Posted 5/11/2011 12:21 PM (GMT -7)
First off, I'm slightly confused, I don't have Crohn's Disease, but I have an anal abscess and don't know where else to post this. I searched for anal abscess, and all the threads were on Crohn's Disease subforum... so I guess I should post here. Sorry to the moderators if I did this wrong, if you could move it to the correct subforum or delete it, that will be fine. I blame it on the fact that English is not my first language haha.
So first off, the reason I'm writing here is because I'm slightly unsure about the treatment I've been getting and I'm becoming a little stressed about this whole thing. I have important exams in a few days, and I need to study.
I'm 19 years old, male, not overweight, healthy.
So I'll share my story a little bit-
One year ago, I took a bad poop where I was straining too much on the toilet (it was also after a night out, so it wasn't very nice), and a bit later that day, a little lump appeared next to my anus closer towards my left leg (I will describe the placement a bit later). Well I found out some information, came to the conclusion that it is probably a hemorrhoid, and decided to wait. It disappeared within 2 days. Whether the lump it disappeared completely, I don't know, but it definitely got smaller to the point that I didn't notice it. This whole process repeated it self a few times, the lump always disappearing within 2 days or so, and I was becoming more and more careful about not straining much on the toilet. At some point, I think that it stopped disappearing, and would stay there all the time, though very small.
5 days ago I suppose I was straining too much on toilet, or something and the next day, I woke up with the lump being pretty big. I never experienced pain, but this time it was painful sitting on it. I made an appointment with my doctor at this point, which was supposed to be in another 3 days or so. Next day it got even more painful, bigger, and even stuff like walking started to be painful, still wasn't that bad though, I just took some ibuprofen, a hot bath and I was fine. The next day, it was very bad. The pain woke me from sleep, and I was unsure what it is - I thought that the hemorrhoid is prolapsing or something like that. I waited till the afternoon whether it gets better, but it only got worse. I took 1000mg of ibuprofen which didn't help, so I took more, overall I took about 3000mg of ibuprofen within 2 hours. Still no effect and the pain was getting very bad. There was almost no position in which I would feel relief, only lying on my back with a very specific leg position . I was unsure whether I should wait for the appointment the next day, but then decided to call my uncle who is a gastro doctor and he told me that it's likely an abscess. I went to medical emergency and got it drained. The doctor drained about 30ml of pus (the abscess was really pretty big and painful), left a little piece of cloth inside so the wound didn't close and the pus could keep going out (not sure what you call this in English), and told me to go for a checkup and wash the next day. Over the next few hours, the sterile square/tissue that was sticked next to the wound got very "dirty" from the pus going out, not much bleeding though. Next day I woke up with the sterile square/tissue looking very nasty, so after thinking about it for a few hours I threw it away, went to take a shower ,and put another tissue next to the wound. I'm very unsure whether the piece of cloth inside the wound was still there after the shower, as it's rather hard to look at the wound for me, and I figured it shouldn't matter since I was going to the checkup in one hour.
Went for the ckeckup, which was very unpleasant. about 3 old nurses in the room, and all of them were making these faces like "jesus, what's this guy doing here...". The doctor (think she's a normal surgeon, not somehow specialized, just thought I would write this... but then again my uncle who is a gastro doctor is the one who made me go to her, so perhaps he has some reasoning) cleaned the wound, took out the cloth inside the wound (or maybe it was already out, again, I don't know) and checked my hole for some reason (apparently everything is fine from the inside too), and that's all. She told me it should heal quickly, and I should come for another checkup in 2 days (which is now, tomorrow). She gave me instructions to desinfect the wound often, clean myself a lot etc., which I am doing.
Now here are a few questions that I have...
1, Already at the emergency, the doctor told me that for some reason an anesthetic can't really be done. I didn't really ask much more because I just wanted it to be over with. I did however ask the checkup doctor, and she told me that with me it would be complicated - she literally said something amongst the lines of my hole being very long and that anesthetic being problematic. Either way, I'm becoming a bit afraid of this, because the draining was very painful, even the desinfection on the checkup was pretty painful for some reason. I'd like to know whether there is some way to avoid the pain and whether anesthetic really isn't possible with these things.
2, I'm afraid that this thing isn't even close to being healed, and that the checkup doctor should have put the cloth in the wound again so the pus can get out. On the other hand, for the few hours before the checkup, there wasn't much pus going out of the hole (this was after about 16 hours of the cloth being in the wound), so maybe the cloth really wasn't needed at this point... then again, when I squeeze close to the wound, there will be a little of pus going out, perhaps there would be a lot if I were willing to squeeze harder, but it's far to painful and I just can't manage to do that. Either way, the thing I'm afraid about is, that the whole part around the wound still seems very resistant, and what scares me the most, it resistant/swollen deep under the wound as well. The wound is on the left from my hole, not directly to the right, but instead a bit up-
if you look right where number 2 is (not where from it ends, but directly where the number is painted), that's about where the wound/slice done by the doctors is, perhaps slightly lower. The problem I have is, that I feel resistance if I push my fingers to the outside, from where the line from number 3 ends. I feel like the abscess is very deep, and I'm a bit scared the the pus that was drained was only from the top of the abscess, that is on the surface of the perineum. Hopefully it's just swollen down there?
Overall, it feels the like abscess goes all the way from exactly the middle of the picture, over where 2 is on the picture, towards where line from 3 is pointing, and it feels like it goes very deep. Sort of like some disc shape maybe.
Does it sound like the pus hasn't been drained enough, or is it just still too swollen? Now, there is no pain when I sit for example, but touching or pushing close to the wound I still feel quite a strong resistance, and a little bit of pain too if I push hard enough. Obviously the wound is sensitive and hurts if I touch it, but that doesn't surprise me.
3, It's been 2 days since the first drainage, and it still feels the same. Apparently it should be getting better or something, but to me, it still feels the same. It's still the same resistance where the abscess was (or still is?...). I do think that overall it's not as painful, but there really isn't that much difference since the first drainage.
It's probably useless to make a thread like this when I'm going for another checkup tomorrow. But I'm just a bit scared... the thing was apparently pretty big as there was about 30ml of pus, and now it's all gone? I'm not sure I believe it that much, and I don't want the thing getting all swollen and painful again in the next few days, I've got a very important exam on Tuesday.
This whole post is probably very hectic and doesn't make much sense, I'm just stressed and need to share this if nothing else.... Is there something that I should perhaps tell the doctor tomorrow, or ask her? I'm really not sure what to think. I'll first tell the doctor whether putting that cloth in the wound wouldn't be better to make sure the pus gets out, and question whether it's normal how resistant the whole area around the wound feels, especially the fact that it seems to be very deep. I need to go take some xanax or drink some beer, I'm far too stressed now...