how long for abscess to pop

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enixie
Regular Member


Date Joined Oct 2010
Total Posts : 34
   Posted 11/8/2010 8:17 AM (GMT -6)   
Husband has had abscess for two weeks now.  He is on antibiotics for it and doc expects it will pop on it's own since it pussed a little upon his last examination a week ago, but we are thinking otherwise.  Husband said that abscess is becoming painful again after a week with no pain.
 
How long did it take for your abscesses to pop? 
 
At this point, we're thining of asking for surgical intervention even though the doc wants to wait a little longer.
Wife of newly diagnosed Crohnie

DX May '10 - Severe Crohn's of terminal ileum - with fistula, perforation, abcess, and partial obstruction. Ended in resection (June '10).

Nov '10 - Perianal abscess and suspected fistula. I guess that means he's out of remission. :(

Current meds - Asacol, Flagyl + another antibiotic. Desperately waiting to start remicade once his abscess heals.

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 11/8/2010 8:53 AM (GMT -6)   
Antibiotics will not help an abscess. It is a sealed off area of infection. Waiting is very dangerous. If it breaks internally, you are at risk for sepsis and death. Is it the gi that wants to wait? When I have an abscess (and I've had about 10 of them) I call my surgeon not my gi. My gi can do nothing for me when I have an abscess. The abscess needs to be surgically drained asap. For it to be properly drained, the surgeon will take you in the operation room, locate the abscess, drain it, clean out the inside of it and then leave it open to heal from the inside out. My surgeon then inserts dye into the opeing and then looks in the rectum with an anoscope to see if there is an internal connection which would mean a fistula. If he finds a fistula he inserts a seton. It is an outpatient procedure.

Also, it says in your signature that you are waiting to start remicade because of the abscess. You can have remicade when you have an abscess. An abscess is part of the disease and isn't considered an infection that would stop you from getting remicade. He is definitely out of remission and needs to start remicade asap because of the abscess and suspected fistula. There is definitely active rectal crohns going on. Please don't wait for the abscess to pop on its own.

enixie
Regular Member


Date Joined Oct 2010
Total Posts : 34
   Posted 11/8/2010 10:59 AM (GMT -6)   
Thank you chroniemom for your wealth of information and experience.
 
I always thought antibiotics then draining was the standard protocol.  If antibiotics never work, then why do so many doctors prescibe them as the first course of treatment.
 
Husband doesn't have a standard surgeon yet so that's why we're going through the GI.  He is a great doctor but I guess doesn't know everything.
 
 
Wife of newly diagnosed Crohnie

DX May '10 - Severe Crohn's of terminal ileum - with fistula, perforation, abcess, and partial obstruction. Ended in resection (June '10).

Nov '10 - Perianal abscess and suspected fistula. I guess that means he's out of remission. :(

Current meds - Asacol, Flagyl + another antibiotic. Desperately waiting to start remicade once his abscess heals.

MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 11/8/2010 11:03 AM (GMT -6)   
I don't think you're supposed to let an abscess pop on it's own.  If it starts draining or pops on the inside your husband could die. And I agree with the poster that said antibiotics will not help an abscess.
 
When I had mine it was on my stomach (it eventually turned into a fistula because it wasn't drained soon enough).  Anyways, I waited too long  to call my doctor, so when I got his on-call nurse she told me to come on in to the ER.  I went, they did xrays of it to see how big it was.  I was told they were going to make a small cut and place a tube to drain it and that it was easy peasy.... well I was waiting in the hall to get taken back into my room and  it popped.  I yelled for a nurse and it was like a scene from "Trauma life in the ER"  I was rushed to my room, basically cut open while I was wide awake, and they cleaned it out....that HURTS.  Then I had to be admitted for 4 days to make sure I didn't have an infection, plus then I needed an wound VAC (not fun) because the wound was so big, they didn't close it up incase of another infection happening.  It took about 4 months for it to actually heal.
 
I think you should go with your gut feeling and get a surgeon to take care of it.

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 11/8/2010 12:47 PM (GMT -6)   
My surgeon never prescribes antibiotics for abscesses. He will AFTER it has been surgically drained. He definitely needs to find a very good colo rectal surgeon fast....because you don't want an emergency situation happen and then you are stuck with whoever is on call at the time.

asc58
Regular Member


Date Joined Jun 2006
Total Posts : 82
   Posted 11/8/2010 1:19 PM (GMT -6)   

You must have it surgically drained. I too have been through many of these. My GI advised me they have to be drained and cleaned out.  Don't waste time, get to a surgeon.

Steve


enixie
Regular Member


Date Joined Oct 2010
Total Posts : 34
   Posted 11/8/2010 1:38 PM (GMT -6)   
Done and done.  Talked to GI doc, he called surgeon, surgeon will called me... he goes in for a appt tomorrow and surgery is hopefully the next day.

enixie
Regular Member


Date Joined Oct 2010
Total Posts : 34
   Posted 11/8/2010 1:47 PM (GMT -6)   
Mag... how long did you wait?? Please tell me it was longer than two weeks....
Wife of newly diagnosed Crohnie

DX May '10 - Severe Crohn's of terminal ileum - with fistula, perforation, abcess, and partial obstruction. Ended in resection (June '10).

