What causes perianal abscess in baby?

A perirectal abscess is an infection that causes a pocket of pus near the anus. The area may itch and be quite painful for your child. Most abscesses are caused by a blocked anal gland that gets infected. An abscess also can be caused by a tear, or fissure, in the anus.

Can perianal abscess heal on its own?

The problem rarely goes away on its own. Antibiotics alone usually cannot treat an abscess. Treatment involves surgery to open and drain the abscess.

Can perianal abscess be treated without surgery?

Most perianal abscesses develop spontaneously in completely healthy children. Many naturally start to drain and heal, but some may need treatment with frequent baths and antibiotics. Others may need to be treated with a small operation. Some perianal abscesses may not heal completely, with or without surgery.

How is a Perianal abscess treated in a baby?

Surgical treatment of a perianal abscess consists of incision and drainage. Most babies can easily undergo this procedure in the office. A dependable assistant is required to hold the child still.

How are antibiotics used to treat anorectal abscess in children?

The use of antibiotics to treat anorectal abscesses remains controversial. Traditional teaching holds that drainage alone is sufficient for abscess treatment in otherwise healthy patients. A 2007 study by Christison-Lagay et al demonstrated that antibiotic use for perianal abscess decreased the likelihood of fistula formation. [ 1]

What happens if a Perianal abscess does not heal?

Some perianal abscesses may not heal completely, with or without surgery. This can cause a tiny opening to develop where the abscess had been draining. It can create a small tunnel or tract, which makes an abnormal connection between the abscess and the outside skin. This is called an anal fistula (sometimes also known as a fistula in ano).

What should you do if your child has an abscess?

The abscess should be drained, most commonly in the office, and oral antibiotics initiated. Children who show signs of true systemic illness (eg, weakness, lethargy, or fever) secondary to the infection should be admitted for intravenous antibiotic therapy; however, such cases are exceedingly rare.