Fistula Open Wounds

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Lovely985
Regular Member


Date Joined Aug 2010
Total Posts : 365
   Posted 9/5/2010 9:49 AM (GMT -7)   
I've written once before that I had 3 fistulas and 2 abscesses in the perianal area. I'm 17 and was diagnosed with CD just last week. I have a question about the open wounds. I had surgery for the fistulas and abscesses August 9,2010 and was left with 2 open wounds on each side. The doctor put silver nitrate on both of them Sept 1st. Well since then the Left wound has been hurting alot if I'm sitting down or walking. But I looked at the wound and it's not red or swollen, it's a pinkish color,  it just hurts a lot. Is this normal or Should I be worried about infection?

exit 4
Regular Member


Date Joined Apr 2009
Total Posts : 148
   Posted 9/5/2010 10:32 AM (GMT -7)   
I had a fistula lay open op also, it will hurt for some time, but as long as there is no discharge or blood I think you are ok, in any case call your doc with any issues or q you have, doc is the only person who can tell if it;s infected or not. I wish you best luck with this, I know how much pain and discomfort it is to have it lay open, it will feel better with time, do not expect it to heal fast as a cut in the arm or leg, it will take longer.
 
 

randynoguts
Veteran Member


Date Joined Jan 2003
Total Posts : 6049
   Posted 9/6/2010 3:29 AM (GMT -7)   
well it depend.. you could have an abcess building inside. hope not, but its possible. good luck

CrazyHarry
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Date Joined Mar 2006
Total Posts : 1034
   Posted 9/6/2010 11:32 AM (GMT -7)   
i have been dealing with this problem for years. it always comes and go with the worst being in the summer time or in any hot/humid weather.

creams and suppositories and foams and enemas and antibiotics never really helped. i've spoken with several doctors and no one wants to do surgery or recommends it cos of it where it is, all saying it will probably only make things worse.

through my naturopath he has me working with a colleague of his in Arizona who has more expertise in this area. i am going through the worst bout ever with it right now (but oddly enough, other than this i am totally non-symptomatic. no abdominal pain or bleeding or any other classic sign of a flare). i was on homeopathic silica for a few weeks to facilitate draining. now i am on homeopathic calcerea sulpherica and taking garlic, turmeric and golden seal echeniechia for a possible infection, which seems to have worked as the fever/chills broke after one day of taking this. it is still early for me on this protocol and he wants to do more with me, but so far so good as i am pleased with the results thus far which is keeping me very optimistic. i think everyone should have a good naturopath/homeopath they can turn to cos imho western medicine does not have all the answers nor does it always have the best answers/techniques/approaches.

sometimes the worst pain is right before it opens and drains. perhaps seeing a colorectal surgeon and having see if anything needs to be drained may be an option worth pursuing???

Lovely985
Regular Member


Date Joined Aug 2010
Total Posts : 365
   Posted 9/6/2010 2:10 PM (GMT -7)   
@CrazyHarry: Even though the recovery has been tough it slowly gets better everyday. 10 times better than having that thing draining and hurting all the time. I would highly recommend you have surgery on it. I just wish I would've done it sooner. Since I was operated less than a month I still have some pain but nothing compared to the fistulas and abscesses.

@exit 4: Thanks, I'm not going to worry about it for now since the dr. saw the wounds 4 days ago and said nothing about an infection. Now it only hurts a bit and much more when I go to the bathroom.

Sofija3
New Member


Date Joined Sep 2010
Total Posts : 1
   Posted 9/6/2010 2:20 PM (GMT -7)   
Lovely985

I had a fistula from anus to skin and my surgeon did a small surgery on it. He said it would be open for a while, that what he did does not close it but makes it able to close. ?? Anyway, it took a few weeks for it to close. And since I have Crohn's and one my major symptoms is diarrhea all the time, I had problems with that passing thru there, which irritated it. It hurt and continued to do so until it healed. But it did heal, and it has been almost two years now and the fistula has not come back! Yay!

On the down side, I've had 4 major abdominal surgeries including a sub-total colectomy, all thru the same abdominal incision place, and a couple new fistulas decided to follow that scar/incision out to the skin and start draining. That started over a year ago, they've been with me ever since! The bottom one frequently closes and re-opens, and always just before it reopens the area gets red, swollen and very very sore. Then it blows, drains heavily, and eases off and closes again. The other hole just stays open and drains all the time.

Whenever I go to see my surgeon, he uses those silver nitrate sticks on them (says he's removing granulomous tissue) and I have to tell you, I'm about to refuse to let him anymore!! First, it hurts like crazy!! And it continues to hurt for days after he does it. It's basically burning tissue away, and like any burn, it hurts afterwards too. And whenever he does it, those fistulas both drain a bunch for weeks afterwards -- until that tissue builds up again and almost blocks them off, perhaps? I don't know if that's why, but it reinforces my wish to not let him do that again.

Oh yeah, and when I had those major surgeries and had this huge incision, my doc would also use the silver nitrate in the incision for the same reason, removing granulomous tissue so the wound could heal properly (had to heal open for a while rather than staple it closed) and that HURT too!

Anyway, I wanted to mention all that in order to say that no, it's not odd that you'd be hurting after your doc used silver nitrate. You're not alone, it happens to me every time too. I'd say, keep an eye on it all. If the skin turns red, starts looking swollen or they start spewing pus-looking/smelling stuff, indications of infection, then call. If you press on the skin around the area and it hurts like crazy, like maybe there's another abcess forming under there, call. But otherwise you did get burned so give it time to heal that. Your body will do so if it can!

Lovely985
Regular Member


Date Joined Aug 2010
Total Posts : 365
   Posted 9/6/2010 2:58 PM (GMT -7)   
Hi Thanks for all of your responses! I looked at the wounds and they've reached what some call "Clean beefy red" wound.It doesn't have any pus, or swelling on the sides. And I think that's a good sign!
@sofija3: I think the pain was from the Silver Nitrate. It burned like crazy but it's been slowly getting better. Thanks for the info on why the doctor puts the silver nitrate in the first place.

MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 9/6/2010 3:35 PM (GMT -7)   
I had an open wound for months after my fistula repair.  My surgeon said if I feel like a "shocking" pain it's the nerves and what not healing.
 
I had a Wound VAC and they would actually stuff it with a silver sponge, and turn the vac on for 2 days, so it was constant suction to help it heal and keep it clean...THEN they would have to take the sponge out to change it...worst.pain.ever!

denoli82
Regular Member


Date Joined Apr 2010
Total Posts : 35
   Posted 9/6/2010 4:40 PM (GMT -7)   
Ive had all of these problems as well and as of current I had a major surgery down there for an abscess. My GI has finally convinced me to go on Remicade to fix these abscess/fistula problems. He along with the cheif of baylor college say that if i dont go on the remy i will have incontinence problems down the road as well as more problems. Other than the abscesses Ive only had some inflammation in the inner rectal area, during which time I had recently had an abscess surgery. I really dont have any other crohns symptoms, but believe me these are more than enough....very overwhelming and painful.

CrazyHarry
Veteran Member


Date Joined Mar 2006
Total Posts : 1034
   Posted 9/6/2010 5:30 PM (GMT -7)   
i was on remicade for 6 years. began it shortly after it became available. done double doses. used it as maintenance getting it every 2 months. in this time i felt better, but my abscesses/fistulas never healed and i actually developed one from my colon to my bladder. so imho, this stuff only masks the disease for in me it did not do what it was supposed to do.

i hope that those of you that are on remicade have had or are having better results than me cos from my experience, and now being more informed of the side effects of it, it is hard for me to recommend it to anyone. be careful with biologics.
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