Perirectal abscesses begin as infections in the anal glands, which empty the anal crypts. From the anal crypt, infection spreads laterally into the soft tissues of the ischiorectal fossa. The abscess commonly presents as a painful swelling visible in the external aspect of the buttock. Occasionally, infection will track above the levator sling, causing pain and a mass that is palpable on rectal examination. Drainage of a Perirectal abscess often results in a chronic anal fistula, a communication from the inside of the anorectum to the skin outside.
Types of abscess
Intersphincteric abscess – results from infection in the anal glands between the internal and external sphincters. Faecal coliforms are typically the offending organisms. As the abscess enlarges within the intersphincteric plane, it can spread in any of several directions.
Perirectal abscess results when pus spreads downwards between the two sphincters. It manifests as a tender swelling of the anal verge.
Ischiorectal abscess is formed if a growing intersphincteric abscess penetrates the external sphincter below the puborectalis. Infection can spread into the fat of the ischiorectal fossa and the abscess can become quite large.
Superalevator abscess develops when an intersphincteric abscess expands upwards between the internal and external sphincters.
Symptoms of Perirectal abscess
Almost all Perirectal abscesses are associated with Perirectal pain. There is swelling around the rectum, with Perirectal drainage in some patients. Patients may also present with constipation, which is due to pain on passing stool. Symptoms of fever may also be found in some patients.
Homeopathic treatment for Perirectal abscess
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat Perirectal abscess but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat Perirectal abscess that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of Perirectal abscess:
Calcaria Carb, Hepar Sulph, Silicea, Calcaria Sulph, Mercurius, Rhus Tox, Syphilinum, Thuja, Anthracinum, Arnica Montana, Calcaria Iod, , Calendula, Lachesis, Nitric Acid, Apis Mel, Belladonna, Baryta Carb, Causticum, Fluoric Acid, Phytolacca, Sulphuric Acid, and many other medicines.