Perianal abscess

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eebs086
New Member


Date Joined Jul 2011
Total Posts : 14
   Posted 7/22/2011 3:03 AM (GMT -6)   
Hi all,

I am new to this forum, have found a lot of the post very helpful!

I had a deep 3 inch perianal abscess drained under GA about 4 weeks ago. Gosh it was horrible....anyway, ive been healing up well - was my first abscess - and I was on a course of flagyl post op.

Colorectal surgeon asked me if i had crohn's diseas and i dont...that i know of. Have never been tested but have also never exhibited any symptoms.

So now approx. 4 weeks post op my wound has healed however it has started to get a lump at the top end of where the abscess was - not actually on the hole/incision they made but a bit upwards. It is not painful at all but is a lump about the size of a small coin.

Does this mean the abscess is returning?? I am so worried about it! Or is it simply hardending/scaring?? Opinions would be great!

Aces High
Regular Member


Date Joined Aug 2010
Total Posts : 95
   Posted 7/22/2011 7:11 AM (GMT -6)   
I've had lumps in that region that were not abscesses, but I do have Crohn's. The last lump I had, I was dead sure was an abscess and it turned out to be an ulcerated fistula tract and Flagyl cleared it up in about a week. We were both so sure it was an abscess until he numbed the area and started poking it with a needle and saw that no pus came out of it (not a pleasant experience). I would call your surgeon and have him re-examine you to be on the safe side. Also, do you have any other symptoms of Crohn's disease? It wouldn't be a bad idea to get tested for that too if you do in my opinion.

nawlinscate
Veteran Member


Date Joined Jan 2007
Total Posts : 656
   Posted 7/22/2011 7:29 AM (GMT -6)   
Oh, boy. There's almost nothing less fun than a perianal abscess--and the draining and healing process. Ugh! I've had one of those, and only one, and the colorectal surgeon insisted that it wasn't a result of my Crohn's (which I have, but have never had in that area) and that he's had lots of patients without Crohn's who've shown up with a perianal abscess. When he inspected the area a couple of weeks after surgery, he told me that I now had a fistula and would require outpatient surgery (under general anaesthesia) to close it up. That was also no fun--but since then (early 2004), I've never had another abscess or fistula.

So Aces High's advice is perfect. Go back to the doctor (and believe me, I know you don't want to!) and have him take a look at the lump and figure out what the problem is. It may be nothing--but it may also be something, and something correctable. In the meantime, take plenty of warm baths to soothe the area, while you're waiting to see the doctor. And try not to get too stressed out, since there isn't much else you can do at this point. It is what it is.

IamCurious
Veteran Member


Date Joined Jan 2010
Total Posts : 2300
   Posted 7/22/2011 7:29 AM (GMT -6)   
I had a perianal abscess at the height of my last flare. Flagyl ended it and I took probiotics to help ensure that it would not return. Here is my story that was posted on a previous thread:

During my last flare I was one sick puppy. Drenching night sweats, skin lesions on my arms and legs, eye inflammation, bloody diarrhea 20 times a day. I lost 5 pounds a week for 50 lbs. Crippling arthritis where I could barely climb stairs or make a fist. To cap it off I developed an abscess.

The doctor prescribed a 3 week course of Flagyl for the abscess and that jump-started me into remission. Immediately my diarrhea ended, skin lesions disappeared, my eyes went back to normal and all my arthritis disappeared. So I have no trouble believing that your combo antibiotic treatment is effective.

While I was on the Flagyl I took a probiotic yeast called saccharomyces boulardii which is immune to antibiotics. I did not want to leave any room in my gut for the bad guys like C Diff or anything else to take over again as the bacteria were dying off. When the Flagyl ended I took a diverse set of probiotics including VSL#3DS every day to maintain my remission.

Monitoring my diet and taking supplements like psyllium seed with probiotics seems to work for maintaining remission but I don’t know if I could have escaped my flare so quickly without taking the antibiotics.

