Fistula Drainage, insights appreciated

[earthshine]

In March I had an abscess form, and then an MRI indicated there was complex anal fistula.

All GI testing was negative for IBD
However after putting a seton in, and waiting a few weeks, Dr indicates perhaps I do have Crohns base on amount of drainage that was on my guaze during the office visit (about the size of a nickel)

I have heard conflicting information on this aspect.

I am confused as to how there would not be pus due to the daily presence of stool.

Is it typical in healthy patients that the pus stop on its own, even in the presence of stool?

In recent weeks I have also noticed liquid drainage (not pu, just wet). Any idea why this might be?

Appreciate any guidance.

Any ideas how to reduce drainage? I am not on a/b's

 

[Flatblackdog]

I had a fistula several years back, as it healed, it drained what looked like histamine. I used a feminine napkin to keep the leakage under control and took daily sitz baths with an iodine solution.

 

[earthshine]

Thanks for the reply. What approach was used for healing and how long did it take?

 

[Flatblackdog]

Antibiotics, limitations on what I could do physically where pretty much it along with what I mentioned above. The solution can vary based on the severity of the fistula. I've heard of some that required surgery. Hope this helps. Best of luck to you. Toby

 

[earthshine]

Thank you Toby. Where you on a Crohns medicine at the time?

 

[earthshine]

How long did it take to heal? What a/b's were you on?

 

[Flatblackdog]

Entocort 3x Daily. It took about four weeks to heal.