Hi There,
:sign0085:
When my son was 6 months old, we discover a perianal abscess which was incised and drained followed by a difficult 3 weeks of wound packing, etc. He had another at around 18 months which burst before they could I/D. I was concerned about his bowel habbits and general health and requested a review at the childrens hospital which my GP agreed to.
We saw a consultant when he was around 20/22 months who stated he looked fit and healthy and that there was no need for further investigations or even blood tests so he was discharged. This was despite my concerns. I am a mother of 4 children, all a year apart. Each of my children was potty trained between 1 year and 18 months. Zac was different. Although he could control his bladder ok, at 2 years he was still faecally incontinent. Now I know this is normal in the general population but to me it was not, considering he had gone through the same training as the others. That, coupled with the fact he hardly ever had formed stools, intermittant abdominal pain, one or two episodes of blood in his stools, etc caused us to have concerns.
Anyway, in March this year, just before his 4th birthday, we found a third abscess. They kept saying it hadn't come to a head sufficiently to I/D so it was treated with metronidazole and co-amoxiclav which resulted in the fluid dissipating although we could still feel something there. Within 2 weeks it was back and then settled with the same treatment. This happened a further two times before it burst on holiday in Turkey 2 weeks ago!
In March, he was referred to a Gastroenterologist. He had blood tests and submitted stool samples.
We saw him again yesterday and he stated he is pretty sure he has Crohn's. He thinks there may be a deeper abscess feeding the superficial one through a fistula.
What questions should I be asking? His CRP was 8 a year ago....should I ask what it is now?
The consultant is meeting with the surgeons tomorrow to discuss Zac. He says they will either carry out another I/D and investigate via camera while under or they will give him an MRI and decide on management.
Either will also confirm 100% his diagnosis.
Has anyone had any experience with anything similar?
Which would be the best diagnostic option? If there are one or more fistulas or a deeper abscess there....what would they do?
This is all very new to us so excuse my ramblings. He has only just turned 4 also...if he has Crohn's, would his prognosis be poorer because it has been diagnosed so early?
Thanks in advance guys!!!
:sign0085:
When my son was 6 months old, we discover a perianal abscess which was incised and drained followed by a difficult 3 weeks of wound packing, etc. He had another at around 18 months which burst before they could I/D. I was concerned about his bowel habbits and general health and requested a review at the childrens hospital which my GP agreed to.
We saw a consultant when he was around 20/22 months who stated he looked fit and healthy and that there was no need for further investigations or even blood tests so he was discharged. This was despite my concerns. I am a mother of 4 children, all a year apart. Each of my children was potty trained between 1 year and 18 months. Zac was different. Although he could control his bladder ok, at 2 years he was still faecally incontinent. Now I know this is normal in the general population but to me it was not, considering he had gone through the same training as the others. That, coupled with the fact he hardly ever had formed stools, intermittant abdominal pain, one or two episodes of blood in his stools, etc caused us to have concerns.
Anyway, in March this year, just before his 4th birthday, we found a third abscess. They kept saying it hadn't come to a head sufficiently to I/D so it was treated with metronidazole and co-amoxiclav which resulted in the fluid dissipating although we could still feel something there. Within 2 weeks it was back and then settled with the same treatment. This happened a further two times before it burst on holiday in Turkey 2 weeks ago!
In March, he was referred to a Gastroenterologist. He had blood tests and submitted stool samples.
We saw him again yesterday and he stated he is pretty sure he has Crohn's. He thinks there may be a deeper abscess feeding the superficial one through a fistula.
What questions should I be asking? His CRP was 8 a year ago....should I ask what it is now?
The consultant is meeting with the surgeons tomorrow to discuss Zac. He says they will either carry out another I/D and investigate via camera while under or they will give him an MRI and decide on management.
Either will also confirm 100% his diagnosis.
Has anyone had any experience with anything similar?
Which would be the best diagnostic option? If there are one or more fistulas or a deeper abscess there....what would they do?
This is all very new to us so excuse my ramblings. He has only just turned 4 also...if he has Crohn's, would his prognosis be poorer because it has been diagnosed so early?
Thanks in advance guys!!!
. My son has had an abcess and fistula which we are still dealing with. Medication seems to be the route our docs go (he had the abcess drained after 3 months of trying antibiotics). My son has been put onto Azathioprine to see if it helps heal the fistula but I know the other one which is supposed to be good for them is Remicade. However I don't know what they do for children of 4 years - it might be different. Good luck - hope he gets treatment soon so he can get better.
