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Friday, February 11, 2011

A Simple Guide to Anorectal Abscess

A Simple guide to Anorectal abscess
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What is Anorectal abscess?
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Anorectal abscess is a pocket of pus in the anal region below the anal sphincter muscles.

Perianal abscess lies within the external anal sphincter.

Ischiorectal abscess is situated above the anal sphincter and in the ischiorectal fossa.

How is Anorectal abscess caused?
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Anorectal abscess is caused by infection in the anal glands of the anal mucosa and becomes abscesses or pockets of pus.

1.Trauma or injury causes cell damage and infection

2.Small mucosal tears from hard fecesmay lead to infection

3.Anal fissures, hemorrhoids or colis can also lead to abscess

Most infections are E.coli infections less often staphylococcus

What are the Signs and Symptoms of Anorectal abscess?
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Symptoms start off with:
1. throbbing pain around

2. sitting walking defecation painful

3.Fever, malaise

4.Abscess seen on inspection or rectal exam

How to diagnose Anorectal abscess?
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1.Symptoms of
a.anal swelling pain

b.proctoscopy

c.swab & culture
2.ESR raised very high somtimes > 80
3.moderate leucytosis with lymphopenia

What are the complications of Anorectal abscess?
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The complications are:
1.colitis
What is the Treatment of Anorectal abscess?
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Incision & drainage.
1.Antibiotics

What is the Prevention for Anorectal abscess?
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Avoiding infection
Prognosis of Anorectal abscess
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Early therapy with antibiotics produce good results

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