Excruciating abscess

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*Phoebe*
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   Posted 10/21/2008 10:06 PM (GMT -7)   
Hey all, I hope you are all well. I’ve really been in the wars recently, but wanted to know whether any of you have had a similar experience, and what I should do.

about a wk ago what I now know to be an abscess flared up and began really hurting me. It’s peri-anal as far as I can tell, and was hurting not only when I went to the loo but also when I sat, walked etc.

Over the past wk this pain has become absolutely excruciating; to the point that I cry whenever I go to the loo. It hurts constantly, but mostly when I am walking, getting up or sitting down. The pain is so intense. I took a day off work and saw a doctor yesterday, who prescribed antibiotics but said it was too painful/infected to lance at this stage. He said to come back on Friday if it hasn’t improved, and that I may need a 2nd round of anti biotics. Today its even worse, the antibiotics don’t seem to be making it any better. Walking is so so painful (and I must look SO strange)

I had previously tried to drain it by myself, with a hot salt bath and squeezing, but he told me to stop (very little came out). I can see why now as it would make me feel as if I were going to throw up or pass out, really rotten, apparently me trying to lance it was only spreading the infection into my blood. I’ve had fevers and been exhausted this whole week!


Has anyone else had a similar experience? Is there any possibility that this hellish thing is going to pop on its own or will I be in agony for the next two days? I cant see a dr whenever suitable because I work full time, so I have to come to work, I’ve managed so far by just literally not moving from my desk all day long and using a hemmie cream though it only provides limited relief for about 10 minutes.

This is getting quite depressing I must say!

ivy6
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Date Joined Sep 2005
Total Posts : 10404
   Posted 10/21/2008 10:08 PM (GMT -7)   
Honey, call the doctor and ask for some urgent pain relief. I don't think they realise just how horrendously painful these things can be. Don't let them put you off - tell them you need it TODAY.
Co-Moderator Crohn's Forum.


ivy6
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Date Joined Sep 2005
Total Posts : 10404
   Posted 10/21/2008 10:11 PM (GMT -7)   
btw, that's a suggestion, not an order, but I really do recommend calling him, especially as you need to stick it out until Friday.

And I agree with your doctor that you probably shouldn't squeeze it, even if it is tempting. let them do it properly and thoroughly, or else it'll just infect again and you'll be back where you were in a few days / weeks / months.

I'm so sorry. You don't need this, do you?
Co-Moderator Crohn's Forum.


*Phoebe*
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Date Joined Sep 2005
Total Posts : 769
   Posted 10/21/2008 10:11 PM (GMT -7)   
Do you think that codeine would work for the pain? I still have those painkillers from last week (I had a tooth extracted).

I'm at work at the moment, and I work in Fortitude Valley, my Dr is about an hr's drive from here...

*Phoebe*
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Date Joined Sep 2005
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   Posted 10/21/2008 10:14 PM (GMT -7)   
Definitely don't need this.... I've been getting quite depressed about it all and finding it hard to stay happy or positive. I just want to crawl into a hole where it doesn't hurt and I don't have to move and I don't have to take sick days off work in order to see somebody... Crohn's is bad enough without the embarrassing and painful complications!

I just want it to pop and stop hurting! it makes me feel so shaky and sick when I move because it moves it all around into my blood. I want to get some probiotics since I am taking antibiotics, but that involves a trip to the supermarket, and I really feel as if I can't manage the walk through the isles!


On another note, how are you doing Ivy?

ivy6
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Date Joined Sep 2005
Total Posts : 10404
   Posted 10/21/2008 10:23 PM (GMT -7)   
Of course it hurts, Phoebe, and of course you're down in the dumps about it. It's a horrible complication. Do try to hang in there.

I think I've been talking with you since just after you were diagnosed and I've been watching you go through the various stages of learning to live with this disease. Please, please, remember that what you're feeling right now is natural and a stage. It's a real emotion; it's understandable and legitimate; but it's also part of the process. Don't feel bad about yourself for feeling the way you do, and please don't feel that you are alone. It is something we all go through, and that's why I'm sending you an enormous ***hug***.

