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Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » Can you get an abscess in a butt cheek?



 
03-07-2010, 08:19 AM   #1
kasper87
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Can you get an abscess in a butt cheek?

It's weird because its located "In" the left buttcheek where like to bone would be.

Its not a "boil" yet. Its just kind of a "bump" or swollen and bothers me to sit at times.

I mean how would that happen?

Who even knows if it is.. It always gets worse when Im on Narcotics for pain. I think it gets better with Flagyl, but don't really just want to start my flagyl.. it sometimes makes me sick.

Thanks.
03-07-2010, 08:52 AM   #2
D Bergy
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My son has them all of the time. His are from another autoimmune disease, that can also occur with Crohn's. Hidradenitis Suppurativa is what he has.

It does not necessarily mean you have the disease, but just answers the question of whether it is possible or not to have an abscess in the butt cheek.

Dan
03-07-2010, 10:19 AM   #3
My Butt Hurts
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(Not exactly sure that I am saying everything correctly, factually - but I will give it a shot.)

It could be a fistula. A tunnel from one place to another. I think it technically called an abcess while it makes the bump, and then called a fistula when it breaks through the skin. I had one on my butt cheek. It was treated with antibiotics for a while, then it filled faster than it drained. They were going to put a drain in it, but I was lucky enough that it didn't work, and they just removed the whole thing.

It could be just nothing too, but I would definitley get it checked out.
03-07-2010, 10:48 AM   #4
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I've had that. I found sitz baths helped in as hot water as you can stand. It will burst eventually and the relief is amazing! I had one so bad one time I couldn't even sit. I took 2 sitz baths and it burst...it was gross, but the pressure relief was worth it! I haven't had one since...
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03-07-2010, 10:49 AM   #5
Nyx
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I've had that. I found sitz baths helped in as hot water as you can stand. It will burst eventually and the relief is amazing! I had one so bad one time I couldn't even sit. I took 2 sitz baths and it burst...it was gross, but the pressure relief was worth it! I haven't had one since...
03-07-2010, 10:51 AM   #6
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oops...sorry for the double post....my computer's not being my friend today
03-07-2010, 12:26 PM   #7
danman
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Yes it does sound like a fistula/abcess.

I've had quite a few in my "Cheeks". You do need to start the antibiotics. The longer you leave it, the more painful it will become.

You'll also end up with an infection/fever. It's not pleasent, start flagyl as soon as you can.
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03-07-2010, 01:43 PM   #8
kasper87
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Haven't really asked my doctors whether I should start it but i think they would tell me to regardless.
03-07-2010, 02:57 PM   #9
kasper87
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going to Start 250mg 3X /daily for 7 days.
03-07-2010, 06:39 PM   #10
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Yes! I had an abscess in my right butt cheek. The doctors said it was too small to drain and that I'd have to be on an antibiotic called Zosyn (I.V.) in order to keep the infection contained until it got to be big enough to drain. It took about 4 months to get big enough and I knew it was time to go in when I could no longer sit down. When they operated on it they said the infection went all the way around my tailbone into my left butt cheek. Unfortunately I got a fistula from the surgery and was then pooping uncontrollably from the incision point. This can be repaired so if it happens to you (God forbid) something can be done about it. I had to have ileostomy surgery, another matter entirely, so they took care of it then. I was told the abscess was as a result of my poor health and lack of nutrition. Hope this helps you. Sharon J.
03-07-2010, 09:16 PM   #11
theone
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I had one for a long time, My doctors thought it was a fistula. Turns out it was a pilonial cyst.

http://www.omnimedicalsearch.com/im_...t+picture.html

Had it dug out and stitched up.

Sitting in the ocean always made me feel better.
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Last edited by theone; 03-07-2010 at 09:18 PM.
03-07-2010, 10:18 PM   #12
mwb3779
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I have what feels to be a bump growing on the inside of my cheek/crack. I've been wondering about it. I asked about it on here a while back. Suggested the same things. I'm still not sure what it is. Dr had said it was a hemorrhoid that hasn't urfaced yet. He gave me this cream stuff.... Nystatin and Triaminolone Acetonide Cream USP. I have no idea what the heck it does. It does feel better when it "acts" up. I use it every once in a while. It seems to work. So I thought I would add my two cents. I included a link to the stuff on the drug site.

http://www.drugs.com/mmx/nystatin-an...acetonide.html
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03-08-2010, 06:24 PM   #13
s.a.m.
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Nyx said:
I've had that. I found sitz baths helped in as hot water as you can stand. It will burst eventually and the relief is amazing! I had one so bad one time I couldn't even sit. I took 2 sitz baths and it burst...it was gross, but the pressure relief was worth it! I haven't had one since...
I have had them as well and you might want to be careful about really hot water, it might irritate the skin around the area and make things worse. Any time I was hospitalized for them I was advised to just use warm water.
03-08-2010, 07:33 PM   #14
Mountaingem
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Go to doc, definitely-you don't want to treat something when you're not sure what it is. I agree with needing antibiotics, too-I've had cysts that turned really ugly really fast, when you take immunosuppressants everything can get out of hand fast.
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03-09-2010, 12:53 AM   #15
kasper87
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Update: Went to the doctor today. And It turns out she said it WAS NOT an abscess or fistula.. Weird right?

she said It is from sitting too much and because im real thin. Its a Sore/Bruise/buttocks sore whatever. I was givin A&D ointment.

I love my G.P.
03-09-2010, 02:48 AM   #16
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Thats great news kasper!

Last thing any of us needs is an abcess.

I have Hidradenitis Suppurativa that Dan Bergy mentioned and had quite a severe flare up of it before Xmas. Thankfully it has settled again but it can takes months to heal. Sometimes ends up with surgical drainage. My main areas are under my arms, hips and lower abdomen. Very occasionally I will get them on my neck, breasts or thighs.

