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Hello. I am new here but have read a ton regarding Chron's. My story is pretty much maybe the norm or I am just weird.

First off, this month marks three years since my first peri anal abscess. Since I have had a total of 6 peri anal abscesses. The first time I had it 3 weeks after a colonoscopy to try and figure out why I lost 30 lbs in a 3 months span without trying....Currently still underweight.

I thought my first abscess was a hemmoroid. Not..cut & drain put on antibiotics. 8 months later another one, antibotics come back in 48hrs for a cut & drain, only I did not last that long it ruptured at home within 24hrs. Called the ER nurse, she said follow up with your PCP, PCP said looks like it drained all good.

Then I just started getting them out of the blue, but I knew what they were and in all honesty the cut & drain was to painful, so I would let them rupture at home. I did have them in the EXACT same spot everytime. When I went for a follow up to my GI dr. & I told him about the abscess which was very visible on CT scan & just examing the area all he said, was your on your own sorry can't help you there. Of course me being naive I believed him, that no one could stop them from appearing, so I would just let them rupture everytime I got one.

Well in Feb 2011 I went back to my regular PCP & asked for a GI referral to try & determine why I was getting them & could it possibly be a GI issue. The GI office calls and tells me they can't help me, it is not a GI issue sorry. I went back to my doctor because it was becoming very painful in the area. My PCP finally sent me to a general surgeon who said, you have a fistula, why have you waited so long for your abscess to turn into a fistula. :voodoo:

Short story, she cut & drained, it was back in 3 weeks, then she did a fistulatomy. I had nurse care for the wound for 3 weeks every day. Went back & there it was again. Nothing had changed..:stinks:

She tells me it is out of her expertise & passes me off to a corectal surgeon. He is a blessing...He sends me for another colonoscopy & ct scan, MRI. I was negative for chron's, but the fistula is very deep in the muscle he is very conservative to cut. He did however put in a seton (3 weeks ago tomorrow).

He did not tell my husband anything about tightening it or anything just keep it clean & we will follow up in three weeks to schedule another surgery. I have intermitten pain but not all the time. I get sharp pain in the vaginal area, rectum & surgical site. I have for the most part stopped draining, very little and I mean very little drainage if any comes out. Now sometimes the sharp stabbing pains make me jump or buckle. Do those pains mean the abscess is still there?

I do continue keeping the area clean & take sitz baths twice a day. I work so only during lunch & in the evening. I use wipes to make sure it stays clean.

I do not have chron's that I know of. I had constipation issues about 4 yrs ago & my regular PCP put me on Miralex for life once a day. I have had severe constipation to where I ended up in the ER twice for it. Severley impacted. But in the last 4 yrs since being on Miralex all runs normal, no bowels issues. I have had all my bowel tests done & all good. I have anywhere from 2-3 bowels movements a day, all regular ones.

I am lactose intolerant & really can't eat bread either. I don't eat a lot of junk food, for the most part all healthy stuff.

I guess I am just confused as to what other surgery could he possibly be doing again, too just remove the seton? Do the sharp stabbing pains mean the abscess is still there? Why pain in the vaginal area? The surgical site is far from it.

I get frustrated because my corectal surgeon said after the 2nd abscess I should had been sent to GI or Corectal surgeon & that is why it turned into a fistula.

Could I still have chron's and it not show up on colonoscopy or blood work. I don't feel like I do have it, other than 2-4 bowel movements a day.

Sorry so long...but other boards aren't as active as this one when it comes to fistula/abscess. I do have an appt. tomorrow for my follow up so if anyone is intrested I will send an update.

I feel the frustration of many of you here on this issue, although i don't have chron's so I am not feeling 60% of what you guys are and I can only imagine. I have not been on any antibiotics except when I had the active abscesses.

Glad I found you guys...

Embarrassing to say, but has this impacted your sex life? Or is it just me fearing at this time with seton in, it would hurt?
 
Hi Totie,

To answer a couple of your questions, yes CD has had an impact on my sex life.. to the dismay of my poor wife. I also have pain in the groin region, as well, I have had Epididymitis on several occasions, which I believe correlates to the CD. I am headed to surgery sometime this winter, atm I am even dealing with the sharp stabbing pains you are referring to.

I am not surprised that you have had doctors turn their backs to you, as this is something I am in the midst of now, and have been from the onset. Seems many docotrs aren't as smart as they would have us believe. You are by no means alone anymore.

I have not had the anal fistulae, I get them in my small intestines. I am sure before too long, someone here will have had what you do, and will share. Seems to happen fast here.
 
Hi and welcome! I am so sorry you are struggling with so many issues down there. It must be very uncomfortable.

Being that you are having a lot of issues with abscess and fistulas, Crohn's could certainly be the root of the problem. To be honest, I (and many on the forum) have had normal tests results. Unfortunately, this disease isn't clear cut, and it can be very tough to diagnose. What tests have you done that ruled out Crohn's?
 
Hey..THANKS to all that have replied....

I have had colonoscopy, small bowel study,& assuming blood work done to rule out chron's. I don't have the symptoms, however, except weight loss 3 yrs ago (still underweight).

I eat pretty normal.

I let you guys know what the outcome is from today's visit. :cool:
 
Well, it sounds like you have had a good amount of testing done. And no inflammation was ever seen, huh? Well, that is good news. I just wonder what is causing your abscesses and fistula?!
 
Update on appt.

Well I went for my 3 week follow up on seton appt. So far all looks good. I have to keep it in for 3 more weeks:eek2:

He says he will set up a surgery to do a flap. What is that? He does explain & draws me pictures, however, I still don't understand what a fistual is..I have looked up everything & read a lot on it, but it still confuses me. If the fistula no longer has infection & is doing what it is supposed to be doing why the flap? He tells me there is a 70% sucess rate & that I will need to stay in the hospital for 3 days :stinks:

He told me the hardest part will be the pre op stuff of having a lot of fiber & that I can be released after the 3 days once I have a bowel movement. Is he going to mess with my bowels? Why? I didn't think it had anything to do with my bowels seeing as I don't have issues going to the restroom...

I am SO hesitate to have this procedure done. When he told me it was a 70% sucess rate I asked then why do it. He tells me if we don't try to get it taken care of then I will have this fistula along with the problems forever...

Any suggestions...or advice...
 
Suck it up, and go take care of this. If you are unsure, get a second, or third opinion.

I am going in for an open exploratory surgery, hopefully in January 2012. I have no desire to do this because I know it is not a "cure", rather, a means to slow the progression of the CD. The idea of someone cutting my abdomen open, to rummage through my gut has kept me from sleeping for over a week now.

If I had my choice, I would not do it (as nobody wants to have surgery), the problem is that sooner, or later, things are going to get worse for us. We should do what we can to mitigate our problems, so we can live as well as we can.

Be strong. We are fighting the good fight.
 
Exploratory Surgery

I know, I know I will take care of it while I am still young....

Are you having a laparotomy? If so I had one due to weight loss & a tumor that deep in the pelvic area that had to be removed, while they were in their my gyno went in first to take out ovary/cyst then the vascular surgeon did the exploratory surgery. They did remove a tumor that was non-cancerous, but did not know it at the time.

I stayed in the hospital from a Wed-Fri, but I ran fever afterwards that is why they kept me an extra day. I will admit, it was painful the following day, but I did walk the day after like they told me too. I was out of work for 6 weeks.

Just take it easy & let it heal......

The only thing I can say is I did develope adhesions a couple of months after that can be painful at times, but tolerable.
 

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