Abstract

Objective: A perianal abscess occurs when an infection develops in the perianal tissue, specifically the anal glands, leading to the formation of an abscess when bacteria proliferate excessively. Fistula refers to an abnormal connection between the anal glands and the perineum, signifying an inflammatory disease around the anal canal. A perianal abscess requires timely treatment; in most cases, treatment can be done on an outpatient basis. However, surgical treatment is necessary for extensive abscesses, followed by recommended follow-up observations. Case Report: This case study focuses on a woman in her 60s who experienced perianal abscess and anal fistula. The patient had a history of several surgeries, including a hysterectomy, hemorrhoidectomy (both internal and external), and fistulotomy, and she continued to experience pus-like discharge and persistent anal pain. Therefore, the patient was treated with Ortho-Cellular Nutrition Therapy (OCNT), utilizing anthocyanins, omega-3 fatty acids, psyllium extract, fermented soybean powder, yam powder, and Zizyphus jujuba Miller extract. As a result, there was a reduction in pus discharge and pain from the anus, and improvements were observed in symptoms of insomnia, anxiety, and restlessness. Conclusion: This case study confirmed that the patient's perianal abscess and fistula significantly improved with OCNT. Considering the patient's surgical history, specific conditions, and symptoms, prescribing an individualized OCNT is believed to be meaningful in improving symptoms. However, a limitation of this case is that it was applied to a single patient, and large-scale studies would be necessary to present objective indicators across multiple patients.