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05-22-2015, 09:06 PM   #1
krinks
 
Join Date: May 2015
Location: Wisconsin
Fistula Treatment?

I was just diagnosed with Crohn's about a month ago after noticing an abscess and having a CT Scan, MRI, and Colonoscopy. The abscess turned into a Fistula and I have not been able to get an appointment with my GI doctor because he was on vacation. His office told me to get one with my primary physician. To treat it she cleaned it out with water and then packed it with gauze that is first treated with Iodine I believe. She also put me on 10mg Pred and an Antibiotic. Is this a usual treatment for a Fistula? I mostly see people talk about Fistulatomys.
05-23-2015, 06:36 PM   #2
WingedVictory
Banned
 
Join Date: May 2015
Location: New York
Anti-inflammatories and antibiotics are the standard, intiial non-invasive treatment. If infectious fluid keeps building up most fistula sufferers will then have a seton inserted to help it drain. Best to not jump into the deep end (major surgical methods) too quickly. Keep in mind any rational surgeon will avoid pressuring you into surgery as a guaranteed solution.
05-24-2015, 09:07 AM   #3
Lisa
Adminstrator
 
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Join Date: Apr 2010
Location: New York

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It also depends on the doctor- I had multiple fistula but never had surgery even though I consulted with a surgeon and he kept an eye on them. Due to the disease, it can be very difficult for healing to occur if surgery is performed. I was able to have mine taken care of by going on Remicade, which closed them up.

I would recommend exploring all options and working with your doctor too see what might work best for you. Flagyl is one antibiotic that may be used, personally I can't take it any more as it makes me quite ill from the side effects.
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30 plus years and counting with UC/Crohn's!
on remicade since 11/05

While my experiences may not be what everyone has had- I feel it is worthwhile to share any and all experiences that may be beneficial to others.
06-05-2015, 01:39 PM   #4
ling0882434
 
Join Date: Jun 2015
Location: boston, Massachusetts
I was just diagnosed with Crohn's about a month ago after noticing an abscess and having a CT Scan, MRI, and Colonoscopy. The abscess turned into a Fistula and I have not been able to get an appointment with my GI doctor because he was on vacation. His office told me to get one with my primary physician. To treat it she cleaned it out with water and then packed it with gauze that is first treated with Iodine I believe. She also put me on 10mg Pred and an Antibiotic. Is this a usual treatment for a Fistula? I mostly see people talk about Fistulatomys.
hi, I wonder if you have other symptoms before the abscess. I have an abscess and fistula for two months. no symptoms and MRI doesn't show sign of Crohns. my surgeon didn't think so but I wonder if I should request for some tests. Thanks!
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