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Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » Looking for advice about abscess



12-29-2013, 05:35 PM   #1
Jane
 
Join Date: Aug 2010
Location: Philadelphia, Pennsylvania

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Looking for advice about abscess

Hi all -

I'm looking for advice. On Nov 21 I had an MRI performed on me and I was found to have an abscess. Also found to have a "hemorrhagic cyst involving the right ovary. Trace physiologic pelvic fluid." To treat the abscess I was started on oral Levaquin and Flagyl. I finished a three week course of the antibiotics on Dec 12. I had a follow-up MRI done on Dec 19th.

The Dec 19th MRI found that the abscess is still there but it is smaller. Specifically the report says: "the previously documented and partially septated 2.5 x 2.5 x 4.5 cm interloop abscess, superior to the bladder and anterior to the uterine fundus, has now diminished to a midly enhancing 1.5 x 1.5 x 1.2 cm lobulated solid soft tissue focus that has no internal nonenhancing cavity."

I started another course of antibiotics (Levaquin and Flagyl). My GI doctor told me to have another MRI in a month. I interpret that as scheduling it around December 16th. He also said I should have the MRI three days before I stop the antibiotics. The current prescription runs out on Jan 7th.

I am not having the pelvic and abdomen pain that made me go in for the original MRI. I am having fatigue - which I associate with Crohn's disease and muscle soreness/joint pain. The muscle soreness/joint pain is new for me. I don't know if it is related to Crohn's, the Levaquin, or anxiety. I was scheduled to have Remicade on Jan 8th, but have been told to hold off on Remicade until the abscess is cleared.

When do you all think I should get the follow-up MRI? 3 weeks after the second MRI? Or should I ask my GI doctor for additional prescription for antibiotics and go for one more week on the antibiotics? I will of course follow-up with my GI doc, but was looking for some advice from others who may have been in the same position. I'm not feeling that confident that my GI doctor is really keeping on top of my case (We've had a few lapses of communication, including my stopping the antibiotics earlier because I thought he only wanted me to do a 3 week course).

I also have to schedule a visit with my gynecologist to look into the ovarian cyst. ugggh.

Any advice would be greatly appreciated!
12-30-2013, 07:26 PM   #2
lgpcarter
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Join Date: Jun 2013
Location: Canada

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I would call and get more antibiotics to see you through to the three weeks after the last MRI milestone. Glad it is shrinking but very sorry you are dealing with an abscess.
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Diagnosed in with Crohn's in large and small bowel in 2000.

Seton placement (2) and fistulotomy December 2013. Setons removed July 2014.

Laparoscopic Right Hemicolectomy July 2016, 25 cms removed

Current meds: Entyvio every 8 weeks, Imuran 50 mg, Flagyl and Cipro 500 mg twice a day
Previously: Remicade, Humira, Simponi, Pentasa, Sulphasalazine, Entocort, Stelara, Methotrexate, Prednisone
12-30-2013, 09:07 PM   #3
Jane
 
Join Date: Aug 2010
Location: Philadelphia, Pennsylvania

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Thanks for the advice. I emailed my doctor this morning. Still waiting to hear back from them.
12-30-2013, 09:34 PM   #4
Poppapiz
 
Join Date: Dec 2013
Location: New York
I have had rectal abscess starting in 2003. 3x had them drained. Worst pain imaginable. Basically our crohns give our body a different make up then a normal person. This difference gives us the tendency to build up certain fluids down near rectum. When active walaah abscess! Nasty puss has no where to go but to push out of the body. Thankfully I've had no further abscess issues since 2007. Steady remicade infusion beery 6/8 weeks.
12-31-2013, 10:10 AM   #5
Grumbletum
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Join Date: Dec 2010
Location: Western Isles, United Kingdom

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Hi there. I am just wondering if you are on any other meds for Crohn's? I had an abscess bowel to bladder. When first discovered i was given a 2 week course of Flagyll and Cipro. It didnt do much then, but i was given another course later, by which time i was also on Pred and Imuran and the combo seemed to shrink it ( shown on CT. )
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Dx Crohn's terminal ileum April 2011
Ileocaecal resection & partial cystectomy Sept 2012
3.5 years happy remission, in mild flare since Feb 2016 with related Portal Vein Thrombosis

Previous: Prednisolone, Mesren, Omeprazole, Infliximab, Azathioprine
Current: Pentasa, Librax, Warfarin
Helen x
12-31-2013, 10:46 AM   #6
Poppapiz
 
Join Date: Dec 2013
Location: New York
6 mp and Prilosec
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