I am not sure about the codeine. I'd ring the doctor and hassle him. And you may not have to drive to see him. If he wants to prescribe you something, he could fax the order through to a pharmacist nearer to you. (Perhaps you could ring the pharmacist now and get their fax number, and then give it to the doctor if you do decide to ring and speak with him).

You can also buy an ointment called Proctosedyl. It contains local anaesthetic and may help you a little.

How I am - I'm in the wars too, but let's talk about you this afternoon :-). I, at least, have medicine coming.

*another hug*

Ivy.
Co-Moderator Crohn's Forum.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/21/2008 10:26 PM (GMT -7)   
I'd go back to the doc and see if he can do something more immediate than wait for antibiotics to kick in....I'm sending you a huge ((((((((((((((HUG)))))))))), only because I know how painful lumps can be right on the anus opening from what I've been through with my perianal crohn's skin tags...when I was super bad off with them in the beginning of getting sick with this DD, the only way I could poo without killing myself was filling the tub with water and "going" in the tub, I know it's completely gross but that's what this disease is and finding anything for comfort is what counts.

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


*Phoebe*
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Date Joined Sep 2005
Total Posts : 769
   Posted 10/21/2008 10:37 PM (GMT -7)   
That’s right, I do remember, I started posting on here just after I was diagnosed, and I think I really was in denial for a long time, and didn’t recognize how much worse things were about to get, because initially I ‘just’ had diahorrea and anemia – and thought it would go away. recently, with working full time, and not being able to afford a day in bed every now and then, its really hit home just how debilitating this thing can be, and how overwhelming it is to think ‘this is every day of my life’ – I just have to believe that it will, one day, settle down to some reasonable level. But when it gets even worse with things like this, I just can’t think positive any more, not at least until the pain has gone.

In one sense I wish that my coworkers knew what I was going through, but at the same time, I don’t want anyone ‘feeling sorry’ for me (in a way that people without crohn’s feel sorry for you, if you know what I mean) – I mean, I think us fellow ‘crohnnies’ can truly sympathise, without any falsities, because we know just how it feels. That’s why you’ve been such a huge help to me Ivy, I don’t know what I would have done without you and this place, especially in times like this.

Also, I don’t want anyone thinking I can’t do my job!! I am very much a perfectionist and won’t stand for that! Although I think I’m pretty hard on myself too, when in consider that the way I feel every day would have my coworkers calling in for a sick day!

I have some of that Proctosedyl cream, and its great for temporary relief, and I am using baby wipes, will have another hot bath when I get home, and see how it goes. I am hesitant about the codeine since it stirred up my stomach last week after having my tooth out. So I will see how I go. One thing I know is that it will be pure relief once it has popped! I have never felt anything this painful before! I just want it to drain already! I don’t understand why it wont drain on its own…

Is your remicade on its way? Did the doctors finally stop and listen? If so, that’s fabulous news!!!!!!!!!!!!!!!!

*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 10/21/2008 10:39 PM (GMT -7)   
That doesn't sound gross, PB4, it sounds like it makes sense to me! It's so nice to be able to talk to someone who understands how painful this is!

I'm actually reluctant to eat too much now because I'm scared of having to go to the loo!

ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 10/21/2008 10:46 PM (GMT -7)   
It's not Rem, Phoebe, we burnt that bridge ages ago :-( It's Humira and yes, it's coming. The next drama is to see if it will work again after having been stopped so abruptly.

I really do vote for calling your doctor. I have a feeling you may need something really strong to get you through the next few days, something like Tramal or Endone.

Sorry for short post - I post when I rest between chores - and have another job calling...

Back shortly, but do keep talking :-)

Ivy.

ps. Are you putting salt in that bath?
Co-Moderator Crohn's Forum.


*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 10/21/2008 10:51 PM (GMT -7)   
Hey Ivy,

Yeah, I put a tablespoon of salt in the bath last time, but I’m not sure if that’s enough salt? It didn’t seem to have any effect, apart from some temporary relief from the pain…

I might give my dr a call when I get home tonight, and see if he can suggest something for this pain, as like you say, I don’t think ordinary painkillers and going to cut it at this rate. I can’t imagine being able to put up with any pain worse than this… I’m sitting at my desk at the moment and too scared to stand up!

