How long does it take to heal after undergoing perianal abscess drainage?

Doctor's Answers 1

A perianal abscess wound healing time will depend on the size of the abscess cavity as well as whether the abscess is associated with an anal fistula.

Generally, an abscess that is smaller than 2cm in size heals within 2-3 weeks. An abscess large than 5cm may take 4-6 weeks to heal. It is important to wash your buttocks frequently to keep the area clean.

Cleaning yourself with water (such as using the shower spray) after bowel movement helps keep the wound clean from faeces. That is important to allow the wound to heal quickly.

If you find that the wound does not heal completely in 6 weeks, you may be suffering from an anal fistula. You should consult a colorectal surgeon in that case to confirm the diagnosis and get the fistula treated.

Similar Questions

Skin, Hair & Nails

How long does an abscess take to heal after drainage? (photo)

Thank you for the question and the photo. May I ask, how did the abscess come on? When treated, did they take any swabs or treat with anti-biotic? If you have concerns about healing then it’s certainly worth speaking to your medical/surgical team as Dr Paul has suggested. Equally, if pain is an issue, Dr Sean’s suggestion of Dermatix would be worth a try. In terms of exercise, my suggestion would be to start with non-impact/non weight-bearing exercise, such as cycling. Swimming might not be a good idea with a healing wound.

Answered By

Sport Medicine

What tests can help to distinguish between a pile, abscess or fistula?

A painful lump in the anus can be due to piles, abscess or even anal fissure. The most important assessment is by examination of the anus and rectum. This is performed in the clinic with digital rectal exam (using a finger) as well as inserting a short anal probe (less than 7cm deep) to see the inside of the anus. This should be sufficient to confirm the diagnosis. In rare circumstances, if the clinical exam is not able to confirm the diagnosis, your doctor may request for an ultrasound or MRI.