Need some abscess advice asap!

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yellowfin43
Regular Member


Date Joined Aug 2008
Total Posts : 305
   Posted 5/31/2009 11:32 AM (GMT -7)   
I had an abdominal abscess drained about 3 weeks ago and I still have a drainage tube in. Yesterday it was hurting as if the muscle around it was sore. Today it was itching at the site and I noticed the bandage was damp. I looked under the bandage and it is leaking around where the tube is coming out of the skin. It seems to be draining normally but Im wondering if I might have pulled the tube out or something> It's Sunday so there really isnt anyone I can call. Anyone have any experience with this???
Crohns 30 years. Ileostomy for 15 years. Symptom free for 14 years until 8 months ago. Now on Remicade, B-12 injections and iron. Feeling much better!
God Bless. Tony


73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1497
   Posted 5/31/2009 3:05 PM (GMT -7)   
First of all, I'm no expert here. 3 weeks does sound long to have the drain in. Do you still get any discharge coming out of the line? Have you had it flushed regularly? I can't speculate on what is coming out around the line. Perhaps a bit of infection there. Are you on any antibiotics? From what I understand, Remicade is suppose to heal up what's left of the abscess quite well. 
 
Tom.
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.


yellowfin43
Regular Member


Date Joined Aug 2008
Total Posts : 305
   Posted 5/31/2009 3:09 PM (GMT -7)   
Ive been on Remicade for 10 months and just got the abscess last month. Im not currently taking any antibotics and Im wondering why not. There is still a discharge from the abscess. I just called the hospital this afternoon. The doctor that did the procedure will see me tomorrow.
Crohns 30 years. Ileostomy for 15 years. Symptom free for 14 years until 8 months ago. Now on Remicade, B-12 injections and iron. Feeling much better!
God Bless. Tony


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 5/31/2009 3:32 PM (GMT -7)   
Good luck, Tony.
Co-Moderator Crohn's Forum.

New meds thread


sr5599
Veteran Member


Date Joined Aug 2007
Total Posts : 1202
   Posted 5/31/2009 6:09 PM (GMT -7)   
I had my seton in 2.5 weeks ago. I think it's doing fine, but last night I did have itching around the incision site. I cleaned it really well and used neosporin on it. Today it's not really bugging me.

Glad you hear you got in tomorrow to see the surgeon. That will be good to know if it's just a part of the process or something that's gone awry.
--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, Tysabri
--Prochymal in Phase III study (can't wait til it's approved!)
--currently taking methylprednisolone 40mg-taper.  Started Cimzia first dose 2/10/09.  Dx Osteoporosis 10/08 started Forteo 1/27/09


chroniemomx2
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Date Joined Apr 2005
Total Posts : 2346
   Posted 5/31/2009 6:24 PM (GMT -7)   

What kind of drainage tube do you have in?  Is it from a ct guided drainage?

My guess would be that maybe a fistula has formed to the outside now, and that is why you have drainage coming out by the tube.  It happens in 50% of all abscess drainages.


yellowfin43
Regular Member


Date Joined Aug 2008
Total Posts : 305
   Posted 6/1/2009 4:39 AM (GMT -7)   
sr5599, I dont know what a seton is. I even tried to google it to no avail.

crohniemom2, Im not sure what "kind" of tube it is. Its just a narrow plastic tube with whats called a "grenade> at the end. Thats a plastic ball that helps suction out and collext drainage.
Crohns 30 years. Ileostomy for 15 years. Symptom free for 14 years until 8 months ago. Now on Remicade, B-12 injections and iron. Feeling much better!
God Bless. Tony


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 6/1/2009 2:29 PM (GMT -7)   
Hi Yellowfin43,

Try googling "fistula seton". You will get more information than you care to know!

Take care.
Diagnosed with Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 6/1/2009 4:19 PM (GMT -7)   

Hi Yellowfin,

 

I currently have a drainage tube like yours in (but mine is in my butt) – over here in Aus they refer to them as ‘mushroom drains’ because the part at the top pops open like a mushroom to keep it in. mine has been in since the 20th May – I had my check up yesterday and the surgeon told me it will be coming out this next Thursday.

 

I have had drainage coming out both from the tube and from the area around it – which was originally an abscess and resulted in a fistula. I also have a seton in (which was originally put in to drain the abscess, this mushroom drain was inserted after it was discovered the setons weren’t draining it adequately).

 

The setons are quite painless after the initial recovery time (which for me was a month or so). This drain is a real pain because I have to sit on it at my job and it is stitched in, but I am grateful it seems to be doing its job.

 

I would say the drainage is probably normal unless it is hurting a lot too, which would indicate infection. Are you on antibiotcs? I am on amoxicillin and flagyl (have been on these since November last yr when the abscess first surfaced).

 

 

Hope this info helps you somewhat! :-)   Did you see your surgeon?


yellowfin43
Regular Member


Date Joined Aug 2008
Total Posts : 305
   Posted 6/1/2009 6:43 PM (GMT -7)   
Im starting to think mine might be a fistula. After 3 weeks its still draining as much as it did from the beginning. Im certainly no stranger to fistulas either. Thats why Im thinking along those lines. I have had one on the other side of my ostomy for quite some time. I hate this darned disease!!!!!!!!!!!!!!!!!!!!!!!!!!!
Crohns 30 years. Ileostomy for 15 years. Symptom free for 14 years until 8 months ago. Now on Remicade, B-12 injections and iron. Feeling much better!
God Bless. Tony


*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 6/1/2009 6:56 PM (GMT -7)   

Oh I think we all do to some degree. Hopefully you get some answers soon. Our own bodies can be such a mystery to us and I think that’s the most frustrating thing.

 

Did you see the surgeon? Did he give you any answers?

 

Fistulas are awful things. I have a drain in at the moment but once it is out I know I will still have drainage from this fistula – something I hate to think about. But I just take it one day at a time.

 

 

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