As you said, the pain and risk of infection of an abscess in that area (or any for that matter) are serious concerns. If I understand your post correctly, you were supposed to have a seton/drain inserted and the surgeon didn't give you one? I'm a little confused.
I had a perianal abscess issue for over a year. I tried several different setons and drains, but really didn't manage to get rid of it until I started Remicade. I was in bad shape all round though, with very high disease activity, so I know that abscesses CAN be beat without the heavy meds sometimes. Just not in my case. I hope you find some relief, but I would definitely be asking why on earth you didn't get the tube if you were supposed to!
My abscess didn't have a fistula of it's own, so I needed the seton to create a drainage path.
There are many different kinds, so if you end up with more seton-specific questions, don't hesitate to ask...
Guaze 4x4 squares between my cheeks saved my sanity, as did keeping the area clean (salts are wonderful indeed for a good soak!). I also tried to keep the pressure off of it at night by keeping myself from sleeping on my back... it seemed to ease the pressure and pain a bit if I could manage to stay off my butt.
It might not be an ER or Urgent Care issue, but I would be getting a seton if there's fecal issues coming in to play. So sorry you're going through this!
Sending good thoughts your way.
27f, dx'd CD July '05 after 6 fistula/abscess surgeries
Remicade '05 through '08, with no other maintenance meds (ah, those were the days, eh?)
Tried Humira. Failed. Tried Gluten Free. Leaning towards Failure there too.
Cimzia (started 2-12-09) Again, not helping much, if at all.
Probiotics, Digestive Enzymes, Forvia vitamins, and calcium chewies
Feeling a bit jaded lately, but trying to keep my chin up.