The Fallenposters Blog

Because the posters fell down, duh.

A Pain in My Ass

with 285 comments

If you haven’t noticed, my post frequency here has been slightly below my average the past couple months. Mainly this is because for the last couple months, it has been quite painful to sit in front of my computer and write. No, I’m not getting headaches from the monitor. Nor am I easing into the world of carpal tunnel syndrome. The source of my pain has been in a rather different region. Namely, my butt.

Back in late October, I started getting some serious painage down in the valley and I had no idea what was going on. I felt swelling, tenderness, and much much pain. From there I decided to see a doctor. I just went to a normal family practice place. The kind with about 50 doctors–all of whom could really care less about you and your problems. After explaining my symptoms to the doctor and a quick exam, he determined I had a hemorrhoid. So he prescribed me some very expensive cream and sent me on my merry way.

About a month later, in early December, I still was feeling the symptoms I originally felt. Only this time, they were accentuated to the extreme. One night, I just could not handle the pain any more. I literally hoped Cheri would kill me because I was in so much pain. But instead, she did the sensible thing and brought me to the emergency room.

At the emergency room, the doctor continued to give me the same song and dance about hemorrhoids that my original doctor gave me. Eat more fiber, don’t strain on the toilet, exercise. Blah blah blah. Who needs that crap? Anyway, after lecturing me, she actually decided to take a look and was pleasantly surprised. She proceeded to give me the good news that I, in fact, did not have a hemorrhoid. Instead, I had a perianal abscess. How lucky I was!

A perianal abscess is similar to a boil, yet the pus originates from an infected gland in the anus that drains into the fatty tissue in the butt. Thus it swells, hurts like hell, and sometimes leaks really smelly pus. And the only way to make it better is to open it up and let it drain.

Since my abscess was very bad, they put me on morphine and opened up my abscess in the ER. Even though I had morphine, I was in an excruciating about of pain. It was so bad that during the entire procedure I screamed at the top of my lungs. It was the worst pain I’d felt in my life.

Luckily the procedure was done in only about 5 or 10 minutes. Afterwords I was sent home and told to go visit a colon and rectal surgeon. Then I made an appointment with Dr. Doughtery here in Fairfax to get looked at. At the appointment she looked to see if the ER did an OK job draining the abscess, and then sat Cheri and I down to explain what a perianal abscess is and what would happen from here. She explained that in about 50% of cases, abscesses come back because a fistula has formed. A fistula is a canal that has formed from the original infected gland and is feeding bacteria to the abscess.

After the appointment, things got better fairly quickly. I would walk normally and almost sit without too much pain. But soon, things got worse again. I was just thinking it was part of the healing process, but I was wrong. I was forming more abscesses. Once again, I couldn’t take the pain anymore, so I went to Dr. Doughtery’s office to get looked at. It was found that I had formed two more abscesses. Yay!

That day they were drained, and it helped a lot. The draining at the surgeon’s office did not hurt as much as it did in the ER because I think they actually knew what they were doing. But then the doctor feared I might have Crohn’s disease. This is because multiple abscesses for someone as young as I am is a sign of the disease. So I was ordered to get an upper GI and small intestine examination done.

The next day I went to the radiologist and had the exam done. It was kind of a neat procedure. They made me drink a lot of Barium (which was disgusting). The Barium creates a contrast so that they can examine my intestines with x-rays and fluoroscopy.

A couple days ago I got the results back and found that it looks like I have Crohn’s Disease. It really isn’t as bad as it sounds. Its just an inflammatory bowel condition that may get flare-ups due to stress or dietary habits. But I won’t exactly find out what I need to do about it until I go see my gastroenterologist in a couple weeks. All I will have to do though is take some medication to help keep the disease at bay so I don’t experience any symptoms.

Luckily though, I’ve been getting better and am now able to sit at the computer again. Hopefully, I will continue to post more frequently here again.

UPDATE (6/13/2008): Thanks to everyone who’ve commented.  Please feel free to use the comments to continue discussion and support for those who suffer from perianal abscesses!

Written by Eric Spiegel

December 29, 2006 at 4:51 pm

Posted in health

Tagged with , , ,

285 Responses

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  1. Thanks for your blog on perianal abscess. I’ve had it twice in two years. Just had surgery to remove it this past week. The effects of the anesthesia was worse than the surgery itself. Not much pain down there. A friend of mine had the same thing. Guess it happens more often than we think. Glad to hear I’m not the only one with a pain in the ass.

