Abscess Drainage & Healing Timeline

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farfrmnormal
Regular Member


Date Joined Oct 2009
Total Posts : 117
   Posted 10/29/2009 1:17 PM (GMT -7)   
Hi All!

I'm almost 3 weeks post op for a perirectal abscess and having a seton put in. I'm still having drainage from the abscess incision and some "hard" spots are still within a 2 inch section of the incision. The doctor did say that some of this could be from "laying" the abscess out - but I'm curious whether these hard spots are normal even after 3 weeks?

I know everyone is different - but I'd like to hear about your experiences as to how long your abscess continued to drain after surgery and how long it took for it to completely heal? I'm also curious for those who have healed do you find the area tender or sensitive at all?
- Diagnosed Nov 08' but undiagnosed for 13 years prior with no major problems
- First major flare Aug-Sep 09 - I attribute it to intolerance to meds and crappy GI
- Perianal abscess - EUA with drainage and Seton put in
- Meds: None as of yet


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 10/29/2009 2:07 PM (GMT -7)   
Hi, Please remember that the function of the seton is to allow drainage -- rather than drainage getting stuck and turning into an abscess. So it will continue to do its job, hopefully, for as long as you have it. As the fistula shrinks over time (and with meds), the drainage will go down too.

But the wound itself will stop weeping once the tissue heals. Your body is flushing out the toxic stuff from the abscess site, and getting fuid to help heal the cut tissue. My incisions have been big and they took many weeks to several months. Bottom line - it is normal to get weeping and drainage. Patience is necessary, sad to say.

The hard tissue could just be fluid in the tissue (edema) as a result of the trama of the incision -- normal. Is it hot or does it hurt? Is it spreading? If so, you could have a tissue infection (cellulitis). See your surgeon, or his/her nurse assistant quickly. I suggest if you have any questions or concerns, do not hesitate to call them! I have found the nurses to be very helpful and compassionate, and they know alot about wound healing.

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.


farfrmnormal
Regular Member


Date Joined Oct 2009
Total Posts : 117
   Posted 11/1/2009 8:10 PM (GMT -7)   
Oh I am being patient. I was just curious how long the abscess itself would drain. I'm not rushing it. I know the seton will continue to drain if there is any toxic stuff.

The hard spots are not spreading. They aren't hot or red. The nurses that I have coming in for home care are saying that its simply from the incision healing. As long as it keeps draining and the area gets smaller then my body is doing what its supposed to.
- Diagnosed Nov 08' but undiagnosed for 13 years prior with no major problems
- First major flare Aug-Sep 09 - I attribute it to intolerance to meds and crappy GI
- Perianal abscess - EUA with drainage and Seton put in
- Meds: None as of yet

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