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Anorectal Abscess

Overview

A collection of pus in the anal or rectal region. A localized collection of pus in any part of the body that is the result of the displacement or disintegration of tissue. Superficial perianal abcesses are not uncommon in infants and toddlers who are still in diapers and have a history of analfissures.


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Causes

Infection of an anal fissure (cleft or slit), sexually transmitted infections, and blocked anal glands are causes of anorectalabscesses . Abscesses may occur in an area that is easily accessible for drainage, or higher in the rectum. Deep rectal abscessesmay be caused by intestinal disorders such as Crohn's disease or diverticulitis .


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Signs & Symptoms

The abcess often appears as a swollen, red, tender lump at the edge of the anus. The infant may be fussy fromdiscomfort but there are generally no other associated systemic symptoms. Surgical drainage and antibiotics provide promptrelief.

discharge of pus from the rectum- lump or nodule, swollen, red, tender at edge of anus- fever- pain in or around the anal opening- pain associated with bowel movements- constipation (may occur)

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Prevention

In adults and adolescents prompt treatment or prevention of sexually transmitted diseases may prevent this cause of anorectalabscesses .Frequent diaper changes and attention to hygiene and cleansing at diaper changes will help prevent both anal fissures andperianal abcesses in infants and toddlers.


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Treatments
Antibiotics medication Modern Medicine

Abscesses are lanced and drained. Depending on the location of the abscess, the procedure may take place in an outpatientsetting. If the abscess is very deep, surgery may be indicated.Warm sitz baths may assist with localization of the abscess to permit drainage.Pain medication and antibiotics may be indicated.

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