I just want this stupid thing to come to the surface and get out of there! I don’t understand why it won’t drain its self. I guess it’s not like a boil hey.

Hopefully the humira does the trick for you, guess we can only hold thumbs…

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/21/2008 10:59 PM (GMT -7)   
Are you using epsom salt? That would be the preferred choice and use lots of it, epsom salt is famous for drawing toxins out and healing.

Make sure once you find a good probiotic that even after you're done taking antibiotics you continue with the probiotics daily and indefinitely..and take them at least 2 hours after you're done taking antibiotics for the day or the antis will just kill off the pros.

Try a soft food/liquid diet for a few days.

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


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 10/21/2008 11:07 PM (GMT -7)   
This might be completely mad, but might it help to hold an ice cube against the inflamed area for a few seconds or minutes? It might cool the inflammation a little.

I've never done this myself, mind, but you might feel like trying it.

It must be so hard for you to be battling on, feeling so miserable and having to put on a happy face. Every PR person I've encountered has been consistently upbeat and perky so I'm guessing it's an occupational rule. If so, the mask must be weighing very heavily on you right now, and perhaps even emphasising how much you're hurting inside.

Hang in there,

Ivy.
Co-Moderator Crohn's Forum.


*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 10/21/2008 11:27 PM (GMT -7)   
Thanks for the Probiotic advice, PB4 - that's so useful! Will definitely do that!!

I think I will have to brave the pain and go to the supermarket tonight after work, to get some more probiotics and some epsom salts - as I only have table salt at the moment.


I'm so lucky to work with a great bunch of people, but often it makes me feel guilty that I'm not as social as I should or could be with the group, because I'm often in pain, feeling sick etc... and like today, I literally don't want to leave my seat. They really are lovely, I'm sure they'd understand if I explained it, but the thing that frustrates me the most is having this silent battle and it holding me back, I just want to have the same 'go' at things as everybody else - the same chances etc. I just feel like if it's not holding me back, its making me worry that it's holding me back, or that I'm not doing enough, or working as well as I could.

I guess this is just one of life's big challenges for me, and I have to think positively, I try to think that it's making me a better, stronger person. But on bad days, I don't really believe it, when I'm not talking to anyone, eating with everyone or taking part in the social scene because I'm hurting too much.

'putting on a happy face' is definitely something I can now put on my resume!

ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 10/21/2008 11:32 PM (GMT -7)   
*hug* It's hard, Phoebe, and very isolating, I know.

On a practical level, what's your seating like there? I was *enormously* helped with my abscess and fistula pain by getting some seating that was comfortable and helped me get the pressure off the affected areas.

There are other things that might help. You might find that hipster trousers or pantihose, for instance, put extra pressure on the infected area and increase the pain, so it may help you to wear a different style of clothing. That has certainly been necessary and helpful for me.

another hug.

I.
Co-Moderator Crohn's Forum.


Beethoven's wife
New Member


Date Joined Jun 2007
Total Posts : 13
   Posted 10/21/2008 11:33 PM (GMT -7)   
Hi, I cannot believe how your doctor is handling your abscess. I have had 2 peri-anal abscesses and know how excrutiating they are - I was limping at work. My surgeon admitted me into the hospital immediately and excised (opened) both of them which of course provided immediate relief. I was also given antibiotics. I wish you well. cry

*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 10/21/2008 11:40 PM (GMT -7)   
Oh I wish he would have done that! If i had known that the antibiotics were not going to provide pain relief and reduce the pressure/pain, I would have insisted he did something about it! It was so painful when he tried but perhaps a local anesthetic would have worked? I hate having to second-guess doctors, but really, this pain is intense, I don't think he should have just left me like that...

The chair I'm on at work is pretty good for the pain, and my clothing is comfy, the worst part is walking, getting into and out of my car, moving while sitting, getting up or sitting down... it hurts so much.

I think these antibiotics are making my stomach upset - I'm super bloated and rumbly/gassy at the moment.

