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Perianal Abscess

At GastroDoxs in Houston, our experienced colorectal specialists provide compassionate diagnosis and minimally invasive treatment for perianal abscesses, ensuring prompt relief, expert same-day evaluations, state-of-the-art imaging, comprehensive personalized care, and convenient access for patients throughout the Greater Houston metro area.

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Bharat Pothuri
Symptoms

What Is a Perianal Abscess?

A perianal abscess is a painful, pus-filled lump that forms just outside the anus. It happens when a small gland in the anal area becomes blocked and infected, leading to swelling, redness, and discomfort. Without prompt care, the infection can spread or lead to more serious complications.

Common Symptoms

Symptoms of a perianal abscess often come on quickly and may include:

  • Pain or throbbing around the anus, worse when sitting or moving
  • A tender, red, swollen bump near the anal opening
  • Drainage of pus or blood from the lump
  • Fever and chills
  • General fatigue or feeling unwell

Causes

Perianal abscesses develop when bacteria infect a blocked gland in the anal region. Common risk factors include:

  • Obstruction of an anal gland, allowing bacteria to multiply
  • E. coli or Staphylococcus infections
  • Inflammatory bowel diseases such as Crohn's disease or ulcerative colitis
  • Trauma or injury to the perianal skin
  • Poor hygiene or chronic skin irritation
  • Conditions that weaken the immune system
Treatment

Treatment Options for Perianal Abscess in Houston

Treatment includes office procedures and home care:

  • Antibiotics: Oral antibiotics may be prescribed for small or early abscesses to help fight infection.
  • Incision and drainage: The standard treatment for most abscesses-a quick in-office procedure under local anesthesia to release pus and relieve pressure.
  • Sitz baths: Warm water baths several times a day soothe pain, reduce swelling, and promote healing.
  • Wound care: Gentle cleansing and dressing changes at home help keep the area clean and support recovery.
  • Pain management: Over-the-counter pain relievers (ibuprofen or acetaminophen) control discomfort and inflammation.
  • Follow-up visits: Scheduled check-ups allow your provider to monitor healing, remove any packing, and address complications such as fistula formation.

Why Choose GastroDoxs?

At GastroDoxs in Houston, we combine colorectal expertise with compassionate, patient-centered care to treat perianal abscesses effectively. Our board-certified gastroenterologist offers precise diagnosis, in-office drainage procedures under local anesthesia, and personalized aftercare guidance-including sitz bath recommendations and nutritional support. We prioritize clear communication, accurate ICD-10 coding (K61.0), and proactive follow-up to ensure a smooth recovery and help prevent future issues. Book your appointment today and take the first step toward fast, reliable relief.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is a perianal abscess?

A perianal abscess is a painful, pus-filled lump that forms just beneath the skin around the anus when an anal gland becomes blocked and infected.

How is a perianal abscess diagnosed?

Diagnosis typically involves a physical exam of the anal area. If needed, imaging tests such as ultrasound help determine the abscess's size and depth.

What is the ICD-10 code for a perianal abscess?

The ICD-10 code for a perianal abscess is K61.0. This code ensures accurate medical records and supports insurance claims.

Is surgery always required to treat a perianal abscess?

Not always. Small abscesses may respond to antibiotics alone, but most require a minor drainage procedure performed under local anesthesia for complete relief.

What is the difference between perianal and perirectal abscesses?

Perianal abscesses form just under the skin around the anus, while perirectal abscesses develop deeper in the tissues and may need more extensive treatment.

How long does it take to heal from a perianal abscess?

With proper treatment and aftercare-such as warm sitz baths and hygiene-most people recover within one to two weeks, though individual healing times vary.

When should I see a doctor for a perianal abscess?

Seek medical care if you experience persistent anal pain, swelling, redness, fever, or notice drainage of pus or blood near the anus.

What happens if a perianal abscess is left untreated?

Untreated abscesses can lead to spreading infection, increased pain, and the formation of an anal fistula, which often requires more complex surgery.

Can I treat a perianal abscess at home?

Home measures like warm sitz baths and good hygiene can ease symptoms, but most abscesses need professional evaluation and drainage to fully resolve.

Is treatment for a perianal abscess covered by insurance?

Insurance coverage varies by plan. At GastroDoxs, we use precise ICD-10 coding and will discuss costs and your coverage options before beginning treatment.

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