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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 (10)
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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
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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
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Dnt strain. No constipation. More of fibres and liquids. No fistula will happen.
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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.
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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.
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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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
6 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Shubham Gupta
General Physician
6 yrs exp
Gurgaon
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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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.