Abcess and resection- advise please

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tall girl
Regular Member

Date Joined Apr 2009
Total Posts : 68
   Posted 5/28/2009 7:46 PM (GMT -6)   
My GI found an abcess in my terminal iliem. He wants me to have a resection asap. First- Is there anything I need to do different b/c of the abcess? Can I go to the gym normally? Eat normally? (crohn's normal anyways) Any advise. I am on Flagyl and Cipro as of 3 hours ago as well. How long till I can return to work after the resection? How long till I can eat solid foods again? Anything else I may need to know about the surgery or the after care? Thanks for any advise or suggestions. (sorry for the spelling- I know I'm terrible)
25/ Female DXed Crohn's 1/09
Many diet restictions

Entecort, Tramadol (for pain), Zantac, Fish Oil, Probiotics
just stopped Pentasa after 1 month

Still confused and sometimes angry/frustrated

However I am learning to laugh at all this more often

Veteran Member

Date Joined Mar 2007
Total Posts : 1466
   Posted 5/28/2009 7:58 PM (GMT -6)   

Hi tall girl,

Not sure if I can help you, but my daughter had an abscess at her TI as well last December. The treatment laid out was to have a CT guided drain, and a drain line left in for about a week. Then Flagyl followed for about a month. She has regular follow-ups as there is still a small fistula there. She will be having an SBFT in about a month to see the state of things. I'm no expert, but I would inquire about other treatment options before resorting to resection. Good Luck with it.




My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Has used Prednisone and Pentasa. Started Imuran (02/09), had an abdominal abscess (12/08). 2cm of Stricture.

Regular Member

Date Joined Feb 2008
Total Posts : 314
   Posted 5/28/2009 8:25 PM (GMT -6)   
You should be eating solid foods, after only 2 days maybe 3. As soon as you start passing gas, they'll give you clear liquids, then go a little higher, then something like a low residue diet, which is solid food, just easier to digest food. You might be in the hospital I'd say on average 4 days after your surgeries, maybe a little more, and i've even heard less. I have never had an internal abcess like that, but I have had many resections and abcess elsewhere.

Returning to work all depends on what your job is. if its a desk job, maybe as soon as a week. so a day or two after getting out of the hospital, because you will need rest when leaving the hospital trust me, you wont get much in the hospital. in the meantime you should still be able to excercise, i just wouldnt be doing any heavy lifting with free weights per se, you might be proned to a hernia more easily because of the abcess. Now after the surgery you will want to wait weeks before going back to the gym though, you'll have to fgradually work your way back to where you were prior, but if your in pain now then you'll be glad you did it when its all over.

Veteran Member

Date Joined Dec 2005
Total Posts : 1768
   Posted 5/28/2009 8:35 PM (GMT -6)   

Just wanted to let you know that the reason I had my first resection was because of an abcess and inflammation at my terminal ileum. I was able to eat solids about 5 days after surgery, and was back to school after 3 weeks.

Let us know how things go! I hope you're feeling much better soon!

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 5/29/2009 9:22 AM (GMT -6)   
If the surgery is done via laprascope you will only be in the hospital for about 4 days and out of work about 4 weeks. As for food it is like Crohnspatient said. They will start you with liquid diet then slowly work you up to a low residue diet.

Now I have had two full open resections and I was in the hospital 10 days each time. I was in there longer because I had infections in my incision both times. I was also out of work for 8 weeks. And I have a desk job!

So as you can see it really depends on your surgery how long you will be in the hospital and at home. Remember either way, laproscope or open surgery, its still considered major surgery, and you need to get the proper rest afterwards, so don't rush yourself back to work. Good luck and I hope your surgery brings you to a long long remission.

Gail *Nanners*
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*
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