Anal Abscess Pain: Is Your Condition Normal? - Surgery

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Anal abscess


I went to see a doctor two days ago due to anal pain, and I was diagnosed with an anal abscess.
They drained it at that time.
I have been taking my medication on schedule, but the pain is getting worse, and I even feel a hard lump near the anus that is extremely painful, and it seems to be getting larger.
Is this normal? I have an appointment to return in seven days, but I can’t stand the pain anymore! The lump is on the left side, and I also feel numbness and soreness in my left leg, along with a headache.
Is this normal? I'm really afraid it might develop into a fistula or an infection.

Beibei, 30~39 year old female. Ask Date: 2013/06/28

Dr. Ke Fangxu reply Surgery


Hello: In response to your question, a small anal abscess with limited infection can be treated with incision and drainage in an outpatient setting, along with a week of oral antibiotics for healing.
Although there is a 50% chance of developing a fistula as a complication, this is the simplest treatment method.
The downside is that performing drainage under local anesthesia in an outpatient setting may lead to incomplete drainage, which can worsen symptoms.
Based on your description, it seems that the abscess was not fully drained.
I recommend that you seek medical attention at the hospital as soon as possible, as you may require hospitalization and surgery.

Reply Date: 2013/06/28

More Info


It sounds like you are experiencing significant discomfort following a diagnosis of an anal abscess, and your concerns are completely valid. An anal abscess is a painful condition that occurs when a collection of pus forms in the tissue surrounding the anus, often due to an infection. The treatment typically involves drainage of the abscess, which you mentioned has already been performed. However, the persistence or worsening of pain, along with the development of a hard lump, can be concerning.

Firstly, it is important to understand that while some pain and discomfort can be expected after drainage, especially in the initial days, an increase in pain or the formation of a hard lump could indicate a few possibilities. It might suggest that the abscess has not fully drained, or there could be a new infection developing. The hard lump you are feeling could be residual swelling, a new abscess forming, or even a complication such as a fistula, which is an abnormal connection that can develop between the anal canal and the skin.

The symptoms you describe, such as the increasing pain and the hard lump, are not typical of a straightforward recovery from an anal abscess. Additionally, the sensations of numbness or tingling in your left leg and headaches are concerning and may not be directly related to the abscess itself. These symptoms could indicate that there is more going on, possibly involving nerve irritation or other complications.

Given your situation, it is crucial to communicate your symptoms clearly to your healthcare provider. You mentioned that you have a follow-up appointment in seven days, but if your pain is becoming unbearable and you are experiencing new symptoms like the hard lump and leg discomfort, I would strongly recommend seeking medical attention sooner. You may need to visit an emergency room or urgent care facility where they can evaluate your condition more thoroughly.

In the meantime, here are a few things you can do to manage your symptoms:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain. However, consult your doctor before taking any medication, especially if you are on other prescriptions.

2. Warm Compresses: Applying a warm compress to the area can help reduce discomfort and promote drainage.

3. Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate pain. A high-fiber diet and adequate hydration can help maintain softer stools.

4. Monitor Symptoms: Keep a close eye on your symptoms. If you notice any signs of fever, increased redness, swelling, or discharge from the area, seek medical attention immediately.

5. Rest: Ensure you are getting enough rest to help your body heal.

In conclusion, while some discomfort is expected after an anal abscess drainage, the worsening pain and the development of a hard lump are concerning signs that should be evaluated by a healthcare professional as soon as possible. Do not hesitate to seek immediate care if your symptoms continue to worsen or if you feel that your condition is not improving. Your health and comfort are paramount, and timely intervention can help prevent further complications.

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