Male/59 DX ulcerative colitis Feb08, possible Crohn's colitis DX Mar10.
No Meds, allergic to Mesalamine. Remission since Mar10. Psyllium seed mixed with VSL3 especially helpful. Food journal instead of SCD.

Multivitamin, extra D3, K2, high gamma E, probiotics, fish oil, glutamine, magnesium, phos choline, resveratrol, S. Boulardii, boswellia, curcumin. Watch gluten, lots of fruit & vegetables (but no plums or kale), no soda, no HFCS, no trans fat, tea instead of coffee, no shellfish, few processed foods, no carrageenan.
Nature created all of the locks, therefore Nature has all of the keys

eebs086
New Member


Date Joined Jul 2011
Total Posts : 14
   Posted 7/22/2011 6:05 PM (GMT -6)   
Thanks so much everyone for your responses! Have been most helpful!

I have been in a state of stress/panic the past 12 hrs but I know there's nothing I can do about it right now as such. I have an appointment booked in with my colorectal surgeon this Friday (about 1 week away) but Im going to try and see if I can get in earlier. For my own sanity / de-stressing purposes.

This forum is amazing, I have told a few close friends about what has happened to me and the looks on their faces are pricesless, their jaws drop because I've never heard of anything like this before and neither have they!

I have had 'butt' issues my whole life...I've suffered from constipation since I was a child and started getting anal fissures around 2 yrs ago. My surgeon and I believe the anal fissure is what likely caused the abscess.

I dont really know anything about Crohn's so this is something I will discuss with my GP/ Surgeon, too. It may be a good idea for me to get tested for it just to cover all bases.

Would I know if I had a fistula? I have read about them but still wouldnt be able to tell if I had one.

My abscess healed up brilliantly. It was oozing puss, green and yellow stuff yuuucckkk for about 10 days and I was having sitz baths 3 times a day for a week. But the incision has now healed up and there is no oozing and no pain, just a scar and now a lump about 2cm from the incision site.

Aces High
Regular Member


Date Joined Aug 2010
Total Posts : 95
   Posted 7/22/2011 6:56 PM (GMT -6)   
An obvious way you can tell you have a fistula is if you're continually getting drainage (could be pus, or just watery stool or both) coming out down there. But that's if you DON"T have an abscess, so you would know the drainage is coming from the fistula and not the abscess(well maybe...I guess you could have an abscess deep inside of you that's draining out through the fistula tract? Now I've confused myself lol). Frequently when abscesses are cut and drained they will form fistulas. A lot of surgeons won't touch a patient with Crohn's disease that has a fistula because there are many complications to surgery to correcting it. My surgeon refused to do anything about mine at first, but last time I saw him he was somewhat open to trying a seton if my fistula keeps being an issue.

eebs086
New Member


Date Joined Jul 2011
Total Posts : 14
   Posted 7/23/2011 12:56 AM (GMT -6)   
Thanks Aces High for your response. I haven't had continual drainage and nothing is that different to before, well not that im aware of.

Im hoping I dont have a fistula, it sounds horrible I really feel for you having had to go thru/live with that! Also hoping that I dont have another abscess forming - it is in the exact same spot where I had the abscess drained eeek!!

It just feels weird and Im going with my gut feeling. I really do hope it is just a lump of some sort that is either a) nothing to worry about or b) can be fixed with antibiotics. The past few days I have had tingly, itchy feeling down there so here's hoping it's NOT an abscess.

Going to try and get in with my surgeon early this week or on Friday at the latest!

Has anyone else had an abscess come up in the same place after it has been drained? Is that a common thing, or no?

sweetskye
New Member


Date Joined Jul 2011
Total Posts : 2
   Posted 7/23/2011 8:44 AM (GMT -6)   
Hey,
 
I don't want to alarm you, but the only reason I was diagnosed with Crohn's is because I had a perianal abscess. They took a few pieces for a biopsy and then diagnosed me with that in 2003.
 
