First time Perianal Abscess...very nervous/scared.

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New Member

Date Joined May 2008
Total Posts : 3
   Posted 5/23/2008 6:01 AM (GMT -7)   
I don't have Crohn's, butI have just been diagnosed with a perianal abscess and I have to say I am a little...well actually a lot...nervous about the whole thing and there doesn't seem to be a forum anywhere for just that subject.

I noticed it about 3 weeks ago as a small marble sized nodule on my..for lack of a better term...bumhole. I waited a couple of weeks, thinking it was a hemorhoid. It didn't shrink with cream etc. so I went to my family doctor. He said he believed it was an abscess and prescribed 10 days of antibiotics. Cipracil (sp?) 500mg and Metronidazole (500mg) twice a day for 10 days. I took these, but it didn't get smaller it got larger (it's now about the size of an egg). After 7 days I went back to see him and he told me that he was going to continue the anitbiotics for another 10 days and added an anit-inflamatory to the mix. Much to my stomachs dismay! He has also referred me to a proctologist for yet another person to have a look.

My concern is this. How long is it safe to have these things in you before they get lanced or seen too. In Canada it can take weeks to get an appointment with specialists. Am I safe just leaving it? It's a tad uncomfortable, but no where near as painful as some of the stories I read on various forums. Would I be better to go to the hospial? Am concerned about this thing as I have never had anything like it before.

Any reassurance/advice on this matter would be really appreciated.

Veteran Member

Date Joined Mar 2007
Total Posts : 4527
   Posted 5/23/2008 6:06 AM (GMT -7)   
Hi Matman Welcome to HW I do not have that problem but others here have that I am sure will be along soon to help you with this .lol gail

Regular Member

Date Joined Feb 2008
Total Posts : 493
   Posted 5/23/2008 6:33 AM (GMT -7)   
Hi--I had 3 abscesses lanced-more in the peri vaginal area than anal. Let me tell you that the relief from the lancing was amazing. However, avoiding the knife is a good thing. You'll wind up on antibiotics anyway and have a hole to heal. Have you been doing hot baths with salt?
23 years with moderate Crohn's/colitis; fistulizing crohn's; pentasa

Regular Member

Date Joined May 2008
Total Posts : 387
   Posted 5/23/2008 6:41 AM (GMT -7)   

I do not have crohns either, but am recovering from an rectal abscess which was a little different than yours (came on fast, extrememly painful and made me very sick).  At the time I was told that antibiotics alone canNOTtreat an abscess.  It must be emptied/drained to heal.  The wound should also be left open some to continue draining afterward. Also, if left untreated the infection can invade the rest of your body and make you very very sick.. so I vote for you going to the hospital. 

I found out from reading this site that you should make sure that the doctor who operates on your abscess is recto-colo surgeon.

hope this helps 

UC since 10/05, first symptoms felt as early 1983
canasa and lialda daily

Veteran Member

Date Joined Aug 2007
Total Posts : 1202
   Posted 5/23/2008 7:40 AM (GMT -7)   
I had my second abscess (first was drained) and it took a while to get into see my surgeon to get it drained. I was taking sitz baths 3-4 times each day and the abscess finally opened on its own. I still went to see the surgeon because I knew mine was connected to a fistula and needed a cleaning and a seton. But, they can open on their own in time. They will not be cured, especially not a large as you describe, with antiobiotics alone. However the antibiotcs should help keep the infection in control and fevers down.

Best of luck! Sorry you are going through this!
--40 year old female, dx as UC in '04 (1st symptoms in '03), switched to Crohn's in '05, 1 fistula, crohn's colitis, limited to large intestine
--rejected (reaction/didn't work): Asacol, AZA, 6-MP, MTX, Remicade, Humira, prednisone
--stuck on methylprednisolone, tried Prochymal in Phase III study (can't wait til it's approved!)
--started Tysabri 3/21/08
--single mom to 10-year-old girl

Julia Hill
Veteran Member

Date Joined Mar 2008
Total Posts : 560
   Posted 5/23/2008 8:41 AM (GMT -7)   

Sorry to hear that you are experiencing an abcess. I think your Dr. is on the right track. When I have periannal abcesses I to take Cipro and Flagyl. A proctogist is a colorectal specialist and that is exactly who you should be seeing. Definitely take lots of hot sitz baths as this will help bring it to a head and hopefully start draining. I hope you see the specialist sooner then later. Please keep us posted as to your progress. Take care


Regular Member

Date Joined Jun 2006
Total Posts : 86
   Posted 5/23/2008 9:34 AM (GMT -7)   
I have had a total of 6 abcesses as a complication of my CD.  I have seen a colo-rectal surgeon each time and he has lanced and drained the area.  I have had two sets of setons put in becuase there were fistulas that needed to heal.  I was always told to have the abcess taken care of immediately to prevent it from bursting . . . which can cause a whole nother array of issues.  So my advice would be to have it taken care of by a surgeon ASAP - you will be so glad you did.

New Member

Date Joined May 2008
Total Posts : 3
   Posted 5/23/2008 10:18 AM (GMT -7)   
Thanks for all the advice and kind words.

I am going to go to the hospital tomorrow morning and see if they will lance it. Have just purchased a Sitz bath. Was taking baths every night. Hopefully this will bring it to a head.

What about healing after the lancing? Does it take long? I am supposed to be flying out to Vegas for my anniversary in 2 weeks.

Regular Member

Date Joined Jul 2005
Total Posts : 95
   Posted 5/23/2008 5:09 PM (GMT -7)   
Hi Matman

Not much to add to the other posts except that when I had one of those buggers I didn't have to wait long. ( I'm in Toronto ) A trip into the ER one Saturday morning, 30 mins later I'm out, albeit with a hole half the size of the average thumb. The hospital hooked me up with one of those home care nursing outfits; once a day the nurse came to me place and changed the packing; it has to heal from the inside out so infection is a concern.

As far as making Vegas it's anyone's guess. Thinking back I probably could have, but then again I did take 10 days off work and didn't aggravate the site.
Resection in August '06
Prednisone banished to the hot place shortly thereafter

New Member

Date Joined May 2008
Total Posts : 3
   Posted 5/25/2008 6:26 AM (GMT -7)   
Thanks to everyone that posted.

I was at the hospital yesterday and they lanced it! Even better news turns out that it wasn't an abscess after all, but a hemmorhoid, with a large hematoma attached. They drained the blood and all feels much better. There's still some swelling in the area but I believe that's to be expected for a few days.

Veteran Member

Date Joined May 2007
Total Posts : 1220
   Posted 5/25/2008 7:16 AM (GMT -7)   
That is good news!! I hope it heals rapidly and never returns!!!
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