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Anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract anus. Most anal fistulas are the result of an infection that starts in an anal gland. This infection results in an abscess that drains spontaneously or is drained surgically through the skin next to the anus. The fistula then forms a tunnel under the skin and connects with the infected gland. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Anal fistula care at Mayo Clinic. Mayo Clinic does not endorse companies or products.

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Anal fistula care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.

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This content does not have an English version. This content does not have an Arabic version. Overview Anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract anus.

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Oct 08,   The anal abscess may enlarge, causing pain, fever, and difficulty with bowel movements. Certain people are more likely to develop perirectal and perianal abscesses, including those with the following medical conditions: Diabetes. AIDS or HIV infection with low white blood cell counts. Crohn's disease Aug 28,   Most anal fistulas are the result of an infection that starts in an anal gland. This infection results in an abscess that drains spontaneously or is drained surgically through the skin next to the anus. The fistula then forms a tunnel under the skin and connects with the infected gland. Surgery is usually needed to treat anal fistula Anal abscesses are mainly due to bacterial infections of the glands surrounding the anus. If the glands burst after being filled with pus, infection can extend to spaces around the rectum and anus. The bacteria can be introduced through small breaks skin or during placement of foreign objects into the anal/rectal lumen

Show references Abscess and fistula expanded information. American Society of Colon and Rectal Surgeons. Accessed March 17, Feldman M, et al.

Anal abscess causes

Diseases of the anorectum. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management.

Anal Fistula and Anal Abscess

Philadelphia, Pa. Breen E, et al. There may also be generalized symptoms of infection that you would not commonly experience with hemorrhoids, such as fever and nighttime chills.

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Other tests may be ordered if IBD, HIV, or diabetes is suspected, including blood tests and colonoscopy. Anorectal abscesses rarely go away on their own or resolve solely with antibiotic therapy.

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In most cases, the doctor would need to drain the abscessa relatively simple in-office procedure that involves a local numbing agent, a scalpel, and a pair of forceps. If the abscess is especially deep or situated high in the rectum, the procedure needs to be performed in a hospital under general anesthesia.

The surgery generally takes around 0 minutes. Some of the extracted pus may be sent to the lab to identify the causal bacterium.

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Once the procedure is done, antibiotics are prescribed for around a week to help treat the infection and prevent any further spread. You may also be advised to use a sitz batha shallow basin used to soak and clean the anal area. Tylenol acetaminophen is sometimes prescribed to help relieve the pain.

During recovery, stool softeners may be needed to reduce abrasion and allow the drained abscess to better heal. After a bowel movement, dab softly with toilet paper and rinse with a squirt bottle filled with warm water. Wash lightly with soap but avoid alcohol or hydrogen peroxide, which can slow healing.

If needed, pad the wound with gauze or a maxi pad. You can also ask your doctor about the short-term use of over-the-counter topical creams and gels, which may help soothe anal tissues.

The drainage of an abscess will provide almost immediate relief. While there may some pain after the procedure, it will usually be mild by comparison. However, if you experience excessive rectal bleeding, fever, chills, or vomiting after returning home from the procedure, call your doctor immediately.

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Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Gossman W, Waheed A, Emmanuel B, Tuma F. Perianal Abscess.

Dec 11,   A blocked anal gland, a sexually transmitted infection (STI), or an infected anal fissure can cause anal abscesses. Some other risk factors include: Crohn's disease or Jul 11,   Superficial anal abscesses are often associated with: Pain, which is usually constant, throbbing, and worse when sitting down Skin irritation around the anus, including swelling, redness, and tenderness Discharge of pus Constipation or pain associated with bowel movements Common causes of anorectal abscess include: Blocked glands in the anal area Infection of an anal fissure Sexually transmitted infection (STD)

Treasure Island, FL: StatPearls Publishing. ated July 11, Johnston SL. Clinical immunology review series: an approach to the patient with recurrent superficial abscesses. Clin Exp Immunol. Chang J, Mclemore E, Tejirian T. Anal Health Care Basics.

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Perm J. Kovalcik PJ, Peniston RL, Cross GH. Anorectal abscess. Surg Gynecol Obstet.

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Lohsiriwat V. Anorectal emergencies. World J Gastroenterol. Whiteford MH. Clin Colon Rectal Surg. Owen HA, Buchanan GN, Schizas A, Cohen R, Williams AB. Quality of life with anal fistula.

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Ann R Coll Surg Engl. Mitra A, Yadav A, Mehta N, Varma V, Kumaran V, Nundy S. Complicated Perianal Sepsis. Indian J Surg. Raygada JL, Levine DP. Methicillin-Resistant Staphylococcus aureus: A Growing Risk in the Hospital and in the Community.

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Am Health Drug Benefits. De Zoeten EF, Pasternak BA, Mattei P, Kramer RE, Kader HA. Diagnosis and treatment of perianal Crohn disease: NASPGHAN clinical report and consensus statement.

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J Pediatr Gastroenterol Nutr. Van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, Van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review.

Am J Gastroenterol. Adamo K, Sandblom G, Brannstrom F, Strigard K. Prevalence and recurrence rate of perianal abscess-a population-based study, Sweden Int J Colorectal Dis. Turner EJ, Raza SA. Long-term steroids and an extensive diverticular abscess.

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BMJ Case Rep. Asgeirsson T, Nunoo R, Luchtefeld MA. Hidradenitis Suppurativa and Pruritus Ani. Nguyen VX, Le Nguyen VT, Nguyen CC.



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