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After experiencing awful bleeding and pain in my anal area throughout years, I was finally talked into seeing a specialist. He diagnosed diverticula together with abscess. What does this mean? Will I have to be submitted to surgery? Is this one of those diseases that never really heal?

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Hi, I'm Jenny. Well, diverticulitis happens when pouches form a wall of the colon. And when this pouches get irritated, inflamed, also in many cases infected, it's called diverticulitis. The main reason for this disease to appear isn't known, but it's presumed that it occurs because of lack of fiber in stool. The treatment is different based on the progressiveness of the illness. If you have an anal abscess, it means the situation is serious. There's always a chance of reappearing of the disease, so it can be said that you actually never heal. You should take care of what you eat and consult a specialist about your diet. 

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There is a wide range of disorders attacking anus, colon, rectum etc. Those disorders can appear “in coalition” or just one of them can appear on its own. Some of them are anal abscess and diverticulosis. They both can cause pain, swelling, and discomfort while a person is defecating. Diverticulosis means that there are pockets on your bowel wall that are called diverticula and that become more prominent over the years. This usually happens because your stool puts too much pressure on your colon (the origin of numerous disorders concerning anal area is associated with constipation). Diverticula can bleed, sometimes really heavily. As for anal abscess, it is also a sort of pocket, but it contains pus and it is placed near the anus (but sometimes it can appear deeper, attacking your lower colon). The reason of the appearance of anal abscess is usually not related to other health problems (so your problems with diverticula are probably not connected to your abscess) - it is a spontaneous reaction to an infection caused by bacteria or debris. None of those disorders is to be ignored and put aside. Specialists’ evaluation is necessary since they cannot heal on their own. It sometimes happens with abscess, but the problem with it is that it causes another disorder called anal fistula (in about 50% of the cases of abscess there is also a fistula) - it is a tunnel that connects the gland that creates the pus with the “outer world”. Since you’ve been delaying your check - up for years it is very possible that your condition will require surgery. You must also be aware that most of the disorders attacking your anal area have a high tendency of reoccurring.
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