Can anyone recommend a good antibiotic for a perianal abscess? I'm quite concerned and would appreciate any suggestions.

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Perianal abscess should be should be treated with incision and drainage apart from antibiotics . Patient needs hospitalisation and intravenous antibiotics like cefixime and metronidazole

Answered 04/07/2025

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Understanding Perianal Abscess
A perianal abscess is a painful, pus-filled infection near the anus. Antibiotics may be necessary to treat the infection and prevent complications.
Importance of Medical Evaluation
A healthcare professional should assess the abscess to determine if drainage or surgery is needed.
Common Antibiotics Used
- Metronidazole (e.g., Flagyl)
- Amoxicillin-clavulanate (e.g., Augmentin)
- Ciprofloxacin combined with Metronidazole
  Antibiotic choice depends on infection severity and patient factors.
Considerations for a 58-Year-Old Male
Consider comorbidities like diabetes, which may affect treatment choice.
Additional Treatment Measures
Abscess drainage, pain management, and maintaining hygiene are crucial.
When to Seek Immediate Medical Attention
Look for signs of worsening infection or systemic symptoms that require urgent care.
Consultation with Specialists
Surgeons or infectious disease specialists may be involved in management if needed.

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