Looking forward to getting out of my bath and into bed and not moving!! I will try a soft-food diet too, I'm used to baby food after getting this tooth out :)

gachrons
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Date Joined Mar 2007
Total Posts : 4527
   Posted 10/22/2008 4:46 AM (GMT -7)   
Hi Gosh I cain't beleave he didn't admit you .You should be soaking and resting .Hope you get relief soon .lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,and still alive.lol gail


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 10/22/2008 7:05 AM (GMT -7)   
Phoebeskye86 I really think you should go back into the doctor. I don't think anyone should have to suffer thru that kind of pain. I agree with gachrons I think you should be at home soaking and resting at least. I think your coworkers would be even more understanding if you opened up a little about what you are going thru. It sounds like they are good people. Everyone at my job knows I have Crohns. It helps when people know that you aren't just some Hypocondriac that is always sick, that they know you have a truly serious chronic illness. But that is your personal decision.

I sure hope you find some relief soon. I hate to hear how bad you are suffering.

HUGS,
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.


FitzyK23
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Date Joined May 2005
Total Posts : 4219
   Posted 10/22/2008 8:48 AM (GMT -7)   
When you get to the store use one of those little scooters instead of walking!
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 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 also take a birth control pill to allow some fun in my life.


CDTripletMom
Regular Member


Date Joined Jan 2005
Total Posts : 217
   Posted 10/22/2008 10:34 AM (GMT -7)   
I have had the SAME thing happen to me, quite often actually. Before I knew it was Crohns related, I got this stuff called Boil Ease.....It actually helps with the pain! I HIGHLY recommend it. Take HOT baths as HOT as you can get (in a tub, not a sitz) with epsom salts in the water, then put Boil Ease on it. It will drian. You might want to wear a panty liner cuz it will break open BIG TIME. But this really works for me! Try it!


UKpup
Regular Member


Date Joined May 2005
Total Posts : 213
   Posted 10/22/2008 10:43 AM (GMT -7)   
As one who has had a HORRENDOUS abscess, I say go to the ER and let them take care of it. The last time I had one (not nearly as bad as the first one) I went to the ER so I wouldn't have to wait. These don't usually fix themselves and that pain is just awful. Also when they take it out, they can see if there is a fistula that they need to keep an eye on.

The last two they've removed they put me to sleep, but not the first one. Like you, my first one wasn't draining and just kept getting bigger. Mine got to about 3 cm. After it was removed everything was just fine.

pup
The funny story of my first abscess


******************************************
"I've got a fever and the only prescription is more
cowbell." --Christopher Walken
******************************************


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/22/2008 10:58 AM (GMT -7)   
The last thing I'd be worrying about is what people at work might be thinking...you have to take care of yourself before you can take care of business.

Get to the hospital and get yourself better.

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


belleenstein
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Date Joined Feb 2007
Total Posts : 1010
   Posted 10/22/2008 12:34 PM (GMT -7)   
I vote for the hospital. If your abscess isn't draining there is the possibility that it is walling itself off. That can make it very difficult for antibiotics to actually get into the area of infection. The walling off process is the body's defence mechanism to protect itself from having poisons enter the bloodstream, but the bad part is that it's hard for antibiotics to get in to the abscess. And at some point, the abscess may spill out of the walled area.I don't like the sound of you feeling shivery and weak. What's your white cell count? With an abscess there is always a danger of it becoming septic and entering the blood stream. You might need infusion antibiotics and a drain.
Belleenstein:

30+ years living with Crohn's.


Ladybugs
Regular Member


Date Joined Jan 2006
Total Posts : 158
   Posted 10/22/2008 1:24 PM (GMT -7)   
I second what Beethoven's Wife said.  Same thing happened to me.  I had a horrible abscess, the doctor started me on Flagyl and after a few days it didn't help.  He did a CT of the pelvis and found that the abscess had fistulized and was a giant horseshoe shape.  There was no way that antibiotics would clear it up.  He admitted me to the hospital that day, the surgeon drained the abscess and put in a seton drain.  If not for the seton drain, the space created by the abcess would just keep abcessing over and over again.  I know it is seriously painful.  I could not walk, couldn't sit, stand, really anything except lie on my side for a good week.
 
I think you should call your doctor and get something done.  I'm sorry you're in this position.  Feel better soon
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