    Viv Lei

    February 11, 2007 at 8:38 pm

    • i had the same a few years back..the worst pain i ever felt. the prpblem is i think it has come back…im thinking to cut it myself with i pin..is that ok?

      jj

      April 27, 2009 at 2:42 pm

    • My thoughts go out to everyone that has suffered the indignity and agony of these anal abscesses. I used to think I had a high pain threshold until i contracted one of these blighters (on the buttock closely adjacent to the actual anus). Never in my life had I felt such a constant, throbbing, and intense pain. I couldn’t sit or even sleep and because the abscess was so deep and large I began to doubt that it would pop of its own accord. Therefore, I had no choice but to go to the hospital and have it lanced. I had read that the procedure was unpleasant but nothing prepared me for the excruciating and nauseating pain I experienced. I was reduced to a whimpering wreck of a man and lost control to the extent that I was screaming! I was close to crying…that’s how severe and brutal it was. The puss they removed was black and they said it was badly infected. Not only was the lancing a hideous nightmare but the insertion of the drain also had me writhing in agony. And all this with the embarrassment of having my ass on display and my cowering member hanging out for all to see! Afterwards the relief was definitely noticeable but the ordeal was far from over. The medics made me take a double dosage of antibiotics via a 3 inch needle to the buttocks. I think the woman wasn’t particular gifted with the administration of intramuscular injections because the pain was unbearable! In fact, I’m ashamed to say I was quite rude to the woman, such was my dismay with the pain. My legs nearly buckled! I would compare it to a bad dead leg, but 5 times the severity. The next day, I had to return to have the wound washed with oxigenated water and to have a new drain installed. I expected pain but hoped for a slightly less intense experience. Unfortunately, it was equal to or perhaps worse than the previous day.

      pierrevonderhoojidink

      February 16, 2011 at 12:24 pm

    • I just had my surgery last night on my abscess, mine was literally on the periphery of the anus so surgeons were worried about fistulas or whatever, turned out abscess went quite deep. Only question is, how do I go for a number 2? The hole from the procedure is so close to the anus i’m worried about reinfecting it. And what hurts like hell is when the nurse pulled the stuffing out of the hole to change it, strangest feeling in the world.

      nkpsljcc8

      March 18, 2012 at 5:49 pm

      • i got mine lanced yesterday. how long did it take the bleeding to stop? they put me under so i felt and saw nothing which is good cause apearently it was really bad but not noticable. ER nurse thought it was a hemmorroid and the ER doc said it wasnt noticable and the DR i had seen 2 days prior said it wasnt ready to be lanced after all said and done i was told dont wait so long. mine developed into a really bad one in 7 days.so to all those reading if it hurts alot just go get it lanced because i dont think mine would have burst through the skin. it was making its way up and could have had deadly effect. to shed a little light on how bad it was. most ppl see 8in of gauze put in them… i have2 feet

        Angel

        June 17, 2012 at 5:48 am

  2. Not a problem at all. I’m glad to get the stories out there. There are so many scary websites out there about perianal abscesses and Crohn’s disease and I think it is important to show that it isn’t all as scary as it may seem. Good luck with your pains!

    fallenposters

    February 11, 2007 at 9:52 pm

  3. My husband had that a little over a year ago and was the biggest baby ever. :) He’s getting it again and is mad at me because he was hoping I could get him something from his doctor over the phone, but it sounds like he’s going to have to go back in…

    Now that you have meds. for your Crohn’s disease, will you not get the butt thing anymore~or will you just lower your chances..? I’m wondering if he has Crohn’s as well… I don’t know, but it sure IS a pain in the butt!!!

    Pamela

    March 28, 2007 at 7:41 am

  4. If your husband is getting it again and again, then he should definitely get checked out for the abscesses and for Crohn’s. The medicine I’m on for Crohn’s is supposed to help heal my abscesses, and so far it is working, just slowly. Once the Crohn’s goes into remission, most people don’t get any more abscesses.

    fallenposters

    March 28, 2007 at 8:22 am

  5. Hi.
    Could you tell me if you felt really ill with the perianal abscess?
    I think I might have one .
    I’ve been to the doctors about 6 times now and keep getting sent home with the same hemorrhoid treatment and still not had an examination.
    I have lower back pain and a terrible throbbing/ aching/ burning in my back passage .
    I’ve had blood tests and they all came through ok and had 3 lots of antibiotics.
    It’s keeping me awake all night and I feel like I just don’t want to do anything as I just feel so tired.
    Does this sound similar to how you felt?
    Thanks for the info.

