Anal Injury Skin Wound
Open wounds or puncture wounds to the anus require immediate medical care.
Initial care includes:
- Control bleeding with direct pressure.
- Use a gauze or clean cloth directly on the wound.
- Maintain the pressure for at least 10 minutes.
- Do not keep looking at the wound.
- Clean the wound with mild soap and water.
- Running water can help remove dirt.
- You may gently dab the wound with hydrogen peroxide to remove clotted blood or debris.
- Do not scrub or re-injure the wound.
- Apply an antibiotic ointment and a dry dressing.
- Cover the wound with gauze or elastic bandage.
- Keep the wound clean and dry.
Ongoing care for minor wounds includes:
- Abrasions may be cleaned 2-3 times a day with a mild soap such as dilute baby shampoo.
- Dry the wound gently, and completely, with a clean towel or gauze.
- Apply an antibiotic and a dressing as needed.
Tetanus shots (boosters) can be given up to three days after an injury, as long as you have had all your tetanus shots in the past. A tetanus booster seldom needs to be given right at the time of the wound. This is not an emergency and can be done in the doctor's office or clinic.
A tetanus shot is necessary right away if you have not had three tetanus shots at any time in your life.
You need a tetanus shot within three days for:
Continue to Anal Injury Warning Signs
- Abou-Zeid AA. Preliminary experience in management of fecal incontinence caused by internal anal sphincter injury. Dis Colon Rectum. 2000 Feb;43(2):198-202. 
- Ameh EA. Anal injury and fissure-in-ano from sexual abuse in children. Ann Trop Paediatr. 2001 Sep;21(3):273-5. 
- Nichols CM, Gill EJ, Nguyen T, Barber MD, Hurt WG. Anal sphincter injury in women with pelvic floor disorders. Obstet Gynecol. 2004 Oct;104(4):690-6.