Anl Abscess and Anl Fistulas

Anl Abscess and Anl Fistulas
Created by host on 8/15/2015 5:11:58 AM

 

About Anal Abscess and Fistulas

 

 

remove anal fistula in operation room ( surgery treatment )                                                   

 Patient who feels ill and complains of chills,fever and pain in the rectum or anus could be suffering from an anal

 abscess orfistula. These medical terms describe common ailments about which many peopleknow little.

?What is an ANAL ABSCESS

.An anal abscess is an infectedcavity filled with pus found near the anus or rectum

?What is an ANAL FISTULA

Ananal fistula, almost always the result of a previous abscess, is a small tunnelconnecting the anal gland from which the abscess arose to the skin of thebuttocks outside the anus.

?What causes an ABSCESS

 

An abscess resultsfrom an acute infection of a small gland just inside the anus, when bacteria orforeign matter enters the tissue through the gland. Certain conditions -colitis or other inflammation of the intestine, for example - can sometimesmake these infections more likely.

 

?What causes a FISTULA

 

After an abscess has been drained, atunnel may persist connecting the anal gland from which the abscess arose tothe skin. If this occurs, persistent drainage from the outside opening mayindicate the persistence of this tunnel. If the outside opening of the tunnelheals, recurrent abscess may develop.

?What are the symptomsof an ABSCESS or FISTULA

 

Symptoms of both ailments includeconstant pain, sometimes accompanied by swelling, that is not necessarilyrelated to bowel movements. Other symptoms include irritation of skin aroundthe anus, drainage of pus (which often relieves the pain), fever, and feelingpoorly in general.

?Does an ABSCESS always become a FISTULA

 

No. A fistula develops in about 50percent of all abscess cases, and there is really no way to predict if thiswill occur.

 

?How is an ABSCESS treated

 

An abscess is treated by drainingthe pus from the infected cavity, making an opening in the skin near the anusto relieve the pressure. Often, this can be done in the doctor's office using alocal anesthetic. A large or deep abscess may require hospitalization and useof a different anesthetic method. Hospitalization may also be necessary forpatients prone to more serious infections, such as diabetics or people withdecreased immunity. Antibiotics are not usually an alternative to draining thepus, because antibiotics are carried by the blood stream and do not penetratethe fluid within an abscess.

?What about treatment for a FISTULA

 

Surgery is necessary to cure an analfistula. Although fistula surgery is usually relatively straightforward, thepotential for complication exists, and is preferably performed by a specialistin colon and rectal surgery. It may be performed at the same time as theabscess surgery, although fistulae often develop four to six weeks after anabscess is drained - sometimes even months or years later. Fistula surgeryusually involves cutting a small portion of the anal sphincter muscle to openthe tunnel, joining the external an internal opening and converting the tunnelinto a groove that will then heal from within outward. Most of the time,fistula surgery can be performed on an outpatient basis - or with a shorthospital stay. 

?How long does it take before patients feel better

 

Discomfort after fistula surgery canbe mild to moderate for the first week and can be controlled with pain pills.The amount of time lost from work or school is usually minimal.

Treatment of an abscess or fistulais followed by a period of time at home, when soaking the affected area in warmwater (sitz bath) is recommended three or four times a day. Stool softeners mayalso be recommended. It may be necessary to wear a gauze pad or mini-pad toprevent the drainage from soiling clothes. Bowel movements will not affecthealing.

?What are the chancesof a recurrence of an ABSCESS or FISTULA

 

If properly healed, the problem willusually not return. However, it is important to follow the directions of acolon and rectal surgeon to prevent recurrence.

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