Swimming with Anal Injuries: Risks of Abscess and Skin Sensitivity

Swimming issues

Hello, Dr.
Zhang.
I would like to ask if having a small injury in the anal area, without being aware of it, and then going swimming could lead to the formation of an anal abscess and subsequently develop into an anal fistula? Additionally, I mostly have bowel movements at home, and after using the toilet, I rinse with water and then dry myself.
Occasionally, I use wet wipes when I have to go out, but sometimes I experience a stinging sensation around the anus.
Could this be due to infrequent wiping, making the skin around the anus more fragile? Or could it be because I am wiping too hard? Thank you, doctor.

Ting, 40~49 year old female. Ask Date: 2024/05/18

Dr. Zhang Shuhao reply Surgery

Anal abscesses or fistulas are caused by inflammation and infection of the glands located within the anal canal.
Therefore, even if there are small external wounds, swimming will not lead to the development of anal fistulas.
The skin around the anus is quite sensitive, so in addition to avoiding vigorous wiping, it is also important to steer clear of hygiene products that contain alcohol, fragrances, or harsh cleaning agents.
If the stinging persists, a visit to the outpatient clinic for examination and prescription of topical ointment may be necessary.

Reply Date: 2024/05/18

More Info

Swimming with anal injuries can pose several risks, particularly concerning the development of abscesses and increased skin sensitivity. When there are small injuries or fissures around the anal area, exposure to water—especially in public swimming pools, lakes, or oceans—can introduce bacteria into the wound. This can lead to infections, which may manifest as an abscess. An abscess is a painful collection of pus that can form when bacteria invade the tissue, and if left untreated, it can lead to more severe complications, including the formation of an anal fistula (a channel that develops between the anal canal and the skin).

The risk of developing an abscess is heightened if the injury is not properly cared for. Swimming in contaminated water can exacerbate the situation, as the bacteria present in such environments can easily infiltrate any breaks in the skin. Therefore, if you suspect you have an anal injury, it is advisable to avoid swimming until the area has healed completely.

Regarding your bowel habits and the discomfort you experience after using the restroom, it is possible that the sensitivity you feel around the anal area is due to a combination of factors. If you primarily use water to clean yourself after bowel movements, this is generally a gentle method. However, if you occasionally use wet wipes, the ingredients in these wipes can sometimes irritate the skin, especially if they contain fragrances or alcohol.
Moreover, if you are experiencing pain or sensitivity, it could be due to the skin around the anus becoming fragile from infrequent cleaning or from excessive wiping. If you are wiping too hard, this can lead to micro-tears in the skin, which may cause pain and discomfort. It is essential to be gentle when cleaning the area and to ensure that the skin is adequately moisturized to prevent dryness and irritation.

To manage and prevent further issues, consider the following recommendations:
1. Avoid Swimming: If you have any injuries or fissures, it is best to refrain from swimming until they have healed completely. This will help prevent infection and complications.

2. Gentle Cleaning: When cleaning after a bowel movement, use soft, unscented wipes or a gentle cleansing method. If you prefer using wet wipes, ensure they are free from irritants.

3. Moisturize: Applying a gentle, fragrance-free moisturizer around the anal area can help maintain skin integrity and prevent dryness, which can lead to sensitivity.

4. Monitor Symptoms: If you notice any signs of infection, such as increased pain, swelling, redness, or discharge, seek medical attention promptly.
5. Consult a Healthcare Provider: If the pain persists or worsens, or if you have concerns about the integrity of your anal area, it is crucial to consult a healthcare provider. They can assess the situation and provide appropriate treatment or recommendations.

In summary, swimming with anal injuries can increase the risk of developing abscesses and complications. Proper care and gentle hygiene practices are essential to maintaining skin health and preventing further issues. If you experience ongoing discomfort, do not hesitate to seek medical advice.

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