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Anal rectal Abcess

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Ulcerative Colitis
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Posted 3/26/2011 3:52 PM (GMT 0)
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Hi,,,Well, my poor son, who has Ulcerative colitis, is on Remicade and doing well with that.but developed. a anal rectal abcess.
He is meticulesly clean about caring for his body, uses Tucks,, changes his underwear at least twice a day,,,(I know since I do the laundry) :-)
Doesn't have a girlfriend,,, He feels what girl would want a guy with this endless problem, :-( but..........
Talk about PAIN...!!! He can barely walk...He had to have surgery to drain it,,and that was 5 days ago, and he is now
in such pain, even with pain meds. He had to skip his Remicade infusion which was to be done the same day as surgery,
and the Doctor told him to wait at least another 2 weeks to have it while he is on this antibiotic. That would make it 10 weeks
between his last infusion and the next one,,,and he always gets them 8 weeks apart. He is wondering if this will start his
colitis to flare up again. ?? Also due to the medicine now,,he has been constipated,,but took some Milk of Magnesa and it
made his have a soft BM but is in worse pain in his rectal area. He is wondering if anyone else ever went through this and just
how long before this pain goes away...He doesn't see the surgeion until Apr. 5.
He takes about 6 sitz baths a day, and sleeps a lot. Poor guy.
Any suggestions would sure help... or support for this...thanks
Posted 3/26/2011 4:36 PM (GMT 0)
I've seen a lot of topics about this on the Chron's board. You may want to post over there to see if you get a better response.

As for having the Remicade infusion a bit late, i think it depends on the person. I would imagine some people would do fine and others woud have problems. I've never taken remicade so I am not the best to answer this question. Hopefully you get some better responses.

Definitely copy your post over to the Chron's board if you want, seems like the people there deal with abcesses more than the UC folks.
Posted 3/26/2011 5:17 PM (GMT 0)
Thanks for that info.
Posted 3/26/2011 6:17 PM (GMT 0)
Have had many my first was emergency surgery in a full blown OR.

Did he just have an I and D, or full surgery.

Is there a drain still in, or is the wound still open and able to drain. Usually the pain is from pus buildup which creates pressure, if these things get too big they can be dangerous.
For some relief get a sitz bath use real hot water.
Also use topical antibiotic cream, it does penetrate the skin and helps to kill off what is there.


Since your son is in pain I will give my double secret method, the idea is to heat the pus ball,make it come to the surface to a head and pop so it drains. Stitz bath will do this but seems to work slower.

It may sound silly but have him get into the bath tub, turn upside down with his butt up near the faucet,turn on real hot water, as hot as he can stand,for 5 or 10 minutes a few times a day.

Do not burn sensitive areas.

I have healed many this way. After 30 years do not get them too much anymore.

Prevention; Probiotics help.
Don't laugh too hard with my double secret method, it works.
Old Mike

Post Edited (Old Mike) : 3/26/2011 12:22:47 PM (GMT-6)

Posted 3/27/2011 2:06 AM (GMT 0)

Hi there old Mike,,,,Well,,, Yes, my son was in the hospital for two days,,,Surgeon said the abcess was on the outside along anal, about 4 inches long, 1 inch wide, and about
one inch deep, So,, he went up inside the rectum, (using an expanding tool I guess) cut a hole along the wall of his rectum to the abcess, to let the infection drain out that way.
Then he packed it with something, instead of stitching it closed. That was Monday evening,,,It is now Saturday evening and he takes like 6 tub soaks a day to help with the pain.
This was not something he could squeeze out himself, believe me. The pain was so bad he could hardly walk, He is on antibiotics now for 10 days. I just hope all these antibiotics don't screw up his colon and he gets another flare. He hasn't had a flare since he started with the Remicade infusions. He is puzzled as to how he got this big
abcess as he take good care of his bottom and is very careful about cleanliness. In fact a little fanatical.. :-) He goes through more washclothes, towels, and Tucks, then
5 people would. Two showers a day, morning and evening. But, I guess it has to do with the Colitis somehow.
Your tub experiences sound like they work for you. I'll have to tell my son about them..The thing that is really killing him, is the cost for all this as he has no insurance.
couldn't get it. He qualifies for the Remicade assistance because he qualifies financially,,,thank GOD!! This Hospital and Dr. bills will be in the thousands...all for one
stupid abcess. I don't know if anyone knows if the State of Virginia has some Insurance Pool to join. Sooner or later he may end up in the hospital again. I sure hope they
would find a cure for all you poor folks who have this and Crohns disease. My hubby has colitis too, but his has been in remission since he retired 11 years ago...go figure.
Oh well...take care and thanks for your advice.
Posted 3/27/2011 1:22 PM (GMT 0)
Ok he has had the whole works like I did back in 1972. Sitz bath will work much better for the pain then the bathtub since you can get the water hotter. If there is still packing in the wound that can/wil cause much pain.
It does not matter how clean you keep yourself, these things tend to start in anal glands inside and run along tracks. The important thing is to keep part of the wound open so it can drain, hot soaks will do this. I also assume he might have a Seton drain, this will also cause pain if it is too tight.

http://en.wikipedia.org/wiki/Anal_fistula

Good luck: I know the pain.
Old Mike
Posted 3/27/2011 2:12 PM (GMT 0)

Hi Mike,,,Well, his wound is up inside the rectal wall..The surgeon did not make any cuts on the actual abcess on the outside near the anal opening,,
Then he got some of the infection out and then packed the hole he made and told my son that he'll notice the drainage as the packing, which is desolvable,
keeps coming out, little by little. Oh, he does NOT have a Seton drain..... I guess this will take time to heal and stop hurting. Unfortunately, he is starting to get very crabby and impatient, but that
is understandable... He is usually a happy upbeat guy, but this is getting him down. I sure feel for all you folks who have to go through this grief...

Post Edited (cra43) : 3/27/2011 8:15:38 AM (GMT-6)
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