Anorectal Abscess

Many glands are found within the body’s anus. If 1 of these glands becomes clogged, it can get infected, and an abscess can develop. An anorectal abscess is a collection of pus under the skin in the area of the anus and rectum. 


These are possible signs of an anorectal abscess:

  • Pain or discomfort near the anus or buttocks

  • Fatigue

  • Fever

  • Night sweats

  • Constipation or painful bowel movements

  • Swelling or redness near the anus

  • Lump or painful hardened tissue near the anus

  • Pain in the lower abdomen

  • Pus drainage near the anus or buttocks

Who’s at risk

These conditions may increase your chance of developing an anorectal abscess:

  • Pregnancy

  • Diabetes

  • Crohn’s disease, which is an inflammatory bowel condition

  • Certain medications, such as chemotherapy drugs for cancer treatment

  • Drugs that suppress the immune system after an organ transplant

  • Foreign objects placed in the rectum (usually during sex)

  • Anal fissures, or cracks, related to constipation that continues for a long time

  • Sexually transmitted disease (STD)


In most cases, your health provider can diagnose an anorectal abscess through a digital rectal exam. This test involves the health care provider inserting a gloved, lubricated finger into your anus. In some instances, a health care provider will need to do a proctosigmoidoscopy. This is a test in which a flexible tube with a light and a camera is placed in the anus to see the area. In other instances, an MRI, CT scan, or ultrasound might be needed to find out where the abscess is.


The health care provider will probably treat your anorectal abscess by making a hole in the skin near the anus so the pus can drain. This relieves the uncomfortable pressure and lets the tissues heal. Often the procedure can be done in a health care provider’s office. If you have a large or deep abscess, you might need to be in the hospital, Health care providers can more carefully watch your condition in the hospital as the abscess is drained. You may also need to be in the hospital if your immune system is weak and you are prone to infection. In these cases, you might be given local anesthesia to help ease pain.


About half of people with an anorectal abscess develop an anal fistula. This is an abnormal opening in the skin near the anus. Pus bursts from the abscess and seeps out. A fistula usually needs surgery to fix and close it. Pain, infections, and recurrence are other possible complications of anorectal abscess.


You can reduce your chances of developing this condition by managing diabetes, STDs, and other risk factors.

When to call the health care provider 

An anorectal abscess needs immediate medical attention before other complications happen. If you have any pain, discomfort, or swelling in the anus or rectum, see your health care provider to find out the cause.

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