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Perianal abcess with antibiotics
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.
Answers (13)
A small perianal abscess means a localized infection near the anus. Since a fistula has not formed, many small abscesses can be managed early with medicines and local care.
However, if there is severe pain, increasing swelling, fever, or pus discharge, a small surgical drainage may be needed. This is a simple procedure and helps prevent fistula formation.
No need to worry about it as of now if you experiencing same again and again do consult
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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
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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
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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
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