Hi, I am new to this board..hello! I have Crohn's Disease and Lupus. I have a fistula on my right buttock from a previous peri-rectal previous ishio-rectal horseshoe shaped abscess..i have had surgery twice back in 2001 -6 weeks after a fistula has formed..detected by an MRI. The fistula goes from my right buttock and connects to the sphincter muscle about
an inch in or so. Surgery can not be performed as they can not cut that muscle. The site is
open and it drains..and it drains alot and sometimes wiping my anus and my fistula is the same thing. about
a week and half a ago..1/4 of an inch up from the drainage hole..their was redness and swelling..that seemed to be coming from inside or from below exactly sitting right on the scar tissue (that back in 2001 was operated on)...three days later it fills up with pus. I can see the pus with a flashlight and a mirror...i sterilize a needle and poke it..it drains and i sit in a sitz bath...it does the same thing for the next two days..I end up going to the ER. They tell me they see a small divet there looks like an abscess and it seems superficial and to do the sitz baths and come back if more pus comes out. The next day late at night its filled up with pus...i do the sitz baths..i can actually squeeze out pus and blood...but their is something small and white...that seems to be under the skin..i can't get it out and I am ready to go back to the ER. I have called my GI doctor but don't have an app until Tuesday. I don't have a general surgeon and I am having trouble getting an app with one. Finally my husband says forget this..you need to use a needle again (i know u shouldn't do this---the er gave me a tetnus shot for fooling around with a sewing needle). So we disinfect it..i take the skin off..do you know what came out.......the small white sphere...from the mesalamine..i take Pentasa...and now after more pus came out..the pain is gone and i finally feel better...how in the world did that get caught up superficially in scar tissue 1/4 of an inch right up from the
open fistula sight? I called the doctor on call and they told me..its impossible for it to get caught up in the skin and that it came from my GI tract..so is it possible for one fistula to branch out? I am super clean as we all must be those with fistula's..because you have to be careful....so did the fistula drain (these spheres come out from my fistula all the time) get caught up in scar tissue and cause a small infection or does it sound like my fistula has branched out? What is your opinion...because I really feel right now..like I am fighting my own battle with Crohn's....I don't feel like anyone is listening to me..i am depressed about
being sick alot and I feel so frustrated. I am thinking about
going on remicade but cause I have been told maybe this fistula can dry up...Please reply thank you for your time.