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nikki0294
Regular Member


Date Joined Sep 2007
Total Posts : 219
   Posted 4/24/2008 8:25 PM (GMT -6)   
I have been having burning near my anus and I thought it was a fissure.  I have been putting preparation h on it.  It has only been going on for 2 days now.  I looked tonight and looks like a round, red, raised lump.  It burns too.  What the heck is this??  Is this a fistula,abscess or boil?  How would I know and what do you put on it? I have a call into my GI doc as well but he has not called me back yet.
 
Thanks
Christine

CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 4/24/2008 8:33 PM (GMT -6)   
I'd guess and willing to bet on a fistula trying to burst thru to the outer world. Sorry. I wish I had a more optimistic outlook on that round, red, raised, lump. (((hugs))), Christine. If your doc doesn't call you back by the end of business hours, call him on his afterhours number. You want an appointment yesterday for him to take a look at it - and DO something!


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 18012
   Posted 4/24/2008 8:40 PM (GMT -6)   

Check out this link to make sure it's not a hemmie or perianal crohns skin tags....

 

http://www.emedmag.com/html/pre/fea/features/011504.asp

 

:)


My bum is broken....there's a big crack down the middle of it!  LOL  :)


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 4/24/2008 8:47 PM (GMT -6)   
Hello Nikki,

Do you have a fever? If you do, then it is probably infected. Go to the ER if you can't get in with your Dr. today. The ER may say it can wait, and then you will know it isn't urgent. But you don't want to take a chance by waiting too long -- it could go septic. I've had two abscesses and one was on the verge of sepsis. Not fun at all.

I'm hoping it is just a pimple or infected hair folicle and not an abscess/fistula!!

nikki0294
Regular Member


Date Joined Sep 2007
Total Posts : 219
   Posted 4/24/2008 9:10 PM (GMT -6)   
I do not have a fever and feel fine. I thought it was a fissure and looked and it looks like a 1 1/2 inch boil.Nothing else. It hurts a bit only when I sit--it burns a bit. It is close to my anal opening almost right outside it. Just got off the phone w/ GI and he said to come in at 9:30 tomorrow morning. I am praying it is something else. I can't handle all this...I hate this disease!!!

FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 4/24/2008 9:23 PM (GMT -6)   
I hate it to! I'm very glad your Dr is so responsive! For tonight, try a nice warm, relaxing sitz bath. Take tylenol or something before you go to the Dr. because he/she will propably push on it during the exam. It probably won't be painful at all. Most of all, try to remember that it is far better to take care of whatever it is now than let it get out of control! Your healing time will be much shorter! Please let us know how it goes!!

CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 4/24/2008 10:47 PM (GMT -6)   
I second the sitz bath. Sit your bum in water as hot as you can comfortably tolerate it and sit there until the water cools to just warm. You can do that as many times as you have the time and energy for.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


CrazyHarry
Veteran Member


Date Joined Mar 2006
Total Posts : 1034
   Posted 4/24/2008 10:54 PM (GMT -6)   
sounds like a perianal abscess to me. i suffer from these. go to your GI or a colorectal surgeon to lance it (aka pop it). it sucks, but is quick and you'll feel tons better immediately. granted a bit bloody though. i recommend using those femine pads for the other end (finally found a good use for them). you'll need some antibiotics for a few days as you've got an open wound in an area highly populated by bacteria.

the ones i have never fully healed. they come and go. summer/hot weather seems to exacerbate them. it sucks. gets to where i cant walk or sit some times.

instead of preparation H (it is useless for this) get a prescription strength hydrocortisone cream, like proctocream. ask your doc for this. another good one is calmoseptine ointment. you can get this over the internet w/o a prescription at www.calmoseptineointment.com

hot bath/spa helps a lot but the key is to pop it and relieve the pressure.
Crazy Harry

---------------------------------------------
Crohn's since 1993 (17 yrs old then)
surgery in July '05 - removal of 2 inches at ileum and 8 inches of sigmoid colon (had fistula into bladder)
Nov '05 developed colonic inertia; July '06 told i needed ostomy surgery
began maker's diet in August '06 - now feeling the best ever with no symptoms of colonic inertia and i kept my colon
med free as of 10/31/07


nikki0294
Regular Member


Date Joined Sep 2007
Total Posts : 219
   Posted 4/24/2008 11:17 PM (GMT -6)   
If they lance it I read 2/3's of the time they come back and also have fistulas...what is the key to avoiding this ?? Remicade??? Humira? Can these biologics cure the abscess without lancing it??

FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/25/2008 12:17 AM (GMT -6)   
Let us know what your doc says! I hope it goes well.
26 Year old married female law student.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid.  For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn.  I also have bad acid reflux and have been on PPI's since age 13.  I have been through prilosec, prevacid, and nexium.  Currently I am on Protonix in the morning and Zantac at night.  I alos take a birth control pill to allow some fun in my life.
 
 


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 4/25/2008 7:23 AM (GMT -6)   
For my first peri-rectal abscess, the Dr just cut into it and tried to drain it. He really didn't know what he was doing. It came back with a vengence one year later in January. My new colo-rectal surgeon, who has significant experience with CD, took me into the OR and cut the abscess open. He was able to really get in there and scrape it out. By cuting and laying it open, it could heal completely. I had a large open wound and it was only by the grace of God that it didn't get infected. I was off my feet for about 4 weeks and couldn't sit comfortably for about 6, but I am fine now. My Dr says the probabilty of that abscess coming back it very low. So maybe folks should consider this type of surgery over just lancing.

bektold
Regular Member


Date Joined Jul 2007
Total Posts : 456
   Posted 4/25/2008 9:26 AM (GMT -6)   
I <3 calmoseptine!  Ask about it at your pharmacy.  Most places don't stock it, but they can get it in a day or two by request.

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 4/25/2008 12:49 PM (GMT -6)   
FallColors is right, those abscesses need to be drained in an OR, or else they will just keep coming back....I speak from experience!

CrazyHorse...you need a surgeon who will take care of it correctly for you. You shouldn't have to suffer like that! I have never had an abscess that was surgically drained come back. There is always a chance that it will turn into a fistula, but that is just the nature of the beast.

Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 4/25/2008 1:12 PM (GMT -6)   
I get these all the time - even in my vaginal area. Mine are not fistulas, but instead just Crohns manifestations in that area. I've had several docs look at it and none wanted to lance it but let it drain on it's own.

*shrug*

they are VERY painful and uncomfortable.

FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 4/25/2008 3:43 PM (GMT -6)   
Hi Aimee,

I am not sure what you mean by "Crohn's manifestations". If something is draining, it is either a fistula, an abscess, or a fistula draining an abscess. I don't know of anything else. If its a fistula, your Dr should put a seton drain in it if it won't or can't be closed. If its an abscess, it won't go away on its own. My first abscess - -before I had any clue about CD or abscesses/fistulas -- started draining and kept draining for months. But then it stopped and in a matter of days I was in big trouble!! A bad, also clueless Dr. lanced it and filled me full of antibiotics for MONTHS! But I was still FULL of infection and very sick! It nearly went septic. Then I saw a smart colo-rectal surgeon who knew about CD and he put a seton in it. Majic! Infection gone and I felt sooo much better.

Please take care of yourself.

survivor49
Regular Member


Date Joined Oct 2007
Total Posts : 241
   Posted 4/25/2008 3:55 PM (GMT -6)   
i am an er practitioner and see things like this every day. don't put anything on it until your dr sees it- ointments may seal in the bacteria. use sitz baths or warm packs as many times as you can prior to your visit to the dr, and keep it clean and dry. take your temperature, and if you start running a fever, if it gets more painful, or you start feeling as though you have the flu, you should go into the er. make sure that you are scrupulously washing your hands. not medical advice, just advice. best of luck

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 4/25/2008 7:02 PM (GMT -6)   
This could be a Bartholin gland abscess. VERY painful, but treatable. How did your doc's appointment go?
Co-moderator - IBS Forum

Please always remember to consult your medical professional regarding your medical questions; this forum is intended to provide patient-to-patient support. Although some of us have healthcare backgrounds, we cannot diagnose or treat patients on the board.


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 4/25/2008 8:43 PM (GMT -6)   
Sarita, I doubt very much it is a Bartholin gland abscess. Wrong area. The Bartholin glands are located inside the labia and would normally protrude into the vaginal area not near the rectum.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 4/25/2008 8:50 PM (GMT -6)   
Ooops, Sarita. I take it you were responding to Aimee's post when you suggested a Bartholin's Gland abscess or cyst. For those that occur in the vaginal opening you could well be right!!! I had one that got to the size of a golf ball, had it lanced, it started to return and I was scheduled for removal of that Bartholin's Gland - but got LUCKY. Lots and lots and lots of sitz baths cleared it up the second time and knock, Knock, KNOCK on wood it has never returned. Ahhhhhh.
 