All that aside... I am unfortunately all too familiar with abscesses and fistulae as I have that type of Crohn's. I am not going to say it's nothing, because it could possibly be a new one forming. I have had both cases: one, where I had a lump of skin grow above the healed up abscess and it was just a piece of scar tissue; two, where I had a new one grow slowly right on top of the other. I highly recommend you get it checked out as scar tissue feels very similar to a pocket of skin filling up with pus. I also recommend you have a biopsy done in order to make sure you don't have any bowel diseases.
 
Good luck!

sandwichgirl
New Member


Date Joined Jul 2011
Total Posts : 1
   Posted 7/23/2011 3:45 PM (GMT -6)   
I was diagnosed with crohns last December, at age 74!
In j
Feb, started an abcess,turned into multiple abcess/fistulae. Surgery on fistulae and setons inserted. LOTS of perrianal pain. Yesterday first remicade infusion. Has remi worked for any of you?
Oh, and I have an ileostomy.

eebs086
New Member


Date Joined Jul 2011
Total Posts : 14
   Posted 7/24/2011 4:55 AM (GMT -6)   
I am not sure whether it's a new abscess forming or whether it is just scar tissue. ?!????

I have had hardness down there since I had the abscess drained - i.e. it was still hard around the area/abscess area even when I had a hole in my butt cheek where it was draining.

That hole is now healed over/is no longer an open wound.

Im not really experiencing any pain or discomfort when sitting so im hoping its nothing...

This has been the longest weekend ever! I can't call my surgeon's office until Monday morning. Couldnt come any sooner!! :)

I am going to discuss crohn's with him and see if I can be tested for it. I haven't tried any meds as yet. I've been on Flagyl and that seemed to work well for me as an antibiotic but I understand it wont heal / get rid of an abscess alone.

eebs086
New Member


Date Joined Jul 2011
Total Posts : 14
   Posted 7/26/2011 9:13 PM (GMT -6)   
Just an update...still havent seen my surgeon yet. It's Wednesday and Im seeing him on Friday morning. However, there has been some changes....that thing that was developing where my first abscess was...MUST have been another abscess because, much to my horror, it popped on it's own yesterday - YUCK!

I was at work and about to get changed for the gym and noticed a tingly, wet sort of feeling and low and behold, pus galore...Ewwww!

So now the pressure is relieved and I have no pain, but it burst an opening on the scar where the surgeon made the incision, which had healed over. So now I have a tiny hole there that is pretty much just oozing a teeny tiny bit of pus and some bright red blood - not even a teaspoon full worth of it today.

I had another prescription left over from my flagyl so I have filled that and am taking flagyl for now, at least see what my surgeon says on Friday about that......

Does this mean I now have a fistula??? confused Or is it just a recurring abscess???

I know I'll get answers on Friday from surgeon but daaaaamn, what a rollercoaster ride?!?! Crazy!!!

SE1010
New Member


Date Joined Jan 2012
Total Posts : 1
   Posted 1/13/2012 12:51 PM (GMT -6)   
Hi, I hope u r well. I also diagnosed Perianal Abscess 3 weeks back. Got surgery done and now healing the deep incision. However observed a small pus opening on other hip just opposite to previous one where I am healing. I have my wound covered all the time, still can it reoccur at other place. I am meeting my surgeon tomorrow.

Please pray for me.

Tommy13
Regular Member


Date Joined Jun 2011
Total Posts : 82
   Posted 1/14/2012 1:30 AM (GMT -6)   
Perianal abcess aven drained correctly turn often in fistula, wich cipro and flagyl can't overcome (Worked well for me)
It sometime get a bit itchy of uncomfortable, but I guess it is normal since tissue there have been really touched by that.
Hope it's nothing bad ! :)

Uniquely me
New Member


Date Joined Jan 2012
Total Posts : 14
   Posted 1/14/2012 8:28 AM (GMT -6)   
Can someone tell me what a seton is?
I had a perianal abscess drained almost 3 years ago, the abscess was as big as the surgeons fist. It is still not completely healed as I have a small area at the end of the incision(which is now a scar) that will not heal. It will fill up like a small ball and then relieve itself every 2 weeks or so. The last time it was about a month and I thought, it finally healed but it didn't. My surgeon has been wanting me to consider surgery but I'm scared to make the situation worse. He also told me if it doesn't heal, there is a greater chance of cancer.
Any advice?

