My doctors told me that fistula can snake around all over and even branch repeatedly (shudder!!). My abscess was on one side of the perineum but the fistula empties out on the other side. Go figure. I think they have a mind of their own! My setons are red and is quite the fashion statement (not that anyone sees them!). One of my surgeon said to consider them an extreme type of body piercing!
I suggest you but in a call to your surgeon about the pain. My doctors said to call if I had any questions or concerns and I certainly took him up on it! I also spoke to his nurse, who was very knowledgeable and helpful. Did your surgeon really open up the abscess? Or is it a small whole? My surgeon made large incisons for my first two abscesses (opened them up and scaped them out). My third abscess was small, so my surgeon just made a small hole. Well, two weeks later I was back in the OR because the outside of the small hole had sealed before the inside abscess cavity could heal -- so it was abscessing again! I am wondering if this is happening to you. Better safe that sorry -- give your doctor a call (or the surgeon on call).
Let us know how you are doing!
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.