I had a perianal abscess which has gone from a 10 day course of antibiotics. It was swollen quiet a lot. I Showed it to a specialist and he said there is a 25 percent chance it can come back. I thought abscess always needed draining ? I am confused now. Will the abscess come back? Should I get a MRI?
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A perianal abscess (small ,no much fluid collection) does not always need draining if it responds well to antibiotics and reduces in size, as in your case. However, there is indeed a chance about 25 % that it might return, especially if a fistula (a connection between the abscess and the anal canal) has formed. An MRI is helpful in detecting hidden fistulas or recurrent abscess risks. If symptoms recur, or you remain concerned, discussing an MRI with your specialist would be a good next step.
It will be good if you do sitz bath 10 to 15 mins three times a day (pus enough salt in a basin and add water and sit for 15 mins )
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Yes this could recur after certain period of time.
Drainage of abscess is required only if pus pointing has been formed or the swelling is fluctuating on applying two fingers gently over the swelling . This is generally elicited by surgeon
Also surgeon if at all required might aspirate and if purulent discharge comes out then drainage is needed.
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if next time this happens, do check for above things and associated fever , pain
Surgeon examination is crucial
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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.
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