Synchronous flare and perianal abscess

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tap
Regular Member


Date Joined May 2008
Total Posts : 472
   Posted 10/3/2009 6:30 PM (GMT -7)   
After being in remission for the summer, last week my body decided to have a perianal abscess and start a flare on the same morning. Is this synchronous occurrence something that would happen to someone with Crohn's disease?

I was diagnosed with UC eleven years ago and this past May my body decided to have its first ever perianal abscess. My body kept healing over so I had to be cut open three times in total (along with lots of antibiotics) before things got back to normal.
44 - male
Flaxseed (2 tablespoons ground) - once per day; Vitamin D3 - 5000 IU once per day; Culturelle probiotic;
Asacol - 2 400mg pills 3 times per day
Diagnosed with pancolitis in 1998


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/4/2009 12:20 PM (GMT -7)   
Unfortuantely fistulas are more common with crohn's and very rare with UC since UC is limited to the colon/rectom region but CD can affect any part of the GI tract from mouth to anus, in most cases of UCers with fistulas/perianal abcesses, the patients were misDX and had CD rather than UC....I read that only 11 cases world wide have been reported for a true UCer with a fistula/perianal abcess.


:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


tap
Regular Member


Date Joined May 2008
Total Posts : 472
   Posted 10/7/2009 6:17 PM (GMT -7)   
I had a flex sig today and my GI was very confident that it showed only UC (ulcerative proctosigmoiditis). He was very surprised that I claimed that my symptoms were minimal (some blood, little mucus, no urgency, no pain, and 3 stools a day). He wanted me to have additional treatment for the flare and I declined since I have never had such a mild flare and it seems to be going away very swiftly. He did note that he had encountered a number of patients with UC and fistulas. He suggested the blood test to check for CD (based on his information, the blood test seemed like a waste of money to me) but after he consulted with another GI he decided to go with a Small Bowel Video Capsule Study instead which I will experience next week.

My rectal surgeon said that he had never seen a UC patient with a fistula in his 15 years although he did claim to know a number of CD patients that had synchronous flare and abscess symptoms. I now have surgery planned to occur in about two weeks to determine if I have a fistula and if so then do a fistulotomy and seton. None of this sounds pleasant. I continue to read through the "Dealing with an abscess or fistula: a guide for novices" posting...
44 - male
Flaxseed (2 tablespoons ground) - once per day; Vitamin D3 - 5000 IU once per day; Culturelle probiotic;
Asacol - 2 400mg pills 3 times per day
Diagnosed with pancolitis in 1998


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/7/2009 6:39 PM (GMT -7)   
So then your flex sig showed the entire area of inflammation was inflamed with no skipped patterns/patches (healthy tissue in between inflamed)? That's general for UC, with CD there are skipped patterns of inflammation and the inflammation remains on the surface with UC, with CD it can go through the many layers of the mucosal lining...often leading to fistulas which is one reason why fistulas are more often seen with CD over UC.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


tap
Regular Member


Date Joined May 2008
Total Posts : 472
   Posted 10/7/2009 6:56 PM (GMT -7)   
That is correct; there was no healthy looking tissue until after 30cm and then it looked like a beautiful disease free colon.
44 - male
Flaxseed (2 tablespoons ground) - once per day; Vitamin D3 - 5000 IU once per day; Culturelle probiotic;
Asacol - 2 400mg pills 3 times per day
Diagnosed with pancolitis in 1998


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/7/2009 7:51 PM (GMT -7)   
Sounds like UC then...hope you find relief with all that you're dealing with.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

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