ALERTS & COVID-19 UPDATES Learn more: COVID-19 Resources; COVID-19 Testing; Vaccine Info; Visitor Policy; Support Us

Lahey Health is now part of Beth Israel Lahey Health

by EBSCO Medical Review Board
(Anal Rectal Abscess; Anorectal Abscess)

Definition

An anal abscess is a pus-filled pocket in the spaces around the anus and rectum. It may be near the surface of the anal opening or deeper in the rectum.

Causes

This problem is caused by a bacterial infection. It may happen when there is a blockage in one or more of the anal glands. Or it may be from an anal fistula.

The Anus
si1229 96472 1
Copyright © Nucleus Medical Media, Inc.

Risk Factors

Anal abscesses are more common in men. Other things that may raise the risk are:

  • Certain health problems, such as Crohn disease , ulcerative colitis , or sexually transmitted infections
  • Medicines that suppress the immune system
  • Pregnancy
  • Anal intercourse
  • Diabetes

Symptoms

Symptoms depend on where the abscess is located. Problems may be:

  • Painful bowel movements
  • Pain and tenderness from an abscess that is near the surface
  • Lower belly pain from an abscess that is deeper in the rectum
  • Redness and swelling of an abscess that is near the surface
  • Drainage
  • Fever

Diagnosis

The doctor will ask about your symptoms and health history. A physical exam will be done. An abscess near the surface of the skin may be seen during the exam. A digital exam of the rectum may need to be done.

Imaging tests are not usually needed, but may be:

Treatment

An anal abscess needs to be drained right away. The type of procedure depends on its location and depth.

Medicines may also be needed to ease pain and swelling.

Prevention

The risk of this problem can be lowered by managing health problems that raise the risk of infection.

RESOURCES

American College of Gastroenterology  http://patients.gi.org 

American Society of Colon and Rectal Surgeons  https://www.fascrs.org 

CANADIAN RESOURCES

Canadian Association of Gastroenterology  https://www.cag-acg.org 

Canadian Society of Colon and Rectal Surgeons  http://cscrs.ca 

References

Abscess and fistula expanded information. American Society of Colon and Rectal Surgeons website. Available at: https://www.fascrs.org/patients/disease-condition/abscess-and-fistula-expanded-information. Accessed January 8, 2021.

Anorectal abscess. Johns Hopkins Medicine website. Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/anorectal-abscess. Accessed January 8, 2021.

Fistula in ano and anorectal abscess. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/fistula-in-ano-and-anorectal-abscess. Accessed January 8, 2021.

Vogel JD, Johnson EK, et al. Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula. Dis Colon Rectum. 2016 Dec;59(12):1117-1133.

Revision Information