Fistula issues... again

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Veteran Member

Date Joined Aug 2007
Total Posts : 1202
   Posted 3/5/2009 9:11 PM (GMT -6)   
Hi everyone, it's been a while since I've actively posted.  I am worried now that my fistula is abcessing again.  I had to remove the seton a year and a half ago for the Prochymal trial.  It's stayed open and drainging the whole time.  (Of course I wish it would close, but only if it closes on the inside first!)
Lately I've been having more pain, low-grade temps (up to 100 but mostly 99.5-ish) and terrible night sweats all over again.  It finally dawned on me that I was no longer draining...
I am starting Xifaxan today.  I also started Cimzia 3 weeks ago.  Hard to tell how responsive I've been to Cimzia considering all of the above, but I think "regular" symptoms are getting a little better. 
My fear is how long do I have to hope the Cimzia and Xifaxan kick in before the fistula creates a new tract?  It's so close to the vaginal opening I am terrified of an a-v issue.  It's re-routed once before.  I am wondering if I am better off to get in and get it lanced immediately or give the other meds a week to help.
Of course I will call my surgeon.  I have an appt with my GI but it's 2 weeks from now.
--40 year old female, dx as UC in '04 (1st symptoms in '03), switched to Crohn's in '05, 1 fistula, crohn's colitis, limited to large intestine  --rejected (reaction/didn't work): Asacol, AZA, 6-MP, MTX, Remicade, Humira, prednisone
--Prochymal in Phase III study (can't wait til it's approved!)
--started Tysabri 3/21/08 => STOPPED 10/3/08 - now 2 months into it & it was the right decision
--currently taking budesonide suppositories, 3mg at night.  SLIPPING big time.  Started Cimzia first dose 2/10/09.  Dx Osteoporosis 10/08 started Forteo 1/27/09
--single mom to 11-yr-old girl

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