread. Perianal and rectal abscesses caused by Escherichia coli or anaerobic bacteria are prone to complications such as anal fistula. Once a pus discharge channel near the anal opening appears, it is necessary to be vigilant about the occurrence of this disease.

　　Subcutaneous abscess around the anus is the most common, often caused by infection of the anal glands spreading outward through the superficial part of the external sphincter or directly outward. It is usually located in the subcutaneous tissue around the anus, generally not large, and the main symptom is persistent and severe pain around the anus, which worsens with pressure or coughing. It is difficult to walk and sit or lie comfortably. There are no obvious systemic infection symptoms. Local examination: there is marked redness and swelling around the anal skin, accompanied by firmness and tenderness, and fluctuation may be present. If necessary, puncture can be performed to confirm. If not incised in time, it often breaks down spontaneously, forming a low anal fistula. Infection can also penetrate the perianal fascia and spread to the ischiorectal fossa. In the early stage, it may be misdiagnosed as a thrombosed external hemorrhoid, but the latter has clear boundaries and the surrounding skin has no inflammatory reaction.

　　The symptoms of perianal and rectal abscesses are severe, affecting work and life. Regular and smooth bowel movements, and good hygiene habits, are powerful preventive measures.

　　Perianal abscesses can have the following consequences:

　　11. 1. The abscess spontaneously ruptures or is surgically incised and drained, leading to delayed healing and the formation of an anal fistula.

　　10. After the abscess is drained, it temporarily heals, and then recurrent abscesses form at the original site, eventually leading to the formation of an anal fistula.

　　9. The primary internal orifice is large, and the abscess can drain through the orifice to form pus, creating a sinus tract known as an internal orifice fistula.

　　8. In the early stage of the abscess, after the use of effective antibiotics or other anti-inflammatory drugs, the abscess can subside, but there is still a possibility of recurrence.

　　7. Complete healing after incision and drainage of the abscess, without recurrence.

　　In summary, the consequences of perianal abscesses are two: one is the formation of an anal fistula, and the other is not forming an anal fistula.

　　1. Rectal examination:An abscess in the ischiorectal fossa can be felt as a swelling on one or both sides of the area, with tenderness and fluctuation. If the swelling, tenderness, and fluctuation are located on the rectal wall, it is an intersphincteric abscess. If this sign is present on the outer sides of the rectal wall in the upper rectum, it is a pelvic rectal space abscess. For a rectal abscess, in addition to the sign at the posterior aspect of the rectum, there is tenderness between the anal and coccygeal region. Pus can be aspirated by needle puncture.

　　2. Elevated white blood cell and neutrophil counts.

　　Firstly, dietetic recipes for anal and rectal abscesses

　　1, Peanut adzuki bean date garlic soup

　　Ingredients: 90 grams of peanuts with their skins, adzuki beans, and dried dates each 60 grams; garlic 30 grams.

　　Preparation: Boil all the ingredients together in water to make a soup.

　　Effects: Nourish qi and blood, eliminate dampness and detoxify.

　　Usage: Take in the morning and evening.

　　2, Chrysanthemum flower bud luffa sinensis clam meat soup

　　Ingredients: Clam meat 30 grams, chrysanthemum flower bud 15 grams, luffa sinensis 10 grams.

　　Preparation: Boil the above three ingredients in appropriate amount of water to make a decoction, and add salt to taste.

　　Effects: Nourish qi and yin, clear heat and unblock the meridians.

　　Usage: Drink the soup and eat the meat, once a day, for 10 consecutive days.

　　3, Herba houttuyniae green bean kelp soup

　　Ingredients: Green beans 30 grams, kelp 20 grams, herba houttuyniae 15 grams.

　　Preparation: Boil the above three ingredients in water to make a decoction, remove the herba houttuyniae, and add appropriate sugar to taste.

　　Effects: Clear heat and detoxify.

　　Usage: Drink the soup and eat the beans and kelp. Once a day, for 7 consecutive days.

　　4, Green bean lily Job's tears porridge

　　Ingredients: Job's tears 50 grams, green beans 25 grams, fresh lily bulbs 100 grams.

　　Preparation: Separate lily bulbs, remove the inner membrane, add green beans and Job's tears to the water and cook until they are five-sixths done, then add the lily bulbs and cook the porridge over low heat, adding sugar to taste.

　　Effects: Nourish yin and clear heat, eliminate dampness and detoxify.

　　Usage: Take once or twice a day.

　　5, Amaranth and Ipomoea aquatica soup

　　Ingredients: Portulaca oleracea 30 grams, Ipomoea aquatica 30 grams.

　　Preparation: Boil the above two ingredients in water and collect the juice.

　　Effects: Clear heat and eliminate dampness, cool blood and detoxify.

