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February 6, 2012
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Anal Abscess

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Anal Abscess Overview

A perirectal abscess is a collection of pus in the deep tissues surrounding the anus. By contrast, a perianal abscess is a shallower collection of pus under the skin surrounding the anus; however, both are sometimes described as an anal abscess. Both types of abscesses need immediate medical attention; however, a perirectal abscess usually is the more severe infection. A delay in treatment may cause serious worsening of the condition and unnecessary complications.

Anal Abscess Causes

Perirectal and perianal abscesses are thought to develop from the glands surrounding the anus; on occasion, perianal abscesses may develop from infected skin adjacent to the anus. Glands may plug up, usually leading to bacterial infection. When the glands fill with pus, they may burst inward, releasing their infected contents into the spaces around the rectum and anus. This pus causes an abscess, or pus collection, in the spaces surrounding the rectum or anus. The anal abscess may enlarge, causing pain, fever, and difficulty with bowel movements.

Certain people are more likely to develop perirectal and perianal abscesses, including those with the following medical conditions:

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Anal Abscess

What Is Crohn's Disease?

Crohn's disease (also spelled Crohn disease) is a chronic disease of the digestive tract that is characterized by inflammation. It can affect any part of the digestive tract from the mouth to the anus, but usually involves the small intestine (the duodenum, the jejunum, and especially the ileum) and/or the area around the anus. Although it is a potentially serious disease, many medications are now available to help patients' symptoms and reduce the development of complications.

What Is Inflammation?

Inflammation is a response of the immune system, which protects us from infections and other outside "invaders." When the digestive tract becomes inflamed, the tissue becomes red, swollen, and thickened. Painful ulcers develop and may bleed. This damage causes bothersome and embarrassing symptoms.

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Read the Crohn's Disease FAQs article »


Read What Your Physician is Reading on Medscape

Perianal Abscess »

A perianal abscess represents an infection of the soft tissues surrounding the anal canal, with formation of a discrete abscess cavity.

Read More on Medscape Reference »

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