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Anal Abscess/Fistula

A patient who feels ill and complains of chills, fever and pain in the rectum or anus could be suffering from an anal abscess or fistula.

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An anal abscess is an infected space filled with pus found near the anus or rectum. An anal fistula typically occurs as a result of a previous abscess. This is a tunnel that connects the anal gland to the skin of the buttocks outside the anus.


Symptoms of an Abscess or Fistula

  • Constant pain and swelling (not related to bowel movements)
  • Irritation of the skin around the anus
  • Drainage of pus (sometimes relieving the pain)
  • Fever
  • Treatment of an Anal Abscess
  • Through an opening in the skin near the anus, the pus is drained from the infected area which relieves the pressure. This can be done at a doctor's office using a local anesthesia. A more severe abscess may require hospitalization and use of different form of anesthesia.

Treatment of an Anal Fistula

Treatment of an anal fistula requires surgery. This typically involves cutting a small portion of the anal sphincter muscle to open the tunnel and converting the tunnel into a groove which will heal from from within outward. Usually, this procedure is done on an outpatient basis, but may require a hospital stay.


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