Perianal Abscess treatment

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Regular Member

Date Joined May 2008
Total Posts : 474
   Posted 5/21/2009 12:58 PM (GMT -6)   
I was diagnosed and treated for a perianal abscess a week ago Monday. By this past Monday, the incision had healed itself closed and by Tuesday the discomfort was really intense again. By the time I could see the doctor on Wednesday, the abscess had burst open but only the lower portion of the abscess had drained so the doctor did something very, very painful to get the upper portion of the abscess to drain.

The doctor instructed me to have my wife insert the end of a q-tip into the incision once a day so that it does not heal over again. I had to ask the doctor to clarify because I didn't think that I heard him correctly. As expected, my wife was not too thrilled with the idea and when she tried this morning she nearly split my butt checks in half trying to see the incision. I then had to immediately use the toilet and my wife had to get off to work so the q-tip activity did not occur.

So I went out and bought an enlarging mirror so I could attempt to do it myself and after trying to position the mirror and my butt just right I was able to get the q-tip into the incision enough to cause it to bleed but the process of inserting it was painful to me. Sadly, I don't think it was satisfactory because I feel that the upper portion of the abscess is swelling again.

Does anyone have any experience with dealing with a perianal abscess and painlessly keeping it from healing closed as well as ensuring that the puss keeps flowing out?

Thanks, Tom
43 - male
Flaxseed (2 tablespoons ground) - once per day; Vitamin D3 - 5000 IU once per day;
Asacol - 2 400mg pills 3 times per day
Diagnosed with pancolitis about a decade ago

Silent Lucidity
Veteran Member

Date Joined Nov 2007
Total Posts : 625
   Posted 5/21/2009 1:58 PM (GMT -6)   
I don't wish to alarm you,but I can't believe what I'm hearing here.I had one of these treated two years ago,and this is how it should be done properly:
a)Incision and drainage under general anaesthesia.
b)The wound is packed with sterile packing daily BY A MEDICAL PROFESSIONAL(Nurse).
The wound SHOULD NOT be leaking pus,that's why it's called incision and drainage.It's packed each day until healed,so that it heals from the bottom of the wound outwards,preventing further complications of a Fistula.I was successfully treated and have had no further complications.
You need to seek professional medical help ASAP,but judging by the treatment you've received so far,DO NOT GO BACK TO THE SAME PEOPLE!
People knock our NHS system here in the UK,but I feel blessed by it,this is the most appalling case of medical negligence I've heard in some time.As I say,sorry to seem alarmist,but please seek some GENUINE medical care.
Procto-Sigmoiditis dx 1995.First Colonoscopy in ten years,on 29th Feb 2008,revealed moderate to severe Pancolitis.
Current meds;200mg Azathioprine daily.Pentasa 2 x 500mg 4 x daily(although as the Aza is now working I don't always remember all the Pentasa!).
"How can I be lost,when I've got nowhere to go?" James Hetfield-Unforgiven III

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 5/21/2009 3:26 PM (GMT -6)   
Perianal abcesses are not common with UC but rather with crohn's since UC doesn't affect the anus, whereas CD can affect the entire GI tract from mouth to anus. Same with perianal crohn's skin tags, one can get anal skin tags as a result of a large hemmie but those differ from perianal crohn's skin tag cuz often there were never hemmies involved in the first place but instead diseased anal tissue that swells up often looking like a hemmie but not a hemmie at all.

My bum is broken....there's a big crack down the middle of it! LOL :)

Old Mike
Veteran Member

Date Joined Jan 2007
Total Posts : 3814
   Posted 5/21/2009 7:14 PM (GMT -6)   
At this point to help keep it open you need to soak your butt in a Sitz bath for as long as possible and just about as hot as you can stand.
Helps to bring the pus to the surface and keep the skin soft. These things need to heal from the inside out.
You must have had just an I and D, as opposed to a full surgery where they would place a seton to keep it from closing.
I guess you can also try sunburn spary or anything you can find with topical anasthetic in it to help with the pain if you try to use
the q-tip again.
These can be difficult to deal with, good luck.
Old Mike

Post Edited (Old Mike) : 5/21/2009 7:20:53 PM (GMT-6)

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