　　Usage: Take internally, once a day.

　　6, Rhizoma et radix smilacis glabrae and dried dates decoction

　　Ingredients: Dried dates 30 grams, rhizoma et radix smilacis glabrae 30 grams.

　　Preparation: Boil the above two ingredients in water to make a decoction.

　　Effects: Clear heat, detoxify, and cool the blood.

　　Usage: Drink the soup, twice a day.

　　7, Lotus Leaf Porridge

　　Ingredients: Fresh lotus leaves 20 grams, glutinous rice 200 grams.

　　Preparation: Boil lotus leaves for 20 minutes first, then remove the residue and add glutinous rice to cook porridge.

　　Effects: Clear heat and eliminate turbidity.

　　Usage: Take twice a day as needed.

　　Secondly, what foods are good for the body when eating around the anal and rectal abscesses

　　1, Patients with perianal abscesses should eat light and easily digestible foods.

　　2, When hard stools are excreted, they can tear the anal valves and injure the anal skin and mucosa, making it easy for bacteria to enter the perianal tissue through the wounds and cause infection, forming an abscess. Therefore, one should eat more fibrous foods in daily life, such as sweet potatoes, celery, eggplants, bananas, and corn. Adjusting the diet to prevent constipation and keep the bowels smooth will be beneficial to the recovery of the disease.

　　3, In terms of the causes of perianal abscesses, we can alleviate and treat perianal abscesses through the method of diet therapy. Generally speaking, vegetables such as spinach, celery, winter melon, luffa, pumpkin, mung beans, soybeans, rapeseed, cauliflower, mushrooms, kelp, radishes, and lotus stems are light and contain a lot of fiber. They can clear heat and detoxify. Regular use of these vegetables can alleviate the symptoms of perianal abscesses.

　　4, Fruits are an indispensable part of our lives, and this is also true for friends with perianal abscesses. However, when eating fruits, one must be selective and choose fruits such as watermelons, apples, pineapples, oranges, pears, and so on. Because they all have the effect of moistening the intestines and defecating.

　　Thirdly, what foods should be avoided for perianal and rectal abscesses?

　　1. Avoid or eat less spicy foods:Such as alcohol, chili, ginger, garlic, cinnamon, etc., which can stimulate local inflammation and worsen the condition of perianal and rectal abscesses.

　　2. When taking medication to treat perianal abscesses, it is important to note that some medications and some foods cannot be taken at the same time:When taking antipyretic and detoxifying agents, it is advisable to avoid eating fish, shrimp, lamb, coriander, chives, and other foods, and it is best not to eat foods that cause heat, such as bamboo shoots, dog meat, seafood, and others. It is taboo to eat radishes, peaches, plums, and other foods, as they may affect the efficacy of the medicine.

　　Prevention:In daily life, easy-to-digest foods should be eaten, and it is advisable to eat more vegetables and fruits. It is not advisable to eat greasy foods with too much fat, and it is taboo to eat刺激性 foods such as alcohol, chili, mustard, and other hot foods. Dog meat and lamb should not be eaten in large quantities. The local area should be kept clean and hygienic, and good hygiene habits should be cultivated. Take a bath frequently, change underwear frequently, and wipe the anal area with clean and soft toilet paper after defecation. The anal area should be cleaned or bathed frequently, and at the same time, constipation and diarrhea should be prevented and treated.

　　1. Actively prevent and treat other anorectal diseases, such as anal sinusitis, anal papilloma hypertrophy, anal fissure, inflammatory hemorrhoids, rectitis, and others, can be treated promptly, correctly, and effectively, which can prevent and reduce the occurrence of perianal infection, abscesses, and anal fistulas.

　　2. Preventing and treating constipation and diarrhea is of great significance in preventing perianal and rectal infections, as it can avoid and reduce the damage or inflammation of the mucosa and epithelial tissues in the anal and rectal area, and can reduce the incidence of abscesses and anal fistulas.

　　3. Timely treatment of systemic diseases that can cause perianal and rectal abscesses, such as ulcerative colitis, intestinal tuberculosis, Crohn's disease, and others.

　　4. Keeping the anal area clean and hygienic, changing underwear frequently, and washing the anal area after each defecation has a positive effect on preventing infection.

　　5. Regular physical exercise to strengthen the physique can enhance and improve the blood circulation in the anal area, thereby improving the local disease resistance and preventing the occurrence of infection.

　　6. Once an infection occurs around the anal and rectal area, it is advisable to seek medical treatment at a regular hospital as soon as possible and adopt effective anti-infection measures, including systemic and local treatment, to prevent the spread and diffusion of inflammation. Do not lightly believe in quacks or so-called 'hereditary' propaganda and delay diagnosis and treatment.