Question 1

my husband has a perirectal abscess and has been to the dr.  they gave him meds but it don't seem to be helping.  how can we get it to open ?

Accepted Answer

Needs to be opened: Sounds like he needs to see a surgeon.  Might try epsom salt soaks in the interim.

Question 2

what causes perirectal abscesses?

Accepted Answer

Infection in the: Rectal area that balls up and encapsulates.

Question 3

i have a wound from a perirectal abscess surgery that has fully healed after nearly 3 months. what could be wrong? what can be done to help healing?

Accepted Answer

Nothing: If it has fully healed, what is your problem?

Question 4

can a perirectal abscess go undetected for 20 years. i had pain over the years but thought it was hemorrhoids.what cause this to be there long time?

Accepted Answer

Not really: I see this fairly often, in fact.  Hemorrhoids can cause pain, but it's usually an anal fissure that causes the long term pain like you are describing.  It takes a visit to a surgeon to diagnose it.   Either is easily treated.

Question 5

had perirectal abscess that cleared on iv antibotics. dr said they were going to find crohn's but scopes were clear. could inflamation show on biopies?

Accepted Answer

Not necessary: Perirectal abcess beging a infection in the anal crypts and spread outward.  It's surprising that antibiotic cleared it, it usually need to be surgically drained, it may reoccur w/o drainage

Question 6

barium enema after a perirectal abscess surgery, what do you recommend?

Accepted Answer

Enema is needed: Barium is probably not the contrast media I would choose. I would perform . I would choose a water soluble media. Just in case the cause of the abscess was a hole in the bowel. Better to have water soluble contrast rather than barium. As always best to talk to the doctors

Question 7

missed fourth infusion of remicade (infliximab)  for uc by 2 weeks. waiting for perirectal abscess to heal.  can i postpone infusion by another week?

Accepted Answer

Yes! Crohn's: And yes.  You need to heal your abscess! nobody in rheumatology or gastroenterology would recommend you do this!

Question 8

i had a colonoscopy 4 days ago and l'm getting pain inside my rectum and a bit of mucus leaking. previously had a perirectal abcess where the pain is.

Accepted Answer

Possible recurrence: Colonoscopy requires cleaning of bowel with a form of laxative followed by distention of bowel by forcing gas up the rectum.  If there was a previous abscess the new signs may represent recurrence of the abscess and this followed by passage of residual irrigant used to clean bowel.

Question 9

ct shows thickening of the peritoneal reflections? dr didn't mention anything. ct was done for perirectal abcess.

Accepted Answer

Peritoneal lining: The peritoneum is a thin cellular lining that lines the inner abdominal wall and all of the organs and bowel loops within the abdomen and pelvis. It can become thickened for a variety of reasons, such as related to infection, inflammation, fibrosis, infarction, trauma, response to medication or chemotherapy, or cancer. The CT appearance of thickened peritoneal reflections by itself is nonspecific.

Question 10

what do you do when child has an abscess on his s?

Accepted Answer

Open & drain Vs med: Occasionally these respond to a warm compress with spontaneous drainage & oral meds can assist the process but many recur.  Those that are large or  located near the anal outlet often require incision and drainage. Some can be done in an office & some may require day surgery.

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Doctor answers about:

Perirectal abscess

A member asked:

My husband has a perirectal abscess and has been to the dr. they gave him meds but it don't seem to be helping. how can we get it to open ?

A member asked:

What causes perirectal abscesses?

A member asked:

I have a wound from a perirectal abscess surgery that has fully healed after nearly 3 months. what could be wrong? what can be done to help healing?

A member asked:

Can a perirectal abscess go undetected for 20 years. i had pain over the years but thought it was hemorrhoids.what cause this to be there long time?

A member asked:

Had perirectal abscess that cleared on iv antibotics. dr said they were going to find crohn's but scopes were clear. could inflamation show on biopies?

A member asked:

Barium enema after a perirectal abscess surgery, what do you recommend?

A member asked:

Missed fourth infusion of remicade (infliximab) for uc by 2 weeks. waiting for perirectal abscess to heal. can i postpone infusion by another week?

A member asked:

I had a colonoscopy 4 days ago and l'm getting pain inside my rectum and a bit of mucus leaking. previously had a perirectal abcess where the pain is.

A member asked:

Ct shows thickening of the peritoneal reflections? dr didn't mention anything. ct was done for perirectal abcess.

A member asked:

What do you do when child has an abscess on his s?

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