pain in the butt

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crohnie_boy
Regular Member


Date Joined Aug 2007
Total Posts : 29
   Posted 5/6/2008 5:47 AM (GMT -7)   
Hi everyone
I have a weird problem.about 3 weeks ago I developed pain on the left side of my anus,it came the same time as a spell of constipation that I can now say is on the decrease.In all the 20 years of CD i have never been constipated,my problem is always trying to hold long enough to reach a toilet,not always succeeding.I prefer D over C anyday.
As to the pain in my anus,at night it gets so bad that I can't sleep,it stretchs right into the left butt cheek,sometimes just making a slight movement causes me pain.
I'm seeing my GIT doctor 2morrow,any advise is as always appreciated

Post Edited By Moderator (FamilyGuy) : 6/6/2008 1:54:50 PM (GMT-6)


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 5/6/2008 6:20 AM (GMT -7)   
I wonder if you are developing a fistula. I would definetly bring this up with your GI today.

Good luck,
Gail *Nanners*
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


Julia Hill
Veteran Member


Date Joined Mar 2008
Total Posts : 543
   Posted 5/6/2008 6:35 AM (GMT -7)   
Hi,

Sorry to hear you are in so much pain. Maybe you have a periannal abcess. I am glad you are going to your GI. Take care and let us know what the doc says.

Julia

crohnie_boy
Regular Member


Date Joined Aug 2007
Total Posts : 29
   Posted 5/28/2008 6:23 AM (GMT -7)   
Just an update on my situation
Saw the GI who said it was an abscess,put me on flagyl and cipro 4 two weeks. On followup told me to continue flagyl and cipro for another 2 weeks and put me on steroids 60mg.Will do a colonoscopy once the abscess has settled down a bit to see what's going on in there
 Hi I'm crohnie_boy
 33yr old boy . Diagnosed @ age 14 ileocolitis crohn's.
 Taking Pentasa 1500mg twice daily
 Try to keep smiling ,but hard sometimes


Celey
Veteran Member


Date Joined May 2007
Total Posts : 1284
   Posted 5/28/2008 11:31 AM (GMT -7)   
Hope the medicines help.... Butt pain sucks... *Pain, in general, sucks... but... man... It's like... You tell someone 'this is a pain in the butt', and then you have to stop and think 'Do I mean metaphorically or literally?' Because either one could fit...*
I think I am being picked on by life, sometimes. But's that okay. Life and I are good buddies... I know life doesn't mean no harm. It just is the way it is. I can accept that.


medchrt1
Veteran Member


Date Joined Sep 2005
Total Posts : 517
   Posted 5/28/2008 2:21 PM (GMT -7)   
salt bath, no soap, olive oil afterwards if u can tolerate it, then do salt bath again, table salt is ok if u dont have epsom, pour it in

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 5/28/2008 5:01 PM (GMT -7)   
Personally, I don't think that the antibiotics will do anything for your abscess.  I was in the hospital on high doses of iv antib. and my abscess kept growing.  An abscess is a walled off area of infection, so the antib. can't penetrate it. 
 
One thing the antib. will do is help the inflammation that you have going on in your rectal area.  Flagyl works really well for me there.
 
From my experience, the abscess is going to get bigger, and the pain is going to get worse until you have a colorectal surgeon drain it and clean it out and leave it open to heal from the inside out.  This needs to be done in an operating room, NOT in the office. 

FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 5/28/2008 5:14 PM (GMT -7)   
I agree with everything Chroniemomx2 said. Antibiotics are very unlikely to work.. The sooner it is opened and drained the better. The longer you wait, the more you risk getting a fistula and you really don't want one. (if you do want one, you can have both of mine!!)

I would just add that you need to see a colo-rectal surgeon that is experienced with CD. Not a little -- but experienced. The treatment of abscesses and fistulas in CD folks is different from non-CD. Honestly, the fact that your Doc said to just use antibiotics really makes me think your GI isn't very experienced either -- at least not with CD peri-rectal abscesses.

I hope you get treatment soon!!

whaley
New Member


Date Joined Feb 2003
Total Posts : 15
   Posted 5/30/2008 2:33 PM (GMT -7)   
Wow - I know what you're going through.  I had my perianal abscess drained a couple of weeks ago.  It was so bad that I didn't have enough energy to stand up long enough to wash my teeth at the basin.  Antibiotics may help clear up the surrounding area but there was no way mine was shifting without surgical incision.  The bad news is that having it packed afterwards isn't fun (but is more bearable than I thought it would be)but good news is you will feel a milion times better after the drainage and all that nasty poison that is infecting your body comes out.  I was in hospital a week after my drainage having antibiotics but slowly and surely getting my life back, I'm feeling like my oldself again.
 
Good luck to you

Crohn'snme
Veteran Member


Date Joined Feb 2007
Total Posts : 734
   Posted 5/30/2008 7:53 PM (GMT -7)   
I have been through this. Take Probiotics with the Flagy.

Marie-Claire
Veteran Member


Date Joined Mar 2007
Total Posts : 900
   Posted 5/30/2008 8:47 PM (GMT -7)   
Good luck....hope you are pain free really soon!
Keeping you in my prayers and sending a great big Hug
Mary
51 yr.old retired RN,Crohn's D for last35 yrs..severe esophagitis, migraines,strictures,urethral stricture,depression,probable MS.,RLS, arthritis
 
 


crohnie_boy
Regular Member


Date Joined Aug 2007
Total Posts : 29
   Posted 6/3/2008 3:19 AM (GMT -7)   

Thank you all so much for your replies (and prayers and good wishes) we really all need those.Just an update, I have finished my flagyl and cipro treatment and am now just on the pred 60mg.I called the Dr yesterday and he told me stop the anti-biotics,even though I still have the pain in the ass,though not as bad as before. He also told me that once things are settled ,to do a colonoscopy in 4-5 months time.He told me that the pred would clear the inflamed area.I'm just concerned that without the anti-biotics the abscess will start acting up again.

