Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » New with abscess healing question

04-03-2013, 01:30 AM   #1
Join Date: Apr 2013

Hi there,

Just to start off, huge thank-you to all who post on here! Comforting when something new happens.

I had never heard of Perianal abscesses before last week. Turns out what I thought was hemorrhoids, turned out to be a good size perianal abscess. I am sure others have had DVT's associated with Crohn's disease but I am on warfarin which always is out of control when Crohn's flairs up, so they would not lance the abscess until it my warfarin levels were good. It burst on its own the following day, and I get to see my gastro (appointment was made 6 months ago, so good timing on that) later this week. However I am concerned with the healing process, what do the abscesses feel like when they are healing? Mine isn't really shrinking anymore, while it is not painful, it is hardening, normal?

04-04-2013, 08:08 PM   #2
Join Date: Dec 2010
Location: Pennsylvania

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Hello Flash, and welcome to the forum. I can't directly answer your question, but I wanted to encourage you to continue to work closely with your GI concerning your abscess. I'm not sure how much an abscess can heal without drainage? I would definitely get an opinion on it at your appointment.
04-09-2013, 11:46 AM   #3
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Sailorluna's Avatar
Join Date: Oct 2010
Location: Coon Rapids, Minnesota

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Hi Mike,
You mentioned that the abscess is hardening, this could be a sign of it filling up again. They can fill and burst repeatedly. You may want to spend some time in a hot bath or on a heating pad, the heat will encourage the infection to continue to drain if there is still some in there. With luck there is no fistula and you abscess will heal up and and not re-occur. I am glad to hear that you are seeing the doc soon. Or perhaps you already have? Good luck!

Symptoms since 98
Resection and diagnosis June 2010
3 fistulas
abscess drained 6 times (so far...)
currently 2 seton in place 1 since 9/11 the other 4/14
1 strange small air pocket with an 8 cm sinus track leading into the great unknown
methotrexate weekly
folic acid
2 lomotil
2 Welchol
B12 injections (monthly)

Goodbye Humira
Goodbye Cimzia
Goodbye Azathiprine

Last edited by Sailorluna; 04-09-2013 at 12:24 PM. Reason: typo
04-09-2013, 11:54 AM   #4
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JoFowler's Avatar
Join Date: Nov 2012
Location: Dartmouth, Nova Scotia

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I agree with Sailorluna above. I have had mine a little over six months and it goes through cycles of pain, filling up, eventually draining and going down. I have to do three sitz baths a day....if I skip even one, I get a blister that forms and the whole cycle of it filling up starts again, and it is painful.

Hopefully you are on the mend, that would be great Good luck with it!
04-09-2013, 12:28 PM   #5
KWalker's Avatar
I agree with what Sailorluna and JoFowler said. Mine went through the same cycles of filling and draining. I would always know when they reached their "maximum capacity" as well because they would start to hurt, but then soon after they would pop again and the pain would release as well. I'm still healing from an abscess but luckily I haven't had pain from it lately and it is continually getting smaller while the drainage is just enough to allow it to decrease in size.

Once you have an abscess you can expect a lengthy healing process unfortunately because it does not heal like a normal cut. It could take anywhere from weeks to months, and even up to a year to heal so just don't get too worried if you feel it isn't getting better.
Age 2 (1992)

Previous Meds:
Methotrexate (oral)
Methotrexate (injections)

Current Treatment:
200mg Simponi, Psyllium
04-12-2013, 06:10 AM   #6
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Join Date: Apr 2012
Location: sydney, New South Wales, Australia

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All the anal abscesses I've had have cleared up after being drained/lanced by the doctor and haven't returned so yours may well be healing. I guess the main thing is to keep an eye on it and get it checke d by your gastro/doctor if the lump remains. hopefully yours will disappear like mine did.

you name it, i've tried and failed it! currently on- waiting to see whats new and reducing pred
temp. ileostomy reversed feb 2011, new ileostomy, nov 2012
4 resections plus removal of adhesions etc, recurrent intestinal abscesses
lyme disease, depression, sacroileitis, chronic pain and......Crohn's..........

Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » New with abscess healing question
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