Fidtula- still so much pain

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Joined
Mar 19, 2014
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I have had a fistula for over a year now. I have had three seton surgeries to rework the setons and my final one being about a week ago. I am on an alternative immunotherapy treatment that is working, but very slowly. The doctor said she does see gradual healing.

In the meantime, I feel like my days are so unpredictable. One day I will be able to manage with little drainage or pain. And then, usually if I go to the bathroom more than once per day, I am in immense pain the rest of the day.

This just doesn't seem right to me. I know it's not an abscess as I had no abscess when they went in last week. Things are draining properly. I would understand if I was having a full blown flare and going like 10 times a day- but this is just the slightest fluctuation- if I go twice instead of once my day is completely ruined. What does this mean? Does this mean I'm flaring? I have no signs of a flare. But I also don't understand why so many people say setons should make things not hurt and yet I am in so much pain half the time. It has been this way for most of the year. Remicade gave me about a month of relief last summer until I developed antibodies. And no I can't take other biologics. Like I said, I have a long term treatment plan- but this pain is just really getting tiresome. I don't know if I need a second opinion or something. I just don't see why there is always so much pain. I'm doing the sitz baths multiple times a day every single day- I'm doing all that stuff. But if I go to the bathroom more than once, no matter what, my day is ruined.
 
Elizajp
sorry to hear you are suffering so much and having an awful time with the seton in place!

I have the same problem, I go to the toilet 4-5 times a day and I suffer, I am so sore I have a lump thats come up around the seton which is really painful. The only time I get relief is when I take my strong painkillers and am unable to go to the toilet. I understand how you feel I have sitz baths throughout the day which dont really help.
I am awaiting surgery to try and repair the fistula but have had 13 ops and no better off. Do you have anymore surgery planned?
 

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