Abscess question

Crohn's Disease Forum

Help Support Crohn's Disease Forum:

Joined
Feb 20, 2009
Messages
470
abscess question

I have my 5th abscess. The first, third, fourth and fifth(this one) were perianal . The first and third the surgeon numbed and cut open in the office and packed with gauze. Put me on antibiotics and sent me home. The second was inside the colon - taken care of at hospital under anesthesia . For the fourth one he said that he didn't want to cut because the more you cut the more scar tissue and that this would affect the function of the anus. Well last Saturday I had that familiar feeling so I was put on the 2 antibiotics from the last time cipro and flagyl. On Monday I was going to call and see if I could get in but I worked thirteen and a half hours in a town that had no cell service. By the time I was done working I can tell you I was in much pain. I called off work the next day and first thing in the morning called the surgeon that does all my butt work :eek2: but could only leave a message. They called me back the next day at about 11am and the nurse told me the dr was out of the office until next week but that she would talk to him about it on Tuesday after they had seen all their patients and would call me then - a week later! I asked her if she had any recommendations and she said no. So I hung up and called my family doctor and they got me in the next morning. He had a look and said that he wanted me to finish my meds because I wasn't even half way through them yet. He gave me other meds to try to help with the pain and recommended Epsom salt sitz baths twice a day and to keep it clean and dry. He said he could lance it but didn't want to because of the chance of further infection from being in a "dirty area". He gave me his direct phone number and told me to call first thing Tuesday morning and let him know how the antibiotics and other meds were working. He said depending on what was going on he would call the surgeon directly. Well - this was Thursday. On Friday I felt somewhat better - less pain and swelling so I was all hopeful - bah! Saturday it was twice as big and hurt much worse. All day it was just ouch! Then about midnight it just stopped hurting and didn't hurt at all on Sunday - it was great. This morning it was again uncomfortable but not bad - then it just kept getting worse as the day went on. Right now it is again swollen and painful. - yeah that is one long back story for my question but there you have it. For those of you who have had them what did your dr do? I've read things saying they need to be opened up and scraped out then packed daily for a while. All 4 of this type were almost the same spot, this one seems to be in the exact same spot as the one he didn't drain. I'm also curious what questions you would ask when you went in. Thanks for your time.
 
My surgeon said it was better not to take the antibiotics but to call him and get it seen to under a general :eek2: as the only thing that really works is putting a seton in to allow the whole tract to drain and heal. Mine, only one, has been between the two sphinteric muscles so he cant cut them out without causing me fecal incontinence. Have to say, as much as I hate the seton, it has stopped the fistula from flaring into an abscess.
 
Thanks - I on drugs so not much pain. I hate taking meds -- crohn's is not the thing to get if you hate taking meds is it lol
 
atcig said:
Thanks - I on drugs so not much pain. I hate taking meds -- crohn's is not the thing to get if you hate taking meds is it lol

Just wondering what happened atcig...I am in a similar situation, I have one starting in the spot I've already had drained twice and I don't know what to do. I am on Remicade and was feeling fine, but this issue will not go away.
 
Same situation for me...can't get rid of the bugger. Remicade did not work at all. I have to take Cipro and Flagyl all of the time or the abscesses around my fistula become inflamed/infected within a few weeks of being off the stuff. I am about to have an advanced flap repair surgery for the second time. This is where they clean out the fistula and abscesses and then cover over the opening of the fistula with a healthy piece of tissue. The first time it provided me with relief for about a year before the fistula came back. This time she is also going to re-inforce it with an aloe-based tissue (?? at least that's how I understood it) to give it additional strength. My surgeon said that she expects about a 50% chance that it will eventually come back again ("You have Crohn's and unfortunately that's part of it" were her encouraging words). I opted to have the surgery anyway because any amount of relief is better than none and I am sick of being on antibiotics and their potential long term side effects. The surgery is outpatient and there's not much to it. Last time I was in pain for about a week following the surgery. 6-8 weeks of limited physical activity.
 
Thanks for the information Shadycat. I ended up going to Emerg last night to have it drained, and got a script for more antibiotics. Although it came back since I have been on Remicade, it is really near the surface and can be done with just freezing, before they would be much more severe and I would end up in the OR. So, I am hoping I can stay on the Remi and maybe just add another drug or something. I don't know what my GI will say.

How long did they give you on the Remi before they took you off it? Are you on anything other then antibiotics now for treatment??
 
Hi s.a.m.

