Acute paraproctitis is an inflammation of the tissues near the rectum (pararectal fiber) due to the penetration of infection into them. Often an abscess is formed (a limited space with purulent contents), this is called acute paraproctitis. An abscess of pararectal tissue can break through on its own, but the process often becomes chronic, forming fistulas of the rectum (chronic paraproctitis).
Symptoms of acute paraproctitis:
Symptoms of acute paraproctitis depend on the location of the focus of inflammation and other factors. The most characteristic symptoms:
- Pain in the anal area; pain may increase during bowel movements, with physical exertion, long sitting, etc .; pain can be localized not only in the rectum, but also in the lower abdomen
- Deterioration of the general condition - subfebrile temperature (37-38), weakness, loss of appetite
- Redness of the skin, swelling and thickening of tissues in the anus, sharp pain when pressed (when located in the subcutaneous cellular space)
In acute paraproctitis, symptoms may increase (pain intensifies, general well-being continues to worsen). In some cases, the condition improves dramatically, while pus and blood appear in the feces. This means that the abscess broke into the rectum. With a breakthrough or improper treatment of acute paraproctitis, there is a high risk of the disease becoming chronic. In addition, paraproctitis is dangerous by the spread of purulent inflammation to the pelvic organs, abdominal cavity, and other serious complications.
Treatment of paraproctitis
The most effective method of treating both acute paraproctitis and rectal fistula is surgical.
The operation is performed under anesthesia. Local anesthesia in this case is not used, since it is extremely important to completely anesthetize the surgical 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. It is not always possible to do this at the time of active inflammation. Therefore, in some cases, two operations are performed - one to open the abscess, the second - to excise 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.
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