Stomach flu and antibiotics and abscesses

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Regular Member

Date Joined Jan 2010
Total Posts : 336
   Posted 1/14/2010 3:23 PM (GMT -6)   
My GI prescribed metronidazle for my perineal abscess.
(I don't know why either. I've taken this same antibiotic 3 times. It worked the first time in August 2008, failed the second time in September 2009, and now I honestly don't expect much from it seeing as how I have an abscess and a fistula in 2010.)
about a week ago, my family and I came down with stomach flu and I puked like I've never puked before. I had no problems with the diarrhea. haha. I'm pretty sure I got rid of most, if not all, of the antibiotics. I'm still experiencing that strange taste, but it could just be in my head.
The abscess is still there. Should I start taking the antibiotics again? She told me that I'm going on Remicade, which is fine, but I'm still waiting for a referral call/appointment. In the meantime, I was supposed to take these antibiotics that are so blech.
Do abscesses/fistulas go away when you take Remicade or do they have to be removed surgically?
I had an appointment with a general surgeon at 1040am last week. I made it a month ago. That's just how long it takes. I got there at 1010 because they told me I would have to do paperwork, but I was even earlier than I needed to be. My name wasn't called to go to the treatment room until 1210! I told them that I had another appointment at 1pm that I couldn't miss and the nurse was 'like, sure!, no problem'. I spent 20 minutes sitting in the gown waiting for this punk, and then I left without rescheduling. I can't believe that this is how they run things in this stupid place! They had booked a patient for every 20 minutes, but most of the patients were in there for over an hour! It was crazy.
I don't want to do surgery. And I definitely don't want to have surgery with these morons. So I'm hoping the Remicade will do the trick for me. But in the meantime, do I still need to take these nasty antibiotics?
Diagnosed with typical Crohn's at 16.
Got lucky with Asacol for a year, then even luckier with ten years of relative remission.
Now abscesses and fistulas are having an "atypical" Crohn's party around my junk.
Remicade is coming to get me soon!

Veteran Member

Date Joined Mar 2006
Total Posts : 1169
   Posted 1/14/2010 4:08 PM (GMT -6)   
Well the anribiotics may or may not help heal the abscess, but they can sure help prevent the infection from spreading and getting worse. As for surgery, some abscesses and fistulas heal with antibiotic treatment and some do not . . . but yuo will never know unless you take them.

Veteran Member

Date Joined May 2007
Total Posts : 1220
   Posted 1/14/2010 4:46 PM (GMT -6)   
Hello Gypsyfp,

I am so sorry you have an abscess! The body walls off the infection and they are hard to get rid of without surgically opening them up, draining, and scraping out the infected stuff. I strongly recommend this be done by an expereienced colo-rectal surgeon who id expereinced with CD, rather than a general sugeon. Dealing with abscesses and fistula in CD folks is a specialty because we just don't respond or heal the way non-CD people do. I suggest you look for a colo-rectal surgeon who is associated with a teaching University hospital because they are on salary (private practice surgeons only get paid when they operate), and they tend to keep up with new advances and collaborate with other specialists because they are university faculty.

As MikeB said, antibiotics keep the infection from spreading to surounding tissue. I had a terrible time with cellulitis (skin infection) because I was first perated on by a thoughly inexpereinced general sugeons who really had no clue about abscesses and didn't put me on antibiotics. Flagyl really saved me -- and an expereienced colo-rectal surgeon!

Here are good articles about abscesses and fistulae:

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.

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