Sorry to hear you are having problems. I had four injections of Remi. I felt really,really good while I was on the Remi (energy-wise and digestive stuff), but it never did anything to help the fistula, which was my real motivation for trying it. At the time I was desperately wanting to get pregnant, so I didn't want to stay on the Remi if it wasn't helping. Of course, my fistula is rectovaginal, so that presents another problem:) I am hoping this surgery will give me enough time:) I also tried Imuran and did not tolerate it very well. I finished my last four week course of Cipro and Flagyl on August 28 and am about to start it again. I have to take breaks from the Flagyl because I get the tingling in my hands and feet that is associated with using it long term. I have found, however, that I need to start it back up at the very first sign of an abscess infection. If I wait too long, the flagyl makes me really sick...nausea, headaches, achiness, fatigue and a general feeling of having my head in the clouds. It is one of the worst feelings in the world! I used to think this was my body's reaction to the flagyl, but I have since concluded that it only makes me feel that way while my body is trying to rid itself of an active infection, so I try not to let it get to that point and then it's not so bad. Other than that, I only take Asacol as a maintenance drug. I tried Canasa (suppository form of Asacol) for my fistula, but that only made matters worse.

Have you ever considered advanced flap repair surgery? I think it's worth talking to you doctor about. I believe that one should not have to live on antibiotics...

I will keep you posted on how the surgery goes for me and give you any other info I find out. My surgery is scheduled for October 16.
 
It's been a week and a half and it is still draining and tender but much better. I was taking Cipro and Flagyl but then something fun happened. My Achilles tendons started hurting about 12 days into the antibiotics. I don't usually read the side effects of stuff because I'm a bit of a hypochondriac. I just guessed it was some crohn's related joint pain. The next day my left tendon was killing me so I decided to look it up.

Cipro may cause swelling or tearing of a tendon (the fiber that connects bones to muscles in the body), especially in the Achilles tendon of the heel. ... Stop taking Cipro and call your doctor at once if you have sudden pain, swelling, tenderness, stiffness, or movement problems in any of your joints. Rest the joint until you receive medical care or instructions.

Well I was freaked out!! I stopped taking the cipro and called my doctor the next morning (Friday) and they said it would be ok to stop taking it. I'm thinking NO CRAP! I went for a follow up on Monday and he didn't act like it was a big deal. But from everything I've read it is a big deal so I'm still worried about it. The side effects that are printed on the pamphlet that came with my prescription said the damage could occur while taking it or AFTER. I stopped taking it over a week ago and my left achilles is still hurting.

Other things that happened this time that have not happened before.

The night I had it done I hallucinated all night long - I kept waking up thinking I was smelling different things - like glade spray! One time I woke up and my wife was facing in my direction and I thought she was trying to get me :ylol2:

I broke out in a thousand little pimples on my chest and back.

I was dizzy and couldn't think straight for a few days this week and that made work fun.

I think they are all antibiotic side effects.



I searched here to find out if anyone ever had any problems with their achilles tendons but didn't find anything.

Good luck s.a.m. and Shadycat I hope you both get back on track soon.
 
And now I have Thrush - in the back of my mouth and down my esophagus - it feels like I am swallowing glass
 
tendon rupture,cipro, levaquin

atcig said:
It's been a week and a half and it is still draining and tender but much better. I was taking Cipro and Flagyl but then something fun happened. My Achilles tendons started hurting about 12 days into the antibiotics. I don't usually read the side effects of stuff because I'm a bit of a hypochondriac. I just guessed it was some crohn's related joint pain. The next day my left tendon was killing me so I decided to look it up.



Well I was freaked out!! I stopped taking the cipro and called my doctor the next morning (Friday) and they said it would be ok to stop taking it. I'm thinking NO CRAP! I went for a follow up on Monday and he didn't act like it was a big deal. But from everything I've read it is a big deal so I'm still worried about it. The side effects that are printed on the pamphlet that came with my prescription said the damage could occur while taking it or AFTER. I stopped taking it over a week ago and my left achilles is still hurting.

Other things that happened this time that have not happened before.

The night I had it done I hallucinated all night long - I kept waking up thinking I was smelling different things - like glade spray! One time I woke up and my wife was facing in my direction and I thought she was trying to get me :ylol2:

I broke out in a thousand little pimples on my chest and back.

I was dizzy and couldn't think straight for a few days this week and that made work fun.

I think they are all antibiotic side effects.



I searched here to find out if anyone ever had any problems with their achilles tendons but didn't find anything.

Good luck s.a.m. and Shadycat I hope you both get back on track soon.

Levaquin is in the same class of drugs as Cipro. It has a black box warning now due to tendon rupture. I was on it each time I was hospitalized. The last time I refused it. I had tendon pain in my thumbs and heels. My ankles would twist easily and i actually fell twice. No rupture, but it is very scary. Also, Cipro shouldn't be used in children because it causes growth plate disturbances in the long bones. Nice huh...?
 
