there are a lot of stuff for rectal pain - creams, suppositories, enemas, foams, etc. they all work to varying degrees. creams are good for after you drop the kids off at the pool to alleviate the pain of a sting ray. the rest are better for night time cos you get medicine on the affected area. i've found that hot baths work well and so does the hot tub. as for it being inflammation or an abscess, who knows. abscesses can burst on their own, which if you're not ready can be a bloody mess (no pun intended). if it is super bad, see your GI or a colorectal surgeon to have it lanced. it feels tons better after it is popped. they put you on a short burst of antibiotics afterwards just in case. as for myself, i've found that humidity can exacerbate things so when i feel a case of swamp ass coming on i dont do a lot of walking around and the such since it is generally a precursor for a bad sting ray.
Crohn's since 1993 (17 yrs old then)
been on basically every med available, currently on colozal & 6-mp
surgery in July '05 - removal of 2 inches at ileum and 8 inches of sigmoid colon (had fistula into bladder)
Nov '05 developed colonic inertia; July '06 told i needed ostomy surgery
began maker's diet in August '06 - now feeling the best ever with no symptoms of colonic inertia and i kept my colon