Perianal Abscess

When a patient with IBD presents with perianal pain, perianal sepsis is the most common cause. In turn, the two most common causes of perianal abscess are cryptoglan-dular infection or an obstructed fistula tract. The treatment of perianal abscess includes prompt and adequate surgical drainage. The location of the abscess will determine the surgical approach. For superficial abscesses, simple incision and drainage is effective in the majority of cases. Abscesses which are deep to the sphincter mechanism (supralevator or ischiorectal) should be drained using a mushroom catheter (Figure 82-3) and/or a noncutting Seton to provide adequate and continued drainage with as little tissue disruption as possible (Makowiec et al, 1997).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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