Okay here goes. I thought I'd post on here as doctors seem to not be of much help with this. On New Year's Eve I had surgery to drain a painful perianal abscess. It had developed to an excruciating point over the course of about two weeks. I was given two courses of antibiotics at first but eventually had to have emergency surgery. I had a Foleys catheter inferred into the wound, a tube with an inflated balloon on to keep the wound draining for about 4 days. Having the catheter in was so debilitating and I couldn't look after myself. Once the catheter was out I was getting the wound packed everyday but it wasn't too deep and packing only lasted 2 weeks then just daily dressings for the open wound. The wound hurt in a sore, cut skin kind of way but nothing like the abscess pain. It was discharging a bit but nothing alarming according to nurses. However, 2 days ago, it started to feel like it did when the abscess was there, a wider spread pain that felt much deeper. It's now worse and is leaking ALOT of fluid which has no odour and is clear and sometimes mixed with blood. I saw a doctor who examined me and said it doesn't seem like a deep infection and maybe the wound was infected so gave me antibiotics. However, the pain is so similar to the initial abscess. I had a very hot bath today and it is leaking the fluid heavily from the incision hole. If this is an abscess again is it draining itself? Or could these symptoms be of an infection of the wound and not an abscess? Doctors keep just telling me it's something else and to wait and see but if it is the abscess I'd rather sort it ASAP so that hopefully the healing process isn't as bad. Any advice would be brilliant. This is totally taking over my life because I thought I was on the mend and this has put me back again. I'm only 26 and just want to live my life. I'm also a diabetic but my sugars are really good ATM. Please help x
Oh you poor love sounds like u have had a few weeks of hell I wonder if u perhaps have a fistula???? They can sometimes happen after an abscess certainly what happened to me they can be rather troublesome to fix and I found doctors don't really know what to do with you as it seems u need all sorts of tests to ascertain if u do have one or not. But these things do take a while to settle I really do wish u the best of luck with it all
Hi Teisha
Yeah it's been pretty awful. The doctor said she thinks I do have a fistula and thinks the antibiotics im on will improve that. The pain is worse after I go to the toilet but once I've had a bath and the stuff drains out it feels 1000 times better. Saw a doctor today who said it was nowhere near big enough for a surgeon to intervene and because it was draining it was unlikely to be an abscess because they're usually walled off in a cavity. I just really don't want to have to go through all of that again, I just wanna get back to normal. So frustrating. Thanks for your help
Try and keep yr bm as soft as possible I remember it all so very well and it's awful with an active fistula u may well feel really tired also that's normal just keep an eye on any lumps/abscess reoccurring and go a and e if they do to get it drained and get some proper pain relief cause it is agonising X I really hope it starts to get better for u soon X X X but fistulas can be a bit tricky to sort X mine is but that's cause it was awkward and went somewhere it shouldn't of lol but that's just my overall bad luck aha X X i hope u are getting some support at home X X feel free to message me anytime I remember at the beginning how alone it can make u feel X X X and I am good at hearing the details so don't worry bout that lol aha only so many people u can talk to about poo and bums n stuff hahaha X X X keep yr chin up x
Ps I think u would need more tests to see where fistula is actually going!!!!
Bonjour, tout cela est très effrayant et frustrant parce que vous voulez juste que ça s’améliore, que ça guérisse et que vous puissiez reprendre votre vie normale. Très frustrant, je sais. Je fais face à cela depuis septembre 2015. Prenez les choses un jour à la fois. J’ai été en arrêt de travail tout ce temps. Mangez beaucoup de légumes et des aliments sains, et évitez les aliments rapides et les collations non saines. Je prends une multivitamine et de la vitamine C tous les jours, et je m’assure de manger des flocons d’avoine avec des noix le matin.
Concernant la plaie, je prends une douche et je dirige l’eau directement sur la plaie, ce qui aide, mais je fais en sorte de la garder aussi propre que possible. Je vis avec une infirmière, donc je suis très chanceux qu’elle puisse faire mes pansements tous les jours à la maison après la douche.
J’ai eu un abcès, qui s’est ensuite transformé en fistule (une seule), et maintenant j’ai un seton. J’attends la prochaine étape de la guérison. La troisième opération est dans deux semaines.
J’appellerais mon médecin généraliste aussi souvent que nécessaire pour obtenir des réponses.
Une IRM montrerait à quoi ressemble la fistule/abcès à l’intérieur.
Parlez aussi à l’infirmière qui fait vos pansements, elle peut vous réorienter vers le chirurgien ou le médecin généraliste.
Appelez à nouveau le chirurgien si nécessaire. Et profitez simplement des bons jours, détendez-vous et prenez tout doucement les mauvais jours. Bonne chance et tenez bon.
Je suis à mon 4e abcès et je vais de nouveau à l'opération demain. Il a commencé profondément, intersphinctérien. Lors de la deuxième opération, ils ont placé un seton pour faciliter l'écoulement, et WOW, il drainait vraiment. Il sortait sans avertissement et le liquide clair s'écoulait à tel point qu'il semblait que j'avais uriné dans mon pantalon. Il y a quelques semaines, le liquide est passé du clair au sang foncé. Les abcès se sont ensuite propagés des deux côtés de mes fesses et ont créé de nouveaux abcès.
Je sais qu'un abcès est une conséquence, mais je ne connais pas la cause, et tous les spécialistes rectaux me disent que j'ai « vraiment de la malchance ».
Je ne peux pas vivre comme ça, je n'ai aucune réponse et cela me rend très déprimé et triste. L'inconnu a ce genre d'effet.
Je suis un homme en bonne santé de 38 ans et je n'ai jamais eu de symptômes avant août, et maintenant nous sommes mi-octobre et je suis à mon 4e abcès. En 38 ans, je n'ai jamais eu de problèmes de santé, et maintenant, tout à coup, j'ai subi 3 opérations, avec ma 4e demain.
Je ne peux pas décider ce qui me cause le plus de douleur : la souffrance mentale ou la pression des abcès.
Veuillez me faire savoir s'ils ont jamais découvert votre problème, et j'espère que vous aurez plus de chance que moi !
Hi
There have been some updates in the last week to other threads in this abscess non dental forum that may be of help to you. Any questions please ask. hope you recover soon.
It was scary when I first got my abscess my GP said it is the size of a golfball, it appeared in a week!! Then I was on strong antibiotics for three days before emergency surgery, then I had the wound packed every other day for 4 weeks, It healed too quick on the otside so i was left ith a 5mm pocket so had to have it reopened and they made the incision bigger though there was no infection. It was packed everyday then for the next six weeks,, now a year later, i have a small hole right in the middle of the incision wound and a small hemorrhoid like lump right on my bootom. Think it's a fistula. sooooooo worried about incontinence
Hi Eddi18 I am ina similar situation to yourself. One abscess I&D and a Seton drain fitted. Got to go back in three months I am assuming to check on the Seton but I was given very little info from the hospital.
Let me have an update if you can. Thanks