I'd be having a good gyn take a look at any that occur in the vaginal opening, the labia area.


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 4/25/2008 10:47 PM (GMT -6)   
Nah, not Bartholin. My PCP thought one was once but when sent to an OBGYN to have it drained, she said it wasn't and wouldn't touch it. They are not internal, if you know what I mean...

I've had 4 GI's take a look at them during my stint with this LOVELY disease and they all said that Crohn's can sometimes manifest itself in boils on the skin. Sometimes they are red painful bumps, sometimes red bumps with hard lumps underneath (like a mass), and sometimes the red painful bump grows into a boil and drains before clearing up. They could all be lying but none of them have wanted to mess with them.

When I get one, I know I'm getting ready to flare and I call the GI about an extra Humira shot. They clear up a few days after that.

*shrug*

FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 4/26/2008 1:47 PM (GMT -6)   
Oh and I thought I new all that could go on down there since I have too much of it already! YUCK!!!! Thanks for sharing. If I start to see something like that I won't totally freak out.

gary2
New Member


Date Joined Dec 2011
Total Posts : 1
   Posted 12/27/2011 9:30 AM (GMT -6)   
Christine,
I am not sure just what u may call that bump u were referring to.
However, 1 year ago;I had what sounds like exactly the same problem.

It was red and very sensitive.It was like a thumb sized knot under the skin and was red.
I had to have it cut open and mashed out.This hurt like hell. I went through the same lancing and mashing on this same spot 3 times and it was a very bad experience;as every time i went to the ER they stuck needles in it to numb it b4 they started mashing it out.Smelled so bad it stunk the whole room up-i am not lying.
Seems like about every 1 or 2 weeks it came back.

Finally- do to inability of ER nurses etc.. to solve this problem I fixed it myself.

How I solved this particular bump problem...

I cut it open with a razor blade;mashed it ALL out and then mashed some more. Then used a syringe and flushed it out real good with hydrogen peroxide and alchohol 50/50. I was sure to stick the end of the syring well inside the cut b4 i started flushing it out.

After this it went away.

Near the rectum to do this u will have to be truly tired of them sticking needles in such a sore spot on ur bottom.Mine was within 1/2 inch of my rectum.

Like i said they stuck me and cut it open 4 times....finally i had to cure it myself.

With any luck-perhaps they fixed it 4 u the first time...

TRULY :) GOOD LUCK

G.

p.s. by the way, i still have a thumb size knot there-i believe it to b scar tissue do to them cutting it so many times in the same exact cut.

I'm hoping so anyway.

I hope this helps :)

Roni
Veteran Member


Date Joined May 2003
Total Posts : 2480
   Posted 12/27/2011 12:30 PM (GMT -6)   
Gary, that sounds like you went through a terrible ordeal. Glad it was finally resolved.

Just want to point out that this thread is almost 4 years old, and we haven't seen the original poster in a couple of years.
Co-Moderator for Crohn's Disease and Epilepsy forums.
Crohn's Disease since the 1990s.
Close family member has had epilepsy for more than 45 years.

Lovely985
Regular Member


Date Joined Aug 2010
Total Posts : 360
   Posted 12/27/2011 9:05 PM (GMT -6)   
Sounds like an abscess. I have unfortunately had a few of these. I used to sit in the warm tub or put a handtowel and soak it with warm water and place on the abscess. I have never had abcesses that burst on their own or drained on their own they just grew and grew until it was too much for me to handle. So the sooner you go to the doctor the better. Hope it's not an abscess, but if it is at least you saw it early before it became extremely painful. Hope your doctor's visit goes well and the doctor can help you.

Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2193
   Posted 12/28/2011 12:21 AM (GMT -6)   
That's how my fistula started. Had a red painful lump, just outside of the anal area. Took about 5 days before it drained on it own. I took a lot of baths to soak it. Couldn't do much else as it was quite painful. Once it drained it never healed or went away. I was just left with a hole there that would drain. Had to see a few doctors before they figured out it was a fistula.
~Jennifer
 
Diagnosed with Crohn's Disease 2/06, and Health Anxiety/OCD 12/08 Taking Asacol, Questran, Toprol XL, and Celexa.
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