AtGreatPainS
New Member


Date Joined Mar 2012
Total Posts : 2
   Posted 3/13/2012 4:36 PM (GMT -6)   
hey new to this site and not sure where to post this...just desperate for help!!! I have a back injury T10-T11-T12 disks were compressed,which feels like broken ribs.While working with this injury,I have to wear a back support belt.a 6 inch wide belt around my injured disk.now while working i can feel a pressure building in my anus...like a headache down there.if i continue to work,i can feel pressure on my back that shoots right down my back to my anus.eventually that swelling in my anus breaks down and ive developed 2 perianal absesses in the past two years...which ive had surgery for,the last one 3 weeks ago.my problem is  i need to find others that suffer from this condition....the disk in my back and perianal absess...caused from staining.does anyone here have back problems?and have developed absesses.it sounds crazy but ive tested this  and been threw 20 years of pain , and everytime i stain my back i develop anal absesses. just having surgery less than 3 weeks ago,my Dr has cleared me to go back to work,in a dirty enviroment.with an open wound in my butt.and i wont be recieving any sort of benefits for my time off work....desperate for answers... thanks :)

sick_in_sing
New Member


Date Joined Jul 2012
Total Posts : 1
   Posted 7/24/2012 2:25 AM (GMT -6)   

Hi all,

Until 2 months ago, I didn't even know what a perianal abscess was and there were people suffering from this infection. But then 2 months ago, I had a severe case of food poisoning which led to diarrhea which then led to a perianal abscess after 2 weeks. It started on a tuesday and by saturday night, I was in much pain. Finally decided to go to ER on saturday itself and got operated upon during the wee hours of sunday morning. I was under general anesthesia but when I woke up, I didn't feel any pain. However, the next 2-3 weeks were quite tough.

I got hospitalization leave from work for 2 weeks and I visited my GP who cleaned my open wound, put a bandage inside and then covered it with tape. This went on everyday for 14 days. First few times were really painful but I am glad I held on. Going to the bathroom was quite uncomfortable and I was getting sick and tired of seeing pus on the bandages. Some mornings were really bad pyschologically but I just kept telling myself that atleast I am recovering physically with each passing day. After 2 weeks, I went back to work and it was tough sitting on a chair for so many hours but I hung in there. However, I continued going to my GP every other day as pyschologically if he put a fresh bandage on the wound, I felt I was healing. After the 3rd week, I'd rush home from work and would put some medicinal alcohol on a bandage and clean that area because I felt sticky around my wound. It would burn but mentally I thought that I was healing somehow.

It has been over 6 weeks now and just this week I am starting to feel that the wound has almost closed. It went from a 1-2 inch hole to filling up to very thin layer of skin to almost a boil (which was leaking pus) to a boil with not leaking pus to now just a tiny bump (still there).

The reason I'd like to share my story here is because while I was going through this ordeal, I read a lot of posts on the internet. Some from this website and some from other websites. Some posts were helpful but some were really scary. I know my case wasn't the worst case but it did take an emotional toll on me and that's what I'd like to share with other people/sufferers: Don't get too scared with your abscess surgery. However slow, however painful, you will recover. Have faith in medicine, have faith in your doctors/nurses, have faith in yourself and have faith in your body. Eat well (I was suggested boiled egg whites by my Dr. which I ate like a medicine). I also ate a lot of apples, oranges and green leafy veggies and drank lots of water to have regular motion in the mornings.  Take plenty of rest and let the body heal itself. You are not alone in this and all of us have gone through this and with time, you will also heal.

 have a colleague who just had an abscess develop on his right eye. It looked bad for 2 days but when I saw him after this weekend, he was already recovering...so body does have a way to combat all these diseases so just have faith and hope, it will keep you happy and aid faster healing (I also watched a lot of movies...e.g. Groundhog day, Rio, Tin Tin etc.) to keep my mind occupied and away from the disease !!!

I wish everyone good luck and hope you recover soon !! 

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