Levaquin is actually responsible for something like 60% of the tendon cases and cipro is around 30%. Side effects can be crazy!
 
I don't really know if there is any one thing that will work for everyone! At this time I have several (6-8) and I am still searching for things that will help. I am not willing to undergo surgery, I won't take the humira and I've done remi without much help.
I have bought sweedish bitters to use as a compress. it hasn't cured it but it does help with the pain, itch, and drainage
 
Hi,
I asked questions about acne in other treads before but during my last flare-up
1½ weeks ago ( which lasted 3 days ) its now clear to me that the acne/zits I experienced on my body actually was a septic Abscess.

Going through the definition/description in a medical dictionary, here's what I found :

Definition
An abscess is an enclosed collection of liquefied tissue, known as pus, somewhere in the body. It is the result of the body's defensive reaction to foreign material.
Description
There are two types of abscesses, septic and sterile. Most abscesses are septic, which means that they are the result of an infection. Septic abscesses can occur anywhere in the body. Only a germ and the body's immune response are required. In response to the invading germ, white blood cells gather at the infected site and begin producing chemicals called enzymes that attack the germ by digesting it. These enzymes act like acid, killing the germs and breaking them down into small pieces that can be picked up by the circulation and eliminated from the body. Unfortunately, these chemicals also digest body tissues. In most cases, the germ produces similar chemicals. The result is a thick, yellow liquid—pus—containing digested germs, digested tissue, white blood cells, and enzymes.
An abscess is the last stage of a tissue infection that begins with a process called inflammation. Initially, as the invading germ activates the body's immune system, several events occur:
Blood flow to the area increases.
The temperature of the area increases due to the increased blood supply.
The area swells due to the accumulation of water, blood, and other liquids.
It turns red.
It hurts, because of the irritation from the swelling and the chemical activity.
These four signs—heat, swelling, redness, and pain—characterize inflammation.

I have had these off and on since the beginning of October in different places on my body but mostly on my back and chest, sometimes together with a flare sometimes not. I have never had them drained, maybe that would be a good idea in the future. Need to disuss this with my doc, and would be thankful to hear if any other have had these painful *******s and how you experience them.

/Uli
 
It might not be the same thing Uli.

Some of us with Crohns get Abscesses because the inflammation of the intestinal wall is sevear enough it perforates. The gut material leaks out but instead of resulting in Peritonitis, the outer layers of the intestine grow to try and cover the hole creating tube like structures called Fistula. These lead to the kind of abscess atcig is talking about. His occurred around his but because his Crohns is prominent in the lower end of the GI tract. I get them internally in my abdomen because my Crohns mostly occurs higher up in the tract.

These things are actually growing from the intestines or colon and penetrating the body wall.
 
Maybe Uli isn't talking about bowel related abscesses? I'm wondering if they aren't boils or something similar.
 
Peaches : the worst ones have the size of an egg-half! More regularily the size of half a strawberry. They are extremely painful and touching them you can feel a lumb underneath the skin.

Kenny : yeah maybe its not the same thing and any guess is good. I just cant seem to figure out what they are then. But these four signs—heat, swelling, redness, and pain - are always present and they gradually dissappear over a 1-2 weeks period.
 
Uli - you need to go to the doc with those. They may be able to lance them and figure out why the heck you are getting them. Sounds *painful*!!
 
Could also be "boils" but not all have visible pus. Confused? A boil normally involves a hair follicle but I have no hair on my back. However according to wikipedia, in a severe boil infection, multiple boils may develop and the patient may experience fever and swollen lymph nodes and could be caused by the use of immunosuppressive drugs
( Humira in my case ) . That could explain the fever during my last "flare-up" - again im only guessing but uts odd. Will definately discuss it with my doc.
 
Last edited:
Very confused.....which is why I'd say go to the doctor. Last thing you want is one of those things actually getting infected!! Just let someone take a peek - maybe a dermatologist???
 
Hi, The last 2 years, around he same time , I`ve had major flares.(Unknowingly-Crohns) I would also have large sores on my legs. They were pus filled and very painful. They took forever to hear. I also had swollen joints, the Dr. had to lance & drain my anke, it was so swollen. Back then they had no what was wrong with me. They knew I had Auto Immune Hepatitis(diagnosed 1987). After my colonosopy in May 2009, everything made sense. I can certainly sympathize with you!
 
I've had two, both in the OR... after the Remicade (which didn't work , but I think it helped with the anal canal health. I haven't had one in 9 month and they hurt like hell -- so I'm glad.
 

Latest posts

Back
Top