I've been on the pred for 2 weeks now and my appetite is back and i'm eating a lot more,but it is not reflected on the scale, I still weigh the same as when I started the pred (60 kg).

This is such a great place for all of us ,the support is amazing,just to know there are people out there sharing similar experiences makes the burden bearable.

Thank you all so much


 Hi I'm crohnie_boy
 33yr old boy . Diagnosed @ age 14 ileocolitis crohn's.
 Taking Pentasa 1500mg twice daily
 Try to keep smiling ,but hard sometimes


DM99
Regular Member


Date Joined Oct 2005
Total Posts : 43
   Posted 6/6/2008 11:18 AM (GMT -7)   
I'm in the same situation atm, but in a more progressed state.

I had to go for surgery to bust an abscess that had grown the size of a snooker ball in my perenium area (between the scrotum & anus). What's more it has a connection to a fistula that connects to the colon running across my right buttock cheek, i can currently fart through the open hole they had to leave (stitching it up would add a repeat of the abscess). Just been for an MRI today to see what course to take next. If you feel like passing wind is going somewhere it shouldn't- take note!

Prior to this time i had a discharge for 3 years from the rear which was noted & treated with drugs. Probably best to nip things in the bud early and see if you can prevent such a thing happening rather than cure it. See if you can request to see a Colorectal Surgeon through the GP if you get no joy elsewhere. (This is what i ended up doing)
26 yr old yorkshire geezer, symptoms started 1996, dx'ed jan2004, on azathioprine & asacol, was on pred for a year. Nothing other than a flare up & blood transfusions so far....


Jason D in MN
Regular Member


Date Joined Jun 2008
Total Posts : 54
   Posted 6/6/2008 11:34 AM (GMT -7)   
OK this will sound wierd and gross, but I inspect myself for fistulas and abcesses. This isn't terribly difficult to do if you're a) familiar with what they look like and b) willing to contort a bit with a small flash light, a towel and a shaving mirror.

To find out what they look like, do a google image search. Yes the images you see will be disturbing.

To inspect yourself, if you're still up to it...
1) barricade yourself into the bathroom with the flashlight, shaving mirror and towel.
2) Drop your trousers and underpants, budle the towel a bit on the floor.
3) Squat over said towel, and position the shaving mirror on the towel until you get a clear view of your anus. (Gross, yes, I know...)
4) Turn on and aim the small flashlight at your anus.
5) Mentally compare notes to what you saw for fistulas on google images and what you're seeing now.
6) Touch it... CAREFULLY! If it stings, it could be one of several things, make an appointment with your doctor ASAP. Since you said it already hurts, it will likley sting.
7) wash your hands, tell no one you did this, until you're in your GI doctors office... then spill the beans that you followed some crazy mans advice... Tell him/her what you saw...

There are things that a doctor will look for when trying to tell the difference between abcess and fistula. Don't try to diagnose *what* it is. Just figure out where it is and a good way of describing it, pain too if it's *unusual*. The sooner abcesses and fistulae are caught the easier they are to treat. However, unless pointed out when in their earliest stages they can be easy for a trained eye to overlook.

I've had two confirmed this way, I'm looking at a third confirmed soon. (I spotted it last night.... similar symptoms to your own...)
-- Jason
Diagnoses? Crohn's in 1983; Kidney Stones in 1997; Reactive Airway Syndrome in 2002; Major Depression and GAD in 2003; Migraines in 2006; ADHD and IBS in 2007.

Current Meds? 6MP; Adderall; Wellbutrin; Zoloft; Albuterol (emergencies only); Fexofenadine; and Epidrin or Imitrex (depends on migraine severity...etc)

Overall: Things are So-So. In other words "It could be worse. It could be raining."


Mormor Vicky
Veteran Member


Date Joined Mar 2007
Total Posts : 684
   Posted 6/6/2008 1:18 PM (GMT -7)   
Jason, I promise I will never tell your secret. Only here can we tell our deepest, darkest secrets.
Vicky / 48 years old
DX'd with Crohn's during a resection August 2006
DX'd with Steriod induced Diabetes November 2006
Considered in Clinical remission but have minor signs of disease activity
 
Daughter (27) also has Crohn's since she was 12.
 
Currently on 4000mg of Pentasa only for Crohn's
No longer able to take 6-MP because of Bone-Marrow Suppression
Cymbalta, Metformin, Lipitor


Jason D in MN
Regular Member


Date Joined Jun 2008
Total Posts : 54
   Posted 6/6/2008 1:24 PM (GMT -7)   
meh... tell don't tell... I'm pretty much an open book...
Though... that's not my deepest darkest secret... no... not by a long shot...
And for those who might want to pry it out of me... just remember ....
"no one gets to hear the tale of the fully motorized pig..."
-- Jason
Diagnoses? Crohn's in 1983; Kidney Stones in 1997; Reactive Airway Syndrome in 2002; Major Depression and GAD in 2003; Migraines in 2006; ADHD and IBS in 2007.

Current Meds? 6MP; Adderall; Wellbutrin; Zoloft; Albuterol (emergencies only); Fexofenadine; and Epidrin or Imitrex (depends on migraine severity...etc)

Overall: Things are So-So. In other words "It could be worse. It could be raining."

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