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Is it possible I have an abscess?

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Ulcerative Colitis
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Posted 3/12/2017 3:40 AM (GMT 0)
Apologies for another thread, but my rectal pain seems to not be going away or getting any better despite sits baths, lidocaine and Tylenol

I have started to develop a bit of a low-grade fever, which I'll check again in about an hour or so – if it's still there or higher I think I should go to the ER

I looked up rectal pain and fever and it suggested an abscess could be possible – does anybody have experience with this or know about it? Any help would be so much appreciated.
Posted 3/12/2017 9:19 AM (GMT 0)
Well anything is possible, and I recently discovered that I had an abcess (which developed into a perianal fistula) and symptoms were extreme anal pain/pressure and fevers of 101+.

But what will the ER do? I'm asking because I genuinely don't know what they would do. Drain it? Antibiotics? Or would they just try to give you pain meds and have you contact your GI on Monday?
Posted 3/12/2017 9:58 AM (GMT 0)
been in the ER for 5 hours

so far they've examined my rectum and the doctor noticed "several" fissures

got blood work, CT scan and pain meds

it's sounding like I'm going to stay here until a GI shows up
Posted 3/12/2017 10:12 AM (GMT 0)
Aaand now the doctor confirmed its an abscess

I'm waiting on surgeons to weigh in, which could take hours

The scan showed no flare, so I guess there's that at least
Posted 3/12/2017 10:32 AM (GMT 0)
I've been through it. You should get some relief when they drain it. Ask for a colo-rectal surgeon.
Posted 3/12/2017 11:02 AM (GMT 0)
At least now you know what the pain is. I hope they quickly get you on a path to recovery. Hang in there.
Posted 3/12/2017 11:10 AM (GMT 0)
They've got me on an IV of cipro now and soon I'll speak to a surgeon to see if they think it's worth draining

Apparently it's small and close down to the rectum, so the doctor implied surgery may not be necessary

Thanks for the well wishes, all
Posted 3/12/2017 1:12 PM (GMT 0)
That sounds like the kind I had. I hope you feel better.
Posted 3/12/2017 4:39 PM (GMT 0)
Oh wow.... that answers the question on extreme pain. I hope it can be dealt with and heals from there. Please ask for further imaging to check for fistulas.

Please keep us updated on how you're doing.

Hugs,
q
Posted 3/12/2017 7:47 PM (GMT 0)
Have been going through this since October. Had emergency surgery last week and did and I & D and put 2 draining setons in.

You need a CRS and confirmation there is no fistula. Good luck.
Posted 3/14/2017 6:36 AM (GMT 0)
I've been discharged. They removed a perirectal abscess with a fistula. I am recovering now, and I was told that I could continue the rectal meds. The thing is, it's so painful right now I think I might hold off.

I don't want to stop but it's been two nights now and I just had rectal surgery. I'm on norco and am using lidocaine. Hopefully I'll get back to my rowasa tomorrow - i'm pretty nervous about not taking it for this long already.
Posted 3/14/2017 6:44 AM (GMT 0)

U B Tough said...
Have been going through this since October. Had emergency surgery last week and did and I & D and put 2 draining setons in.

You need a CRS and confirmation there is no fistula. Good luck.

Was this your first surgery?


I hope you're feeling better. I hope I feel better. I hope we all do.
Posted 3/14/2017 4:25 PM (GMT 0)
Fast response by the hospital! Keep us updated on how you're doing while healing. Wishing you a fast recovery.
Hugs,
q
Posted 3/14/2017 4:37 PM (GMT 0)
FYI my doctor had me hold off on the rowasa leading up to and following surgery. It burned so I would have stopped whether they told me to or not. Hope you heal up well. Lots of VERY hot baths help with the pain.
Posted 3/14/2017 6:16 PM (GMT 0)
Thanks, quincy

So far it's been painful but less than it was pre surgery

I've had 3 BMs since being discharged. They were all just slightly loose with no blood. I'm thinking this has something to do with the pain meds + everything else they gave me at the hospital.
Posted 3/14/2017 6:19 PM (GMT 0)

Uniform Charlie said...
FYI my doctor had me hold off on the rowasa leading up to and following surgery. It burned so I would have stopped whether they told me to or not. Hope you heal up well. Lots of VERY hot baths help with the pain.

How long was it until you were able to get back on the rowasa?

I've been taking sitz baths after each BM, and was told to take at least 3 per day
Posted 3/14/2017 7:11 PM (GMT 0)
At the time of my abscess I didn't have any other UC-related inflammation so I waited a long time...probably months, until I had another flare up. You may want to try just using a few drops at first to see how it feels if you need it. If my memory serves me correctly, my CR surgeon prescribed me canasa on an as-needed basis. He said it would be fine to use.
Posted 3/17/2017 12:28 AM (GMT 0)
Update: I went for a follow-up check-in with one of the surgeons to see how things are healing. I've felt much better of the past 2 days and he said the healing has progressed very well, and he could barely notice more than just the incision spot.

He wants me to come back in about a month for an anoscopy. I'd really rather not, but I suppose it's best to just get it sorted and concluded to be gone.

I'm still meeting with my GI on Monday, and he's advised that I hold off on the rectal meds until I see him. I'm thinking I'll probably start back on Canasa before things heal well enough to administer the Rowasa. The most frustrating part is just that I know the Rowasa is gentler on my guts and works better, but the tube it comes out of is what I'm thinking may have/could cause(d) irritation.
Posted 3/17/2017 2:52 PM (GMT 0)
Great news. How you feeling? I hope the pain is subsiding some?
Posted 3/18/2017 9:39 PM (GMT 0)
I am feeling like 80% better. Still some mild pain/discomfort but very manageable.

I'm just worried about my guts and holding off on rectal meds this long. I'm now 1 week without Rowasa and while the BMs are coming out ok, without blood or mucous, they definitely are...different than they were before I'd discontinued.

I'm seeing the GI in 2 days, so hopefully nothing dramatic happens before he takes a look and weighs in.

Thanks for the words of support, iPoop (and everyone).
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