Have to say though that being on Remi has made a huge difference to it overall and dont always have "at least one" on the go all the time now. More like one every few months which is such a relief!

As I said best news ever this morning from you. At least now you can focus on building yourself up a bit and know what you are dealing with.

Hope you continue upwards.

((hugs))
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03-10-2010, 02:20 PM   #17
Sue-2009
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OMG! Kasper...I am so happy its not an abcess. I am petrified of those darn things. But, at least I see that there are others doing okay. I am sorry that you are sore from being thin...is there anything you can add to your diet to help you? I am just curious. I hope you are feeling better! Sue
04-18-2010, 11:07 AM   #18
kasper87
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ok so this freaking thing is still here.
It's not A pilonial cyst or an abscess etc.. theres NOTHING breaking the skin.

it just looks and feels like i got PUNCHED or kicked in the butt cheek and it swelled up.

its gotten 100% better since i went down from 25mcg patch fentanyl to 12mcg..

why is this happening? sluggishness? bacterial overgrowth? pressure on the butt from the colon?

RAAAAAAWWRRR i cant handle it. sitting hurts
04-18-2010, 07:07 PM   #19
D Bergy
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Take a look at this site, and see if it fits. I hope not.

http://www.hs-usa.org/hidradenitis_suppurativa.htm

Dan
04-18-2010, 07:16 PM   #20
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Kasper, are you sure its not a deeper abscess?
04-23-2010, 10:58 AM   #21
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When I was young Before I was diagonosed with Crohn.s I had to have some removed from my butt.
04-11-2012, 04:46 PM   #22
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I have an abcess on my left butt cheek that has grown to a size bigger than a golf ball. It has been so painful to sit, stand, walk and lay down. I have had so much trouble with it, its unbelieveable. The werid thing is I'm only 16 and can safely say this is the worst pain I've ever been in!
Today I went to the doctors and was told it was an abcess, I have been put on antibiotics and was told that if they hadn't started to work by friday to go back to be referred for a surgical drain. I started on the antibiotics and the pain has got incredibly worse! I feel hopeless, I can't stand, sit or lay down without being in an incredible amount of pain.
What am I to do as I have never had surgery before and am terrified due to all the horror stories where hospitals have gone terribly wrong?
04-11-2012, 08:35 PM   #23
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Tipsy Lipsy if the pain is unbearable you can go to the er. I have been in for urgent draining before - its not fun but it will help with the pain. Did you see a colorectal surgeon? My docs have after hours answering service maybe yours does too. It could be that you can call and they will have the on call doc call you back and give you advice.

Have you tried a sitz bath?
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04-12-2012, 04:22 AM   #24
tipsy lipsy
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My doctors doesn't have an after hours service, and I want to avoid them draining it. I woke up this morning to find my-self covered in blood because it had developed a hole.
I have tried normal warm salt baths which only seem to relax me whilst I'm in the bath.
04-12-2012, 07:48 AM   #25
Sailorluna
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The sitz bath is supposed to help it drain and help with the pain. Is the pain better now that it is draining itself? Have they checked to see if you have a fistula?

I have an abscess that keeps filling and infecting. Monday they had to scrape it all out. It sucks but if you don't take care of it the thing will keep growing.
04-12-2012, 09:12 AM   #26
Irene3
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Sailorluna...that sounds terrible! I just posted 'major pain in the butt' in general discussion. You seem to have some knowledge with abscesses, as do a lot of you, so if you see this, could you please tell me your opinion. Thank you

I hope you feel better soon, it's so anoying not to sit/stand ect without constantly being aware of your butt. Bowels I think are worse pain, but the butt is just painfully annoying :/
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04-13-2012, 08:47 PM   #27
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I also have the same thing happening in my butt cheek. Its been there now for a couple of months now. My gp started me out on cipro and flagyl, and gave me 2 rounds of it. It didn't make much difference. I am also on 25mg prednisone and 150mg Imuran. The thing is, the abscess feels different everyday. Somedays i can barely sit on that side, other days feel better. I also feel i probably have a fistula as well. I am so terrified of it opening, it feels so close to the skin now. What happens if it does open?? I have no clue whats going to happen or what to do with it??? Its so tender to even touch at this point.
04-14-2012, 02:55 PM   #28
Sailorluna
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Hi Hurla,
I understand, the idea of it opening sounds scary. In my opinion its a good thing, when it opens the fluid inside will drain out and the pain should back off a huge amount. I think most of the pain is the pressure of it not having anywhere to go.

I am surprised that the docs have not drained it yet. How long have you been on antibiotics?
04-14-2012, 03:21 PM   #29
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Well, Hi there,

thank god you all suffer the same as me, lol! I hate to say this but i always keep my abcess to myself, that is i don't like to tell the gastro blokes. Its deep iinside the right cheek. you can't see it on the outside really but hell it hurts to sit, stand, walk or even lay down. its also always in the right side, exactly the same place. so recurring really.

I put up with it although i find it painful down the right leg to the knee. so i think its probably hit a nerve or something. Then after some time of build up, you know how it is, you're on the bog with those contractions despite diarrhoea challenging the speed of light, and suddenly it bursts, yayy, and omg the relief. out it all comes.
04-14-2012, 03:29 PM   #30
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Hey Spooky,
They (abscesses) totally suck! I would be too nervous to not tell the GI. I read too much about sepsis.

Plus, when mine get bad the fever comes and 103 is no fun. Last time I tried to ignore it I ended up in the hospital for 3 days.

If it keeps coming back do you think you have a fistula or is it just not draining all the way then infecting and refilling?
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