Acute paraproctitis is an inflammation of the tissues near the rectum (pararectal tissue) due to the penetration of infection into them. An abscess (limited space with purulent contents) is often formed, this is called acute paraproctitis. An abscess of pararectal tissue can break through on its own, but the process often becomes chronic, forming rectal fistulas (chronic paraproctitis).
Symptoms of acute paraproctitis:
Symptoms of acute paraproctitis depend on the location of the inflammation focus and other factors. The most typical symptoms are:
- Pain in the anal area; pain may increase during bowel movements, physical exertion, long sitting, etc.; pain sensations can be localized not only in the rectal area, but also in the lower abdomen
- Deterioration of the general condition - low-grade fever (37-38), weakness, decreased appetite
- Redness of the skin, swelling and thickening of tissues in the anus, sharp pain when pressed (when located in the subcutaneous tissue space)
With acute paraproctitis, symptoms may increase (pain intensifies, general health continues to deteriorate). In some cases, the condition improves dramatically, with pus and blood appearing in the feces. This means that the abscess has burst into the rectum. With a breakthrough or improper treatment of acute paraproctitis, the risk of the disease becoming chronic is high. In addition, paraproctitis is dangerous by the spread of purulent inflammation to the pelvic organs, abdominal cavity, and other serious complications.
The most effective method of treatment for both acute paraproctitis and rectal fistula is surgical.
The operation is performed under general anesthesia. Local anesthesia is not used in this case, since it is extremely important to completely anesthetize the operating field and relax the muscles. During the operation, the abscess is opened, the patient is drained of pus. However, the surgical treatment does not end there, if we are talking about the chronic form of the disease - it is important to eliminate not only the abscess, but also the fistula itself. This cannot always be done at the time of active inflammation. Therefore, in some cases, two operations are performed - one to open the abscess, the second to excision the fistula. Sometimes, as part of preoperative preparation, the patient is prescribed a course of anti-inflammatory and antibacterial therapy, and physiotherapeutic methods have also proven themselves well.
You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health!