Anal Abscess Pain: What to Expect After Drainage

Anal abscess

Hello, doctor.
Today I am experiencing unbearable pain in my anus.
This morning, I visited a general surgery outpatient clinic, and the doctor diagnosed me with an anal abscess.
They subsequently incised and drained the abscess.
After taking a shower in the evening, I experienced extreme pain when I had diarrhea.
Is this normal? The pain was not as severe after the drainage, but it is extremely painful after having a bowel movement.
The pain subsides after a few minutes.
Is it normal to still feel pain when applying ointment after washing?

Cai Xiansheng, 40~49 year old female. Ask Date: 2021/10/06

Dr. Ke Fangxu reply Surgery

It is inevitable to experience pain after an incision and drainage procedure.
As the pus drains completely and the wound gradually heals, the discomfort will improve.
The key is to perform regular cleaning to prevent poor wound healing.

Reply Date: 2021/10/06

More Info

After undergoing drainage for an anal abscess, it is common to experience varying degrees of pain and discomfort as part of the healing process. An anal abscess is a collection of pus that forms near the anus, often due to infection. The drainage procedure, while necessary to relieve pain and prevent further complications, can also lead to temporary discomfort as the area heals.

What to Expect After Drainage
1. Initial Pain Relief: After the abscess is drained, many patients report a significant reduction in pain compared to the pre-drainage state. However, this does not mean that all pain will disappear immediately. The surgical site may still be tender as it begins to heal.

2. Post-Drainage Pain: It is normal to experience pain during bowel movements, especially if the area is still inflamed or sensitive. The act of passing stool can put pressure on the healing tissue, leading to discomfort. This pain may be more pronounced if you are experiencing diarrhea, as the stool may irritate the area further.

3. Sensitivity and Discomfort: Touching the area, such as when applying ointment, may elicit pain or discomfort. This sensitivity is a natural part of the healing process. The tissue around the drainage site is likely inflamed and may take time to return to normal sensitivity levels.

4. Healing Timeline: The pain should gradually decrease over the course of several days to weeks. If the pain persists or worsens, or if you notice signs of infection (such as increased redness, swelling, or discharge), it is important to contact your healthcare provider.

Pain Management Strategies
- Pain Relief Medications: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. Always follow the dosage instructions and consult with your doctor if you have any concerns.

- Warm Baths: Soaking in a warm bath can provide relief from pain and help with relaxation. This can also promote blood flow to the area, aiding in the healing process.

- Avoid Straining: To minimize pain during bowel movements, try to avoid straining. A diet high in fiber and adequate hydration can help ensure softer stools, making bowel movements easier and less painful.

- Follow-Up Care: It is crucial to follow your doctor's post-operative care instructions. This may include keeping the area clean, applying prescribed ointments, and attending follow-up appointments to monitor healing.

When to Seek Medical Attention
While some discomfort is expected, you should seek medical attention if you experience:
- Severe or worsening pain that does not improve with over-the-counter medications.

- Signs of infection, such as fever, increased swelling, or pus discharge.

- Difficulty in bowel movements or any changes in bowel habits that concern you.

In summary, experiencing pain after drainage of an anal abscess is normal, especially during bowel movements or when the area is touched. With proper care and pain management, you should see improvement over time. However, do not hesitate to reach out to your healthcare provider if you have any concerns about your recovery.

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