hemorrhoid, abscess or fistula?

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Regular Member

Date Joined Jan 2005
Total Posts : 140
   Posted 10/8/2009 7:09 PM (GMT -7)   
I've been feeling pretty good on the Humira. In fact, it got me through me wedding!

Only a big lump has appeared near my anus and I'm not sure it's a hemorrhoid. It's coming from the inside, it's not itchy and it's quite big....

That's why I'm asking if it might be an abscess or a fistual. Does anyone have any ideas?

I can't believe I'm posting a question about my anus on the Internet lol

Thanks in advance for your help

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 10/8/2009 7:26 PM (GMT -7)   
Here sweetie, check out this link..the first set of pics is of hemmies, the pic below is perianal crohn's skin tags...either way, you should get your GI to take a look (most GP's don't have a clue about the difference between hemmies and perianal crohn's skin tags)....
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

Regular Member

Date Joined Aug 2009
Total Posts : 90
   Posted 10/9/2009 2:44 PM (GMT -7)   
thank you both for these posts, I also had questions about this.
dx w/CD finally in July 2009, currently taking pentasa, entocort, cipro, flagyl, probiotics, celexa, bentyl, biofeedback.
"It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is the most adaptable to change" Charles Darwin

Regular Member

Date Joined Sep 2005
Total Posts : 89
   Posted 10/10/2009 7:58 PM (GMT -7)   

about 15 years ago I was afraid I had an abscess.  My then GI said it was a thrombosed hemmoroid.   I should give it hot soaks in the bath and it would go away.  It did.  Several months ago I developed the same painful lump in the same place.  I'd been having some problems since my resection and after a painful digital exam my new GI said I had thickening of the rectal tissue and wanted to do an anoscopy and colonoscopy.  This was several months ago

On the report she referred to it as a palpable nodularity.  It went away but came back for a couple of days this week.  She couldn't say what it was and that it might be Crohn's related.  She referred me to another GI in Pittsburgh principley because she could only get up 25 cm where she hit a stenosis at the apparent   anastomosis.  I'm losing my confidence in her.

Regular Member

Date Joined Jul 2009
Total Posts : 342
   Posted 10/11/2009 11:05 AM (GMT -7)   
A fistula forms from an ulcer from a previous abscess...an abscess will hurt...you will see redness tenderness..even pus under the skin...you will know...for a fact if you have an infection...a hemmy..will hurt..bleed..itch...and appear as a bump...

 Crohn's anal fistula Lupus Hyperthyroid..Pentasa Remicade


Veteran Member

Date Joined Apr 2005
Total Posts : 2346
   Posted 10/11/2009 6:42 PM (GMT -7)   
If an abscess is deep you won't see the redness or any signs of it for that matter...you will only feel the awful pain.

Regular Member

Date Joined Jan 2005
Total Posts : 140
   Posted 10/23/2009 4:34 PM (GMT -7)   
Thank you for the link, but what I have doesn't look like any of those. The more I read, the more I think it's an abscess. It's dangerous to self-diagnose, I know.

It's not itchy, just very large and painful. I've had night sweats all this week and today it feels like I'm coming down with the flu. It's got to the point where it hurts to walk or sit. I've done the Anusol, Cortifoam and hot baths, nothing helps.

I've tried to get an appointment with my GI but the earliest opening is November 12th.

I really don't want to have to go to the emergency room and wait up to 30 hours. Yep, that's how long I waited last time.

Veteran Member

Date Joined May 2007
Total Posts : 1220
   Posted 10/23/2009 8:53 PM (GMT -7)   
Hello Minou,

If it is an abscess, and you are having these symptoms -- flu feeling, pain, night sweats -- I am really quite concerned for you! Abscesses can go septic and be life-threatening. No joke. I strongly suggest you call your GI's office (or their doctor on call) and ask them to get you in to see an experienced colo rectal surgeon ASAP. And I mean now. If they can't help now, please go to the ER!
Diagnosed with Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.

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