How to reduce swelling and relieve pain when the buttocks are swollen

In daily life, many people suffer from anal diseases due to various reasons. Due to the particularity of the anus, many people are embarrassed to go to the hospital for treatment when they suffer from anal diseases, which often delays treatment. Perianal abscess is a relatively common anal disease. When you suffer from perianal abscess, you will feel swelling in the anal area and severe pain.

1. Drug treatment (1) Anti-inflammatory: For superficial abscesses, oral antibiotics can be used, generally broad-spectrum antibiotics. For relatively large abscesses, combined medication is required, such as metronidazole, ezetimibe sulfate, kanamycin, streptomycin, etc. (2) For external use, you can apply golden ointment, huoxue zhitong powder, sihuang ointment, yulu ointment, etc. (3) In the Ming Dynasty, Xue Yi’s “Essentials of Surgery” proposed the treatment concept of dispersing the disease at the beginning and expelling the poison during the pus formation stage. You can use Xianfang Huomingyin and Huanglian Jiedu Decoction with modifications.

2. Surgical treatment (1) Drainage of pus and decompression and local disinfection. Use a 20 ml syringe to pierce the abscess cavity from the weakest part of the abscess and draw out the pus, moving the needle up and down while drawing out the pus until there is no more pus to draw out. This method can temporarily reduce the tension of the abscess cavity and relieve pain. It is suitable for temporary emergency treatment, but it cannot replace surgery. If the disease progresses rapidly, such as necrotizing fasciitis, it should not be used to avoid delaying the disease. (2) Incision and drainage: Under local anesthesia, a small incision is made in the middle of the abscess cavity to drain the pus. After the operation, the abscess cavity is flushed with metronidazole and an oil gauze strip is placed for drainage. It is a temporary emergency treatment or the first surgery in a secondary surgical treatment. It can drain pus and quickly relieve symptoms, but it cannot replace radical surgery. It usually takes about 3 months for the fistula to form and the internal opening to be clear before radical surgery can be performed.

(3) Radical surgery ① Low-position abscess - direct incision. ② Horse hoof abscess - incision and isolation. ③High-position abscess - hanging thread technique. ④High-position abscess - isobaric drainage. Because the cutting hanging wire still cuts off the straight anal ring, it is very painful and the wound is deep. In order to further reduce surgical trauma, bidirectional isobaric drainage surgery can be adopted. During the operation, a half-cutting hanging thread is used and a drainage tube is placed, so that the abscess cavity can heal without cutting the straight anal ring.

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