Perianal abcess with antibiotics

2025-12-16 09:23:09
I had small perianal abcess two times once in jan and feb,they got resolved with antibiotics both time in 3-4 days and no need of drainage to be done,I have no issues since 10 months now,can we not have fistula even after two abcess as I am not having any issues since then.
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Small perianal abscess can heal with medication. Chance for it develop into fistula depends on location of abscess, size of abscess  and whether it has healed completely. Can help you out with treatment plan

Answered2025-12-19 07:43:10

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It is recurrent. Constipation  may cause recurrence. Take lots of salad, fruits,  plenty of water n liquid,   . In total Change life style n diet plan drastically

Answered2025-12-18 10:18:01

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Dnt strain. No constipation. More of fibres and liquids. No fistula will happen.

Answered2025-12-18 09:00:37

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Yes, it is possible not to have a fistula even after two perianal abscess episodes. Since both were small, resolved quickly with antibiotics, did not require drainage, and you have been symptom-free for 10 months, the likelihood of an underlying fistula is low at present. Many fistulas develop after inadequately drained or persistent abscesses, which does not seem to be the case here.
Next Steps
• No treatment needed right now if asymptomatic • Observe for any recurrence • Consult a surgeon only if symptoms reappear (pain, swelling, discharge)
Health Tips
• Watch for warning signs: recurrent pain, pus discharge, non-healing swelling • Maintain good perianal hygiene • Avoid constipation and straining • Seek early evaluation if any new symptoms develop

Answered2025-12-17 17:58:11

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Fistula usually presents with persistent or recurrent symptoms such as pain, swelling, discharge of pus, or repeated abscess formation. Since you have none of these symptoms for a prolonged period, there is no current evidence to suggest a fistula.
Next Steps
Fistula usually presents with persistent or recurrent symptoms such as pain, swelling, discharge of pus, or repeated abscess formation. Since you have none of these symptoms for a prolonged period, there is no current evidence to suggest a fistula. No active treatment is required at present. Consult a colorectal surgeon if any new symptoms such as pain, swelling, or discharge develop in the future

Answered2025-12-17 17:19:04

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Answered2025-12-17 15:13:28

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Kindly do connect and consult

Answered2025-12-18 07:56:24

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Need a few more details please consult for further evaluation and treatment

Answered2025-12-17 17:51:22

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Hi..! If there is any fistula, you will experience discharge/ oozing from some open sites.
Next Steps
Although be in follow up for early detection and treatment
Health Tips
Eat healthy diet, maintain hydration don’t strain and avoid stress and spicy diet

Answered2025-12-17 15:08:40

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-12-17 15:06:40

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