Remicade to Heal Fistula

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Regular Member

Date Joined Sep 2006
Total Posts : 246
   Posted 12/22/2008 3:44 PM (GMT -7)   
Hello - i'm mostly on the UC board because I was initially diagnosed with UC but because I have an anal fistula most docs think I have Crohns.  The jury is still out.  I recently went to an ano-rectal surgeon and he would not operate and indicated I should go on Remicade.   I have been in remission for the past year and a half and just take Colazal two daily, however, the fistula is rather annoying.  My question is has anyone used Remicade to heal fistula and if so how long did it take and did the fistula re-occur.  I don't want to go on Remicade given i'm currently in remission and would rather save it for when im flaring.  Also, I had a colonoscopy which showed some pretty bad scarring and pseudo-polyps so my GI recommended or rather demanded I start it back in the spring.  Looks like I need it anyway!

- 30 y/o male residing in Northern Virginia living a fairly "normal" life at the moment
- Currently in remission
- Pancolitis since April, 2006
- Small fistula and anemic at times 
- 4 Colazal/day, multivitamin, Fish oil and Primal Defense Probiotics 2x/day

Regular Member

Date Joined Aug 2006
Total Posts : 443
   Posted 12/22/2008 4:00 PM (GMT -7)   
Why not try Flagyl first? It's about the best documented treatment for fistulas in the perianal area. If it cleared up the fistula, then you wouldn't have to try Remicade. I agree with putting off Remicade until you have no other options, given that it is typically useful for only a certain period of time and then most people ultimately lose response.

Veteran Member

Date Joined Mar 2006
Total Posts : 1034
   Posted 12/22/2008 4:12 PM (GMT -7)   
remicade didnt heal any of my rectal problems, abscesses or fistulas. it didnt heal the fistula i developed from my colon to my bladder after using remicade religiously for 6 years. i no longer believe in remicade or its cousin humira.

i've heard of docs closing the fistulas with a glue/fiber matrix thing. ask your GI about that. i dont know well it works though nor do i know any one who has had it done.

best of luck to you though.
Crazy Harry

Crohn's since 1993 (17 yrs old then)
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
med free as of 10/31/07

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