What Is a Rectal Abscess?
A rectal abscess, also known as an anorectal or perianal abscess, is a pus-filled cavity that forms near the anus or rectum due to an infection. It often results from a blocked anal gland or a tear in the anal lining, leading to bacterial accumulation and subsequent infection. If left untreated, it can cause significant discomfort and may lead to complications.

What Are the Symptoms of a Rectal Abscess?
Common symptoms include:
- Throbbing pain in the anal or rectal area
- Swelling and redness around the anus
- Painful bowel movements
- Fever and chills
- Fatigue
- Discharge of pus or blood from the anus
- Constipation
These symptoms can vary in severity and may resemble those of other conditions.
What Causes a Rectal Abscess?
Rectal abscesses are primarily caused by infections in the anal glands. Factors contributing to their development include:
- Blocked anal glands
- Anal fissures
- Inflammatory bowel diseases like Crohn’s disease
- Sexually transmitted infections
- Weakened immune system
- DiabetesASCRSWebMD
Identifying the underlying cause is crucial for effective treatment and prevention.
How Is a Rectal Abscess Diagnosed?
Diagnosis typically involves:
- Physical examination of the anal area
- Digital rectal exam
- Imaging tests like ultrasound, MRI, or CT scan for deeper abscesses
Early diagnosis is essential to prevent complications.
What Are the Treatment Options for a Rectal Abscess?
Treatment focuses on draining the abscess and addressing the infection. Options include:
- Surgical drainage of the abscess
- Antibiotic therapy
- Pain management
- Treatment of underlying conditionsASCRS+1ASCRS+1
Prompt treatment can alleviate symptoms and reduce the risk of recurrence.
What Are the Potential Complications?
If not properly treated, a rectal abscess can lead to:
- Anal fistula formation
- Chronic infection
- Sepsis
- Recurrence of the abscess
Monitoring and follow-up care are important to manage and prevent these complications.

How Can a Rectal Abscess Be Prevented?
Preventive measures include:
- Maintaining good anal hygiene
- Managing chronic health conditions like diabetes
- Avoiding anal trauma
- Seeking prompt treatment for anal infections or fissures
Adopting these practices can reduce the risk of developing a rectal abscess.


