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Perianal Abscess

Dr. Bharat Pothuri at GastroDoxs in Houston specializes in diagnosing and treating perianal abscesses, offering personalized care with incision and drainage, imaging-guided needle aspiration, and supportive therapies like sitz baths, antibiotics, and fiber-rich diets for swift relief and lasting recovery.

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Difficulty Swallowing

American Society for Gastrointestinal Endoscopy

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

Blocked anal gland leading to bacterial overgrowth
Inflammatory bowel disease (e.g., Crohn's disease)
Diabetes or other conditions that weaken the immune system
Poor hygiene in the perianal area
Use of immune-suppressing medications or diseases

Signs and Symptoms

Pain or throbbing near the anus, often worse when sitting or moving
Redness, warmth, and swelling around the affected area
A firm, tender lump adjacent to the anus
Fever or chills if the infection spreads
Pus or blood draining from the abscess
Difficulty or pain when passing stool

Expert Treatment for Perianal Abscess by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He asks about the onset, location and character of your pain, dietary triggers, medication use (NSAIDs, alcohol), and any red-flag symptoms like weight loss, vomiting, or bleeding.

Laboratory Tests

We check a complete blood count (CBC) for anemia or infection, liver function tests (LFTs), amylase/lipase for pancreatitis, and H.-pylori breath or stool testing.

Imaging Studies

Abdominal ultrasound to evaluate the gallbladder, liver, and pancreas for stones or inflammation.
CT scan of the abdomen when more detailed anatomy or urgent pathology is suspected.

Endoscopic Evaluation

An upper endoscopy (EGD) allows direct visualization of the esophagus, stomach, and duodenum. Biopsies can detect ulcers, gastritis or celiac disease.

Advanced Testing (if needed)

When standard tests are inconclusive, Dr. Pothuri may recommend gastric emptying studies for gastroparesis, 24-hour pH monitoring for reflux, or MRCP to assess the biliary tree.

Treatment

Our Team offers a full range of care for perianal abscess.

1. Lifestyle and Home Care

High-fiber diet to keep bowel movements soft and regular
Plenty of water intake to prevent constipation
Warm sitz baths two to three times daily to reduce pain and swelling
Gentle cleansing of the anal area after each bowel movement

2. Medications

Antibiotics for mild or early infections to slow bacterial spread
Over-the-counter pain relievers (e.g., ibuprofen) to control discomfort
Peri-procedure medications to support healing and prevent recurrence

3. Minimally Invasive or Advanced Procedures

Incision and drainage for prompt removal of pus
Ultrasound-guided needle aspiration when appropriate
Seton placement for fistula management and gradual tract healing
Laser or radiofrequency techniques to promote faster recovery

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070

1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

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

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

How long does healing take after drainage?

Most patients feel relief within a few days. With proper care, full healing typically occurs in one to two weeks.

Can I prevent another perianal abscess from forming?

Yes. Eating a high-fiber diet, staying well hydrated, and maintaining good anal hygiene help reduce your risk of future abscesses.

When is surgery needed for a perianal abscess?

Large, deep, or recurrent abscesses usually require incision and drainage to remove pus and prevent complications.

Is antibiotic treatment enough without drainage?

Antibiotics can slow infection in early or small abscesses, but most cases still need drainage for full recovery.

Will my insurance cover abscess treatment?

Most major plans cover drainage procedures and follow-up care. We file claims using ICD-10 code K61.0 to ensure proper billing.

What type of anesthesia is used during drainage?

Drainage procedures are commonly performed under local anesthesia or light sedation to keep you comfortable.

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