pretty gross, but please help me :(

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Linn
Regular Member


Date Joined Jul 2008
Total Posts : 118
   Posted 2/7/2009 8:38 AM (GMT -7)   
I am 24 years old and currently studying abroad in england. i have crohn's and haven't really had any trouble with flares. ( i use tysabri) however, a few weeks ago, i started noticing that i have some hemorrhoids (i think they are external) which I thought I would deal with using some ointment. last week, however, i developed a hard lump that shrunk when i put a hot cloth on it...so I was pretty sure it was an abscess. it's "perianal" in location. I went to a doctor here, who looked at everything and prescribed an antibiotic. The lump is shrinking without hot compresses, but it has developed an opening, almost like a zit. I feel like i'm headed down a path for disaster. what the heck is going on with me. Please help me, I am scared of having to drop out of school for a surgery and i've worked so hard to get to this point.
24-year old Crohny, dx'd at 16.
Deferred medical school till January 09 because of most recent flare

Currently take:
Tysabri
Pred 60 mg
Nifrex


LMills
Veteran Member


Date Joined Apr 2008
Total Posts : 1753
   Posted 2/7/2009 8:42 AM (GMT -7)   
Well, that DOES sound like an abscess or fistula to me. I had an area that would constantly leak pus so I just applied antibiotic ointment throughout the day and made sure to keep it clean and breathing when I could.
It isn't gross by the way. Just another aspect of the disease. Just keep an eye on it and see your doctor again if you feel it warrants further medical attention.
Mine closed up through IV antibiotics by the way. It was there during a pregnancy I had to have surgery for so they kept me on the IV with those for about a week and it hasn't been active since. Just a thought if you wanted to try something like that before having surgery.
20 years old, Diagnosed with moderate to severe Crohn's and Colitis in May of 2008.
Currently taking:
Prednisone 15 mg, pentasa 2 pills 4x a day, bentyl as needed, omeprazole in the morning, multivitamin, humira every other week, and good probiotics.
Surgery for ectopic pregnancy most likely the result of severe Crohn's inflammation in July of 2008.
Attempting a diet without refined sugars, high fat content, bleached or bromated flour, most dairy, red meat, and avoiding anything spicy like the plague. Also refuse to eat anything with trans fat or high fructose/corn syrup.
"He who has a why to live for can bear with almost any how."


snohare
Veteran Member


Date Joined Oct 2004
Total Posts : 2088
   Posted 2/7/2009 1:59 PM (GMT -7)   
I get one of those every so often. Usually what happens is, my gut is kicking off, I wash particularly thoroughly thus clearing away all the different types of harmless skin bacteria that live around the anus, and wham, suddenly I have a red (I assume ! eyes ) inflamed tender spot that grows until it feels like I am a princess sitting on a pea. ( eyes That's putting it politely of course, we wouldn't want to be explicit on this forum here now would we folks ! nono)
Usually what I do is give it a good wash with something antibacterial, to get rid of any S.Aureus or other pathogenic bacteria that have moved in to colonise the empty area, then wash and rinse with just plain water as often as I can. If the swelling doesn't disappear (which it usually does, in a few days to a couple of weeks) then it will get worse, until eventually it is ready to be burst like a zit, exuding white pus then yellow fluid and finally, a tiny amount of blood. After that happens, I repeat both steps, and it goes away. ( Hot compresses work well.)
There is one place it has kept on popping up...usually not that bad, it's just a slightly firmer spot that feels odd, sometimes a bit tender...I often wonder if it is not a harbinger of an abcess/fistula should things ever get really bad.
I can't comment on how well the antibiotics will work, personally I steer well clear of them, on the basis that anything that wipes out any of my gut flora is likely to just make things easier for the aggressive nasties to fill in the gaps; in the absence of any medications, diet and probiotics are what I use to keep my stomach from flaring too bad, and it seems to work.
eyes As you describe it so far Linn, this is far from being a serious issue at present. You have to keep an eye on it, but (dare I say it, I cannot resist the pun smilewinkgrin) don't worry, typical Crohn's, it's just a pain in the *rse ! yeah

Linn
Regular Member


Date Joined Jul 2008
Total Posts : 118
   Posted 2/7/2009 6:55 PM (GMT -7)   
i just wanted to thank you for replying. i appreciate the advice, and i'm going to stick with the hot cloths and get some neosporin going in the area.

yeah--crohn's is def just that. a pain in the butttt
24-year old Crohny, dx'd at 16.
Deferred medical school till January 09 because of most recent flare

Currently take:
Tysabri
Pred 60 mg
Nifrex


Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3110
   Posted 2/8/2009 6:15 AM (GMT -7)   
what ever you do, if your doc says you need to have something surgically done, ONLY let a colorectal surgeon do it...there are too many things that can go wrong in that area!

Lucillemom
Regular Member


Date Joined Apr 2005
Total Posts : 183
   Posted 2/9/2009 3:38 PM (GMT -7)   
I have had mine all surgically removed by my colorectal surgeon.  If they were just a basic abcess i was in and out in a couple of hours and there really wasn't in down town away from work at that time. 





Hemi and Fissure surgery that developed 2 abcess deep in my left cheek, by my rectum...(oh how fun!) Medication: Asacol 12 pills a day, Immuran 200 mg, Welchol 4 pills a day for diarhea

Pregnant for my second baby that is due Nov. 1, 2007

Thank God for my adorable daughter, who makes me smile
<FONT color=red>everyday!

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