perianal abscess drained

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

caras
Regular Member


Date Joined Apr 2006
Total Posts : 59
   Posted 10/13/2007 2:37 AM (GMT -7)   
hi guys.
okay so i just had my second perianal abscess drained in two weeks, (im trying to get back onto remicade nextweek)
the first one was fairly standard...it was quite close to the surface, so they opened up the fistula tract and put a seton on.
now this one that i had drained yesterday was quite deep so they surgeon used a different approach that i havent had done before so am looking for some advice on what to expect the next feew weeks.
the surgeon opened up the tract that tunnelled through to the deep abscess cavity, however instead of putting in a drain, the tract was packed tight with bandage throughout the tract. he said this is so that the fistual will heal from the inside out.
now the tricky part is, every day i have to have a nurse come to my home, remove the current packing, and re-pack the tract.
yesterday in the hospital this was brutally painful,
i was wondering,..does it get less painfull as it heals?
to me is seems like everytime they unpack and re-pack the fistula it will be as though it was brand new, since the packing is preventing healing from the outside.
they told me that everytime they pack it they'll be able to put in less and less bandange because the fistualy will be closing up from the inside.
any experience and advice on what to expect during the next couple weeks would be great.
my last fistual with the seton healed up quickly and the pain lasted for only about a week.
i feel like this method will be quite diffferent.
thanks in advance
cara

Malibu05
Regular Member


Date Joined Sep 2007
Total Posts : 98
   Posted 10/13/2007 1:46 PM (GMT -7)   
I've had an abscess drained this way, and I seriously hope you have better luck than I have. I spent 3 days in the hospital after my surgery because the pain was so bad. For me, the most painful part was when they were removing the old packing. After I came home though I would take a pain pill about 30-45 minutes before the nurse came and the pain got better over time. But it's horrible at first, but it will get better. As far as healing goes, I had this done last december, and because of the Chrons, I still haven't healed. The whole the cut to open it up is still there. I don't have to pack it anymore but I still have to wear a bandage there because of drainage. Hopefully you will heal though. A little advice though. My doctor kept telling me to have it packed for quite a long time when it was obvious that it was healing. I went to rectal specialist and the first thing he told me to do was quit packing it. So just keep an eye on it and if you don't think its healing, i would definitely reccomend getting a second opinion. And be sure your nurse accurately measures your wound so you can keep up with progress. I don't mean to sound negative, but I really had a lot of problems out of this surgery and this method of healing. I hope you have better luck than I did.

JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 10/13/2007 1:56 PM (GMT -7)   
Sounds similar to my wound that had "tracks" branching off of it. If they don't wet the packing well before removing, the bandages may stick and it can be painful. Sometimes they are soaked with drainage, but I always made sure I had a bottle of sterile water near by. Malibu is correct in saying you should always take a pain pill about a half hour before you're scheduled to have your dressings changed, it will take the edge off. I had wonderful nurses, they used to be so careful and hated it when they hurt me.

I eventually started using a wound vac, and it seemed that the sponges were a little easier to cut and shape and pack than the gauze although they still had to shove them in with the big, wooden end of the sterile Q-tip type things. I don't know if you could use a wound vac in the perianal area though a good nurse could probably figure out a way to do it, but they're supposed to really cut down on healing time.
 
I would imagine once the wound gets narrow enough you'll have to quit packing and hope it heals. My worry was that one of my tracks wouldn't heal the entire way and I'd have an abscess.


