Pelvic rectal abscess originates from anal and perirectal abscesses. Although rare, it is important because patients' local symptoms are not prominent, while systemic symptoms are significant, leading to delayed diagnosis in the early stages.
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Pelvic Rectal Abscess
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1. What are the causes of pelvic rectal abscess?
2. What complications can pelvic rectal abscess easily lead to?
3. What are the typical symptoms of pelvic rectal abscess?
4. How to prevent pelvic rectal abscess?
5. What laboratory tests are needed for pelvic rectal abscess?
6. Dietary recommendations and taboos for patients with pelvic rectal abscess
7. Conventional methods of Western medicine for the treatment of pelvic rectal abscess
1. What are the causes of pelvic rectal abscess?
Most pelvic rectal abscesses originate from infections within the anal and rectal wall, such as anal cryptitis. Sharp foreign bodies in feces can injure the intestinal wall and cause infection. Since the spaces are composed of loose fatty tissue, infection can easily spread and extend to both sides.
2. What complications can pelvic rectal abscess easily lead to?
In addition to its clinical manifestations, pelvic rectal abscess can also cause other diseases. The rupture of pelvic rectal abscess can lead to infection of the pelvis and surrounding tissues, which should be highly regarded by both clinical doctors and patients.
3. What are the typical symptoms of pelvic rectal abscess?
Infections of pelvic rectal abscess are often caused by rectal inflammation, rectal ulcers, and rectal trauma, and can also be involved by intermuscular abscesses or ischiorectal abscesses. The onset is gradual, and the early自觉 symptoms are merely rectal坠胀, discomfort during defecation, and sometimes difficulty in urination. Physical examination of the anal area usually shows no abnormalities, but rectal palpation may reveal infiltration, tenderness, prominence, and even fluctuation on the anterior wall of the upper rectum. Diagnosis mainly relies on aspiration of pus through puncture, with the finger locating the rectum and puncturing the skin around the anus. A rectal ultrasound examination may be necessary to assist in diagnosis.
4. How to prevent pelvic rectal abscess?
Pelvic rectal abscess severely affects patients' daily lives, so it should be actively prevented. Taking a hot water sitz bath in daily life can alleviate symptoms, and early treatment should be sought for infections, to prevent and treat infections of surrounding tissues.
5. What laboratory tests are needed for pelvic rectal abscess?
The clinical examination of pelvic rectal abscess generally includes the following methods:
1. Superficial:Abscesses are characterized by local redness, swelling, heat, pain, and tenderness, followed by a sense of fluctuation.
2. Deep:The abscess is locally diffused swelling, pain, and tenderness, with no significant fluctuation. Test puncture can extract pus, and it can also be used for ultrasound consultation.
3. Blood routine and blood culture:Leukocytes and neutrophils are elevated, especially in bacterial liver abscess, which can reach 20-30X109/L. Amoebic liver abscess may occasionally find amoebic cysts or trophozoites in feces. Enzyme-linked immunosorbent assay (ELISA) can help determine the nature of the abscess, with a positive rate of 85-95%. Amoebic liver abscess can be aspirated to produce chocolate-colored pus; bacterial abscess can be aspirated to produce yellow-green or yellowish pus, and culture can obtain the pathogenic bacteria.
6. Dietary taboos for patients with pelvic rectal abscess
Daily Diet for Patients with Pelvic Rectal Abscess:
1. Diet should be light and rich in dietary fiber, such as spinach, celery, winter melon, luffa, pumpkin, mung beans, soybeans, rapeseed, cauliflower, black fungus, kelp, radish, lotus root, etc. Regularly eating these dishes such as cold bean sprout and dried tofu shreds, stir-fried tofu skin with celery, meat slices stir-fried with black fungus, stir-fried luffa, etc., all have the effect of clearing heat and detoxifying. They can alleviate symptoms such as local swelling, pain, pus discharge, and running water.
2. Choose foods such as mung bean porridge, celery porridge, egg noodles, vegetarian porridge, etc., which have the effect of moistening intestines and relieving constipation.
3. Eat more fresh fruits such as watermelons, apples, pineapples, pears, etc.
4. Choose drinks such as green tea, chrysanthemum tea, honeysuckle tea, mung bean soup, etc.
5. Abstain from alcohol, chili, ginger, garlic, cinnamon, etc., as these are all spicy foods that can stimulate local inflammation and worsen the condition of the perirectal abscess. It is also advisable to avoid fish, shrimp, lamb, coriander, chives, etc., including bamboo shoots, seafood, dog meat, etc. as they are all 'invigorating' foods.
7. Conventional methods of Western medicine for the treatment of pelvic rectal abscess
Western Medical Treatment Methods for Pelvic Rectal Abscess:
The surgical incision is the same as that of the ischiorectal abscess, but slightly posterior and longer. The left index finger is inserted into the rectum to explore the abscess location and guide, while the other hand holds a curved tube forceps through the skin incision, passing through the levator ani muscle into the abscess cavity, pulling it open in the anterior and posterior direction to expel pus. Then, the right index finger is inserted into the abscess cavity, separating the levator ani fibers, expanding the drainage, washing the abscess cavity, and then inserting a soft rubber tube or cigarette drain and fixing it with a safety pin to prevent it from slipping into the abscess cavity.
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