Perianal abscess after care with fissure and incontinece

Advice appreciated please

I had emergency excision and drainage of perianal abscess yesterday and am at home with packing in place .

I'm going to a minor injuries unit later ( as GP surgery shut for the weekend ) for the packing which is bloody to be changed .

I have an 8 month history of problems in this area . A chronic anal fissure was diagnosed under a general anaesthetic in December 2017 and treated with botox which left me incontinent.

Continence wasn't restored when the botox wore off and the fissure didn t heal either .

To make matters worse since the fissure started I have multiple bowel movements which are being controlled at the moment with a small 1mg dose of imodium daily . The imodium helps the urgency too and has enabled the fissure to largely heal .

It is now the least of my problems !

I am really concerned about keeping the whole area clean and would appreciate any advice based on experience .

Ordinarily I have 3 bowel movements a morning and use soft toilet roll with Dermol 500 on it to wipe myself

I then jump into the bath and use a jug to wash myself really thoroughly being careful to keep the anal tags clean .

How on earth do I manage all this with packing and a dressing in place ???.

Prior to this I was really fit and healthy. Unprocessed vegan diet , no alcohol or cigarettes and daily walks in excess of 6 miles .I am a 55 yr old female .

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