Although some people may confuse perianal abscesses with hemorrhoids because they look similar, they are very different conditions with different symptoms and accompanying treatments.
What is a Perianal Abscess?
A perianal abscess is a lump caused by an infection of the anal glands. These pustules may occur either in the lining of the anal canal or near the opening of the rectum. They are most common in men over the age of thirty.
What Causes Perianal Abscesses?
Perianal abscesses are caused by blocked anal glands, sexually transmitted infections, and tears in the anal canal that become infected. Typically, the anal sphincter protects the anal canal from bacteria entering. However, when bacteria do pass through, it can infect vulnerable tissue such as fissures (small tears in the anal lining). The result is a puss-filled bump that may be painful and red.
Perianal Abscess Symptoms
Some common symptoms of perianal abscess are throbbing pain when sitting, pus discharge, constipation, or painful bowel movements. Additionally, the skin around the anus may be irritated, swollen, tender, or red. Perianal abscesses can become very serious if left untreated.
What is a Hemorrhoid?
Hemorrhoids are a chronic condition where the veins in your anus and rectum become inflamed. They are sometimes called “Piles” and can be compared to varicose veins. They may be located inside the rectum (internal) or around the outside of the anus (external). They are very common, especially during pregnancy, and most people have had them at one time or another.
What Causes Hemorrhoids?
Generally, hemorrhoids are caused by pressure in the rectum area due to any of the following:
Straining during bowel movements.
A lot of heavy lifting.
Sitting for long periods of time.
Obesity.
Chronic diarrhea or constipation.
Pregnancy.
Anal intercourse.
A low-fiber diet.
Hemorrhoid Symptoms
Hemorrhoids are more common in older and overweight individuals but can affect anyone at any time in life. Some common symptoms of hemorrhoids are:
Non-painful bleeding.
Swelling around the anus.
Itching or pain.
Lumps in or around your anus.
Bleeding during bowel movements.
Hemorrhoids can also pass through the anus to the outside resulting in pain and irritation. When this happens, it is called a prolapsed hemorrhoid.
Where to Turn for Relief
If you have symptoms of either hemorrhoids or perianal abscess that last more than a week, contact your doctor for a consultation and to discuss treatment options.