Need info asap about abcess drainage

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Deese
New Member


Date Joined Sep 2007
Total Posts : 19
   Posted 9/26/2007 5:53 AM (GMT -7)   
Hi all...day six for my son in the hospital...he is very depressed.They are pretty sure he has an abcess.which they want to drain. i know they only give a local..does it hurt alot/? I asked them to give him something to relax him.I hope that helps take the edge off.Anyone who had this any imput would be SO aprecited.Deese

JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 9/26/2007 6:06 AM (GMT -7)   
I've had it done, and while mine was pretty painless, I'm sure it depends on where the abscess is located and the skill of the doctor placing the drain. I would ask to be present while it's done that way you can ask for more sedation if there's any problem. It should be fine though, as long as he has a local, he shouldn't feel anything internally. Good luck and let us know how it goes.

Just a question, if they aren't a 100% sure he has the abscess, how are they going to place the drain? What are they using to visualize the abscess and the procedure? Mine was so long ago, I can't remember what they used, maybe ultrasound?
Judy
49 years old, CD since I was a child.    
Six resection surgeries, permanent ostomy, adverse reactions to Remicade finally off of Prednisone, hoping for a long remission from this last surgery. 
 
 


descrapster
Regular Member


Date Joined Jun 2007
Total Posts : 155
   Posted 9/26/2007 6:14 AM (GMT -7)   
Please just make sure that they really really really sedate him! My sedation did not work and I can't tell you what it is like waking up and feeling a scalpal to your skin! Most people don't remember anything and it is pretty painless but I have heard others like me where the sedation was not much. I have to stress to my doctors that anything I have to do has to be done under general anesthesia. Please forgive me if I scare you but I can't imagine not warning people about what I went through. Please let your son know though that once the abcess is drained he will feel the largest amount of relief possible!
Descrapster
Diagnosed with CD June 15, 2007
Currently 2 Fissures and 1 Fistula...YAY! Seton Drain currently in.
8 Pentasa/day
Had to stop Flagyl because of numbness in my toes!
 


Deese
New Member


Date Joined Sep 2007
Total Posts : 19
   Posted 9/26/2007 6:54 AM (GMT -7)   
They said that they just numb the area...no general anestetic....not sur e what kind of drain...still waiting to se surgeon. I will ask if they can sedate him..he is very nervous. deese

munchkin81
Regular Member


Date Joined Jul 2007
Total Posts : 73
   Posted 9/26/2007 6:57 AM (GMT -7)   
I know it could be a different situation, but when I had my drain put in, the abscess was deep below the skin and it was so painful. They used a local, but I guess you can't numb an infection. If he isn't feeling much pain now, it probably wouldn't hurt too much, but if it is already painful and infected, it may really hurt. I'm sorry if this is the case. I just want you to be aware. Maybe there is more they can do.
Munchkin 81
26 year old female.  DX June 2007.
abscess Nov. 2006 - drain and surgery
currently taking 9mg Entocort EC and 1200mg Asacol 3xday
Aciphex 20mg 2xday  Iron, B-12, and folic acid


deeppurpleman
New Member


Date Joined May 2005
Total Posts : 19
   Posted 9/26/2007 7:14 AM (GMT -7)   
It's been a long time but I remember my abcess as being quite painful at times especiallly when they were changing dressings on it. I remember thinking it felt like a blow torch up the exhaust pipe.

gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 9/26/2007 10:08 AM (GMT -7)   
Hi Mine was a large abdominal abcess so I was totally under not sure where your son's is. lol gail

belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 9/26/2007 10:48 AM (GMT -7)   
Is the drain being inserted percutaneously (through the skin) or is it a surgical procedure. My drains have always been done percutaneously in the diagnostic imaging suite using CT guidance. It isn't a pleasant procedure, but not unbearable. I had some valium the first time and suffered painful bladder spasms afterwards (the abscess was very close to the bladder) So asked for pain meds in subsequent attempts.
Belleenstein:

30+ years living with Crohn's.


chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 9/26/2007 10:55 AM (GMT -7)   
All abscess should be drained in the operating room......my surgeon won't do them any other way. They need to open the abscess, drain it, and then clean it out. It then needs to be left open to heal from the inside out, or it won't heal properly, and the chances of it coming back are really high. Sometimes, my surgeon puts a drain in, or other times, he packs it with guaze, that then gets removed the next day. My surgeon either uses general, or the last couple of times, I have opted to be sedated like you do for a scope. While I am "out" my surgeon also looks around on the inside with an anoscope, so see if there is any inflamation, and he injects dye into the abscess cavity, and then looks around inside to see if he can see it come out anywhere, thus indicating a fistula. Let us know how it goes!

Malibu05
Regular Member


Date Joined Sep 2007
Total Posts : 98
   Posted 9/26/2007 1:51 PM (GMT -7)   
I've had 2 abcesses drained and both were done under general anesthesia in the operating room. Personally, I wouldn't do one without being knocked out. Like the post above it was left open and packed with iodaform (sp) guaze. I woke up in not so much pain but the next day when the doctor removed guaze was the worst part. The pain was the worst pain i've ever felt in my entire life. The second time around though we had the doctor order a shot of morphine before they did that so that it wouldn't be so bad. I hope things go better for your son though!

dragonfly137927
Veteran Member


Date Joined Sep 2006
Total Posts : 2527
   Posted 9/26/2007 2:13 PM (GMT -7)   
My skin was splitting open, dying around the area where my abscess was. I was able to open the area by gently pulling on the skin. The 1st time I had one my MD placed a qtip in the hole that was there and opened the area up to make the drain hole bigger. I thought that would hurt but it wasnt bad and I had no local or anything since it had already surfaced. This one I took it upon myslef to open it up bigger. This time mine was caused by a fistula, which has stopped draining over the weekend. It is still draining pus though.
Dx with Crohn's 1987, symptoms as early as 1984.
Temp iliostomy February 2007, reversed June 2007, Ovarian cysts, migraines, allergies (incl food allergies) , oral allergy syndrome (diff than true food allergies), Asthma, Gall Bladder removed 1999, Inguenal hernia 1987
 
 
 


belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 9/26/2007 3:59 PM (GMT -7)   
re: "All abscess should be drained in the operating room......my surgeon won't do them any other way."

Clearly there are differences of opinion as to whether "all abscesses" require an open incision surgery. My abscesses were successfully managed without resorting to reopening my healing surgical incision. The decision whether to insert a percutaneous drain (The drain is inserted through a miniscule incision and then guided into place using advanced CT guidance) or whether to excise and drain, depends upon many variables, including the site of the abscess, the patient's health, the physician's skills, the presence of advanced diagnostic imaging equipment and radiologists trained in their use. When the situation warrants, the gold standard is to drain the abscess without surgical intervention. Every surgical procedure brings with it the potential for recontamination and significantly increases recovery time.
Belleenstein:

30+ years living with Crohn's.


Deese
New Member


Date Joined Sep 2007
Total Posts : 19
   Posted 9/26/2007 8:14 PM (GMT -7)   
Thank you all for imput...they are doing the ct guided one....he is very inflamed..surgean does not want to open him up. i asked for valium for him also...I even aked for slight sedation for him...they did not give me answer yet. Plan is...if they drain it all with needle ,they will...if not they will put in drain...if it is behind bowel they will leave it for now and after one month of antibiotis rescan. If he has fistula they will start him on Remicade.I am hoping threy get it all with needle,it is about 3 cm,but alot of that they think is air. I will let you al know.THANK YOU!!!! Deese
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