Nov '10 - Perianal abscess and suspected fistula. I guess that means he's out of remission. :(

Current meds - Asacol, Flagyl + another antibiotic. Desperately waiting to start remicade once his abscess heals.

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 11/8/2010 2:09 PM (GMT -6)   
So glad that you have an appt.! Please don't worry...no one was trying to scare you...we were trying to make you aware about how important it is that you get it drained asap. If he spikes a fever or has chills or shaking or rapid heartbeat...these are some of the signs of sepsis and he will need to go to the er immediately.

My first one went undetected for about a month and was the size of my surgeon's fist....mine was very deep and was not visible from the outside of the body. Once you have one, you know the pain and what is going on so you can catch them early.

So hang in there and let us know how the apt. goes.

MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 11/8/2010 2:42 PM (GMT -6)   
It was about then.  At first I didn't even know what was happening.  I just had a fever, and a spot on my stomach was real warm.  It took about a week for it to get really sore and red, that's when I ended up going to the ER.  Everyone is different though, the important thing is to get it taken care of asap.

Becktoria
Regular Member


Date Joined Oct 2010
Total Posts : 321
   Posted 11/8/2010 10:04 PM (GMT -6)   
My absess was in my rectum and I was in hospital at the time... they were gonna do surgery once I was well enough and it actually popped while I was in ICU. I had mine a couple weeks at the time and it did pop, but I still had to have surgery to get it cleaned out. Glad to see you have an appt booked. Best of luck to your hubbie

B
DX with Crohns in 1998 at age 20
Experienced severe weight loss, anemia, stroke, clotting, seizures, internal bleeding, fissures & an abcess requiring surgery in 1998
Started 75mg Imuran shortly after DX (+ vits) & still on it today(now 150mg), then I was in remission for almost 12 years(until this year)!

NOW: starting to feel better:) tapering pred. (at 25mg), on Imuran & Humira(Oct 18/10)

enixie
Regular Member


Date Joined Oct 2010
Total Posts : 34
   Posted 11/10/2010 8:57 AM (GMT -6)   

Hubs saw the doc and he drained the abscess right then and there!  YAY!

 

He goes in next friday to get a a closer look and a possible fistulotomy.

 

Are those scary?


T-Missouri
Regular Member


Date Joined Jun 2010
Total Posts : 27
   Posted 11/10/2010 12:23 PM (GMT -6)   
What does an abscess feel like?
 
I just got this thing that is sometimes hard and then sometimes is not. When it is hard it kinda feels like it is in the shape of an egg. I had it once before but it just shunk down to almost nothing but just came back a few days ago. I started my period this week so I didn't know if it came because of that. I haven't told my dr yet, should I be concerned? I have an appt with him in a few weeks I guess I just figured it would go away like the last time.
 
I will ask him at my next appt but wondering if I need to call now...this post kinda scared me.
 
 

littlemissmuffet
Regular Member


Date Joined Feb 2009
Total Posts : 268
   Posted 11/10/2010 1:36 PM (GMT -6)   
I have an abscess in my sigmoid bowel. I have no lump or hot spots. It is though I have had the abscess for some time (as in months) it is in one of my diverticular pouches. I have crohns and had been on infliximab (remicade). My crohns is under control but I cannot go back on the infliximab as this reduces my immune system andcan maken the abcess worse . I have had two weeks of antibiotics 1000mg per day, and it has deffo shrunk, I can go to the loo ok now and have much less pain. My stools often have red blood in them, I have some mild pain, but feel run down and lousy all of the time. I am due to see a surgeon tomorrow.

I am quite suprised that I continue to be able to go to work with only the odd sick day







My partner has UC & Crohns

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 11/10/2010 4:12 PM (GMT -6)   
T-Missouri...yours sounds more like a fistula to me. I've never had an abscess come and go. But I have had some fistulas that have lurked and then disappeared. I would definitely call. Any change like that warrants a call to your dr.

Austin43
New Member


Date Joined Dec 2011
Total Posts : 1
   Posted 12/26/2011 11:43 AM (GMT -6)   
Hi
Just thought I would tell the forum about my abscess which started out as a small zit three inches left of my belly botton. This small pimple was there for about 5-6 years and I have no skin conditions and no allergies..then for some reason last monday morning it grew to about 1-2 inches and red with pain.

My GP gave me antibiotics Flucloxallin and after 5 days I called into my local hospital beacause of the pain and was told to go home and keep taking the tablets until finished.

Today a full week had passed and this thing was the size of a golf ball in my stomach and the pain was worse still red with a peak on it and i was taking ibuprofen for the pain.

So I drove to the major hospital here in Belfast and within 1 hour it was surgically drained which made my toes curl but what a relief, I still need to keep it clean and now on Augmentim.

The doctor at the hopital said it was an abscess and a cyst behind it so it looks like Im not out of the woods yet.

If anyone has had this before please blogg.

Tommy13
Regular Member


Date Joined Jun 2011
Total Posts : 82
   Posted 12/26/2011 8:36 PM (GMT -6)   
Mine took one week to ''pop'' after I first started to feel it. But I had surgery the same day to get it drain. You have to drain it, antibiotics alone isn't enough.
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