Perianal Abscess Treatment
Treatment for a perianal abscess is usually surgical. Treatment also usually includes warm baths, nonsteroidal anti-inflammatory medications for pain, narcotic pain medications, and antibiotics.
Treatment for perianal abscess may include:
- Increase fluids in the diet
- High fiber diet
- Fiber supplement
- Stool softeners
- Antibiotics for perianal abscess
- Warm baths
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Narcotic pain medication:
- For moderate to severe pain
- For short term use only
- Incision and drainage for perianal abscess
Incision and drainage includes:
- The skin is sterilized using rubbing alcohol or an antibacterial soap.
- A local anesthetic is injected into the tissues surrounding the abscess.
- An incision is made with a scalpel.
- Pus is drained from the abscess.
- The abscess cavity is flushed clean.
- In some cases, a rubber drain or a strip of sterile gauze is packed inside the abscess cavity.
- The gauze or drain placed inside the abscess cavity is usually removed 24-36 hours later.
Perianal Abscess Specialist
Continue to Perianal Abscess Home Care
- Festen C, van Harten H. Perianal abscess and fistula-in-ano in infants. J Pediatr Surg. 1998 May;33(5):711-3. 
- Murthi GV, Okoye BO, Spicer RD, Cusick EL, Noblett HR. Perianal abscess in childhood. Pediatr Surg Int. 2002 Dec;18(8):689-91. 
- Whiteford MH, Kilkenny J 3rd, Hyman N, et al; The Standards Practice Task Force; The American Society of Colon and Rectal Surgeons. Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised). Dis Colon Rectum. 2005 Jul;48(7):1337-42.