Judy
49 years old, CD since I was a child.    
Six resection surgeries, permanent ostomy, adverse reactions to Remicade finally off of Prednisone, back on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 

Post Edited (JudyK89) : 10/13/2007 3:04:30 PM (GMT-6)


gogogirl
Regular Member


Date Joined Mar 2007
Total Posts : 69
   Posted 10/13/2007 1:58 PM (GMT -7)   
I had the same procedure done years ago two different times in two different spots. I thought i would pass out with the pain. Once the packing was taken out the pain was gone instantly. They have both healed and i now have a scar in both places. I have never had any problems in that area since and it has been over 10 years. I feel as though i am lucky and i wish you all the luck as well.

munchkin81
Regular Member


Date Joined Jul 2007
Total Posts : 73
   Posted 10/13/2007 3:08 PM (GMT -7)   
I also had this done. It was quite painful for a while. I sat on a donut pillow for a few months. The only thing different was that instead of repacking everyday, the doctor told me to pull out about an inch or so a day until it was completely out. It's been almost a year and I still have a little hole there. Still hurts when Im having a hard time going to the bathroom. I guess I really can't complain, it's better than living with the pain of the abscess.
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


JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 10/14/2007 8:27 AM (GMT -7)   
Munchkin: How long did it take to heal? They never changed the packing the entire time?
Judy
49 years old, CD since I was a child.    
Six resection surgeries, permanent ostomy, adverse reactions to Remicade finally off of Prednisone, back on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 


wanderlust
New Member


Date Joined Oct 2007
Total Posts : 10
   Posted 10/14/2007 9:38 AM (GMT -7)   
Hi Caras  I have had so many, I can't count them, and yep it get better, just hang in there. I always requested lots of pain medication befor they removed or changed any packing, and made sure I had plenty after. If your Dr. wont give you pain meds, look for a new Doc, their is no reason to have that much pain. Remember if you don't ask , they wont give...

caras
Regular Member


Date Joined Apr 2006
Total Posts : 59
   Posted 10/14/2007 10:20 AM (GMT -7)   
hey everyone. thanks for the replies.
when the nurse came to change it yesterday it wasnt as brutal as the very first time in the hospital. i took pain meds about half an hour before and i also soaked in a warm bath to hopefully loosen the packing.
it just sucks that this has to happen every day for who knows how long.
i was having trouple with the doctors at the hospital giving me proper pain medication to go home with, since i have such a high tolerence. while in the hospital i was talking about 20 mg of oxycodon and getting a shot of dilauted every 4 hours..and when they sent me home they sent me with a prescription saying take one 5mg oxycodon every 4 hours.
yeah right. even the nurse told them they needed to chang it, but they wouldnt.
luckily i have an amazing gp and happened to have an appointment with him tomorrow for a different prescription refill so he'll help me out.
its just so frustrating when the doctors dont understant that i have such a high tolerence to the drugs since i've taken so many of them so often for so much of my life.
im definately going to look into finding a pain management doctor, which was recommended in another topic, since i always have trouble after surgery in the recovery room even though i tell them my problem, they continue to treat me like a standard patient!
anyways.
thanks for all the times they have been much appreciated. they nurse should be here in about an hour so we'll see how day 3 goes.

munchkin81
Regular Member


Date Joined Jul 2007
Total Posts : 73
   Posted 10/14/2007 12:48 PM (GMT -7)   
I took at least a couple months to start getting back to normal. They packed it wil this string of gauze stuff after the surgery and left a little tail that I just had to pull out a little bit at a time. Once it was gone, I just had to keep up the sitz baths for a couple months.
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


wol1
New Member


Date Joined Jun 2009
Total Posts : 1
   Posted 6/23/2009 10:54 AM (GMT -7)   
Now research has shown that packing doesn't do anything. Doctors also do not understand how painful it is to remove the packing.
New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, December 07, 2016 11:29 AM (GMT -7)
There are a total of 2,734,160 posts in 301,185 threads.
View Active Threads


Who's Online
This forum has 151309 registered members. Please welcome our newest member, waterfall79.
368 Guest(s), 13 Registered Member(s) are currently online.  Details
momto2boys, Psilociraptor, Tagier, Jen77, Skyy, Scaredy Cat, Loutucky, pmm73, maria2016, quincy, poopme, Tall Allen, ljimd


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer