Abscess has broken through

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miguelblanco
Regular Member


Date Joined Dec 2007
Total Posts : 131
   Posted 7/29/2008 8:26 AM (GMT -7)   
I had told my GI that I thought I had an abscess outside of my anus. He felt it and agreed. Put me on Cipro and Flagyl. Had to stop the Cipro immediately due to severe reaction, but finished the Flagyl (except for the last two days because it was giving me server nausea.) I went in for a flex sigmoidoscopy about a month ago. Showed some inflammation and a couple fissures, but nothing else thankfully. I told him I though I still had the abscess, but he said he didn't think so and didn't see any evidence of one. Suggested I go on Remicade yet again.

So the lump was still there, and I could almost see it wanted to break through the surface of the skin. Well, it finally has. There is a hole outside of my anus.
Can these heal on their own? Do I want it to close, or continue to drain? My mom also has Crohn's and she said she's had these and they have healed on their own for her. What have peoples' experiences been?
Type I Diabetes- 29 yrs. (MiniMed Insulin Pump)
Celiac Disease- 8 yrs.
Crohn's Disease- (Nov. '06)
No meds at this time. (Don't agree with me.)


Angela101
Regular Member


Date Joined Mar 2005
Total Posts : 79
   Posted 7/29/2008 4:18 PM (GMT -7)   
Hey Miguelblanco,
I had a perianal abscess (still do actually) that broke through the skin..
They put me on Cipro and Flagyl which helped with the infection but had me running to the bathroom - which irritated the abscess.

They wanted my abscess to drain - and once that was done I had to see a nurse daily to put gauze in the wound so that it would heal from the inside out.
You don’t want the outside skin to heal and leave a pocket where more infection can occur.
My abscess problems started in October 07 - I was given a temporary ileostomy and put on Remicade so it would heal.
It still hasn’t healed - the docs say it may never heal.

I would definitely see your doctor about this and see if he can recommend some sort of 'wound treatment' so that it heals properly.

Good luck!
They tend to be very painful!
Dx/ed October 2003,
April 2004 - Surgery - 2ft of small bowel removed
Feb 2007 - Surgery again and a temporary ileostomy
Present - on Remicade waiting for surgery to reverse the ileostomy - Health Care System in Canada sucks - wait list is 6 12+ months.
 
 
 


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 7/29/2008 5:27 PM (GMT -7)   
Hello,

I've had several peri-rectal abscesses. From what my Docs have told me, they do not heal without being opened up, drained and cleaned out. They are a pocket of infection that they body seals off. Antibiotics will help the surrounding tissue with infection but they can't get into the abscess. If your colo-rectal surgeon is not really experienced with CD, I suggest you go see one that is ASAP! The fact that your Doc didn't jump on it when he saw it the first time makes me suspect he isn't experienced in treating abscesses in CD people.

Once opened and scrapped out, you just need to keep it washed out. I go into the shower after every toilet use and spray it out with a hand-held shower hose. Then I apply guaze. I had a large, deep one that took 3 months to close. CD people heal more slowly. Patience and take it easy!!!

Hang in there!!

Panayo
Regular Member


Date Joined Jan 2003
Total Posts : 246
   Posted 7/29/2008 7:19 PM (GMT -7)   
The last one I had was a whopper, came out of my stomach right next to my belly button. Shot a stream of infection from my bedroom to the bathroom mirror, about 10 feet away. On the doctors advice, I used cotton swabs, soaked in alcohol, and went in as far as I could about every three hours and kept a cotton patch over it until the next time for about three or four days. It closed right up and I never had any more trouble with it.

The hole was big enough to leave a small scar where it came out.

Let your doctor know what happened, keep it very clean, and good luck with it.

Respectfully,

CrazyHarry
Veteran Member


Date Joined Mar 2006
Total Posts : 1034
   Posted 7/29/2008 11:54 PM (GMT -7)   
i get those once in a while since i have some mild active disease in the rectum/anus area. i notice that hot, humid weather exacerbates it and bring it out causing pain. once i notice the beginnings of swamp ass, i know i'm in trouble. once i get the sting ray then i'm hosed for a few days or so. totally sucks. but once they burst open - yahoo! sure the bleeding sucks, but the pain is relieved. i've had to go to my colorectal surgeon a couple times to get it lanced as it was taking way too long to burst on its own. i've been put on antibiotics for them before, but i never thought they did anything.
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


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 7/30/2008 5:28 AM (GMT -7)   
Panayo! WOW!! 10 feet?! Sounds like a new Olympic competition!

miguelblanco
Regular Member


Date Joined Dec 2007
Total Posts : 131
   Posted 7/30/2008 12:57 PM (GMT -7)   
Thanks gang. I'm hoping this heals on its own. My GI and the surgeon I saw, well, I just plain don't trust them at all.

When I was first told I had Crohn's, it was after the surgeon said I had hemorrhoids and that I needed surgery to get rid of them. He told me how badly the surgery was going to hurt, and to expect to be in a lot of pain upon waking up from the surgery. The put me under and wheeled me into surgery. I woke up, and I wasn't in pain. I was totally confused. Supposedly, the surgeon told me I had Crohn's in the recovery room, but I don't remember any such conversation. I was never billed for anything, so suffice to say, they screwed up big time. I'm pretty leery of doctors right now and hope to not have to go again any time soon.

CrazyHarry,
I too have noticed that summer seems to be when I get these nasty buggers too. I think I had one last summer too, but it was internal. The hot weather seems to play some weird role in this for me too. "Swamp Ass?" Is that drainage? tongue The "Stingray." I like the descriptions, -perfect! LOL!

I have two fissures internally, and I almost wonder if they aren't former sites of these abscesses? When I got my recent flex/sig, they were located right where I was having pain last summer. Hmmm...

Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2691
   Posted 7/30/2008 2:31 PM (GMT -7)   
I had one that opened up, drained on it's own. From there I was just left with a hole though, which was of course a fistula. I had it fixed surgically. Because at the time I didn't even know I had Crohn's. It took a whole year to heal up after the surgery. They are just the worse. I remember it taking a week for the abcsess to open, and I spent most of the time soaking in the tub!
~Jennifer
 
Diagnosed with Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Prednisone: tapering down from 10 mg again, Asacol, Questran, Toprol XL (for high blood pressure).


miguelblanco
Regular Member


Date Joined Dec 2007
Total Posts : 131
   Posted 7/30/2008 2:46 PM (GMT -7)   
Jen77 said...
I had one that opened up, drained on it's own. From there I was just left with a hole though, which was of course a fistula. I had it fixed surgically. Because at the time I didn't even know I had Crohn's. It took a whole year to heal up after the surgery. They are just the worse. I remember it taking a week for the abcsess to open, and I spent most of the time soaking in the tub!


Jen77,

Do you mean that the abscess turned into a fistula?
Type I Diabetes- 29 yrs. (MiniMed Insulin Pump)
Celiac Disease- 8 yrs.
Crohn's Disease- (Nov. '06)
No meds at this time. (Don't agree with me.)


Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2691
   Posted 7/30/2008 3:46 PM (GMT -7)   
Yes, it started as a rectal abcsess, and when it opened up it just never healed. Instead it was just an open hole there, that drained and hurt. I saw a few different doctors before they finally realized it wasn't going to heal, because it was a fistula!

Now it may have been a fistula that made it's way to the surface, which resulted in an abcsess so it could bust through. Not sure which way that occured!
~Jennifer
 
Diagnosed with Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Prednisone: tapering down from 10 mg again, Asacol, Questran, Toprol XL (for high blood pressure).


CrazyHarry
Veteran Member


Date Joined Mar 2006
Total Posts : 1034
   Posted 7/30/2008 9:40 PM (GMT -7)   
to clarify:

swamp ass - this is basically arse sweat. i have found, for me, it precludes a lot of problems for my anus and rectum (rectum, i hardly knew 'em).

sting ray - the miserable effect if you dont take heed of the onset of swamp ass. this is when your bum burns and stings. cant walk, cant drop the kids off at the pool, cant sit properly. stuff like that.

take that wikipedia!
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


miguelblanco
Regular Member


Date Joined Dec 2007
Total Posts : 131
   Posted 7/31/2008 6:56 AM (GMT -7)   
Ahhh.... hmmm... I had been playing golf this summer prior to my hands and wrists hurting so bad I had to stop playing. (Grrr....)
I suppose some "swamping" had occurred out on the course in the heat. tongue

I'm not sure if I have an abscess or a fistula now. I hope its just an abscess. I thought that some poo shot through it though yesterday afternoon when I had a BM. I need to find a new GI doctor in a bad way. He thought I didn't even have one! So frustrated right now....
Type I Diabetes- 29 yrs. (MiniMed Insulin Pump)
Celiac Disease- 8 yrs.
Crohn's Disease- (Nov. '06)
No meds at this time. (Don't agree with me.)

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