    Beck

    May 2, 2007 at 12:57 pm

  6. I was so glad to find a blog with people discussing the same trauma I am going through. I had my first “PIA” in 1999 – got it drained and then nothing for about 2-3 years, then it started again – but always before I got the stage of getting it drained – or procrastinated – it would go away. I found a pattern though – pork – every time I would eat it, I would get one of these. Anyway, as I type this, I have another abscess and this time its back with a vengeance. I am going tomorrow to get it drained, but will now investigate the Crohn’s side of it as well. Thanks for the support.

    Bobby M

    July 6, 2007 at 12:41 am

    • i have had the missfortune of this abscess on more than 2 occasions and they take many months too heal up completey if not rested and i mean avoid running swimming in lakes an beaches for many weeks after operation but i do belive bobby m s theory off it been food related i too eat a lot of pork an dairy products so i think there is weight too it so its off for more draining tomorrow but i also think long periods of sitting can cause it too just food for thought

      jack

      May 30, 2011 at 10:29 am

  7. You are doing a great service for people who aren’t quite sure what to do or know what they are experiencing. Keep the information streaming and you will be blessed.

    Dad

    July 18, 2007 at 7:49 pm

  8. Thanks for insight of your ordeal. Well My “pia”exploded on its own. Being disabled “SCI” This hole won’t go away. I been in bed for two months keeping off my tush. Not getting any better, not getting any worse. but the smell, jeeze!! They have me packing it with panafil, 2×2 gauze, wet to dry. Somebody have any input?

    William OHaver

    July 31, 2007 at 11:04 pm

  9. Thanks for all the responses.

    @Beck:
    It sounds like you might want to go see a different doctor. If they haven’t even examined you then it isn’t a good sign. Even when my doctor initially examined me, he thought it was a hemorrhoid too, but at least he still examined me. External hemorrhoids are supposed to go away after treatment usually. If you are experiencing any fluid draining (especially if it smells terrible) then it may be an abscess. Ask to be referred to a colon and rectal surgeon.

    @William OHaver:
    The only thing I can recommend is to take frequent warm baths. It can help both to heal the abscess and to clean up the drainage. If you haven’t been referred to a colon and rectal surgeon by your general physician, then I’d ask for one. They tend to know how to get this stuff fixed.

    fallenposters

    August 1, 2007 at 7:41 am

  10. I just had surgery for the PIA and hope that it won’t come back. Remember to use your sitz bath dude!

    kelvin

    October 3, 2007 at 11:04 pm

  11. My daughter (20) has just been told that she has a perianal boil/abscess, but hers was caused by trauma to the area, or at least that’s what we assume as we don’t think it was there before she fell off the horse and it only seemed to come up in the week after the fall. Is this the same thing then? They are booking her in for day surgery and have told her that she will be under general anaesthetic, whereas it sound like you guys only had a local. I was trying to find out exactly how the surgery is performed as she is worrying about it. Because the abscess is deep inside the buttock, we aren’t sure whether they will cut in to the buttock or use some sort of a suction doodad. Anybody got any ideas?

    meg

    October 31, 2007 at 9:52 pm

  12. @meg: Its possible that this is similar to the abscesses that I got, but they may be different since your daughter’s was caused by trauma rather than disease. When an abscess needs to be opened up to drain, the procedure is usually only done under a local. But it seems in your daughter’s case they need to go deeper in to fix the damage. I eventually had to have surgery on my abscesses as well and was put under for it. But I’m not a doctor, so I don’t know everything. Your best bet would be to talk to your daughter or her doctor about what to expect.

    fallenposters

    November 1, 2007 at 1:44 pm

  13. I recently had surgery for a perianal abscess last Tuesday. It all started about three weeks earlier when I started experiencing immense pain in the buttock region. And of course, my Doctor said it was a internal hemmorhoid. The Doctor gave me medication which was to be inserted anally. (Yay, that was fun)

    Well, I continued to experience pain and went to the Doctor’s office on three, yes 3 separate occasions. After the third visit, the Doctor looked at me and said, I miss diagnosed the hemmorhoid and it’s a perianal abscess. I was immediately referred to a surgeon who said me an hour later. The surgeon said that the abscess was so deep that I needed to have surgery in a hospital under general anaesthetic. I was admitted into the hospital about 30 minutes later and was in surgery within 45 minutes.

    After surgery, I had immediate relief but still sore. I took all my medication and was prescribed pain medication. I have to take sitz bath’s every night and after every bowel movement. I also have to change the 1/4 inch medicated gauze everyday and after every bowel movement. It’s been a week since the surgery and I’m still uncomfortable. Does anyone know how long the wound takes to heal? And I continue to read on the internet about fistula’s occuring about 30-50% of the time. Does anyone have any information about that, it would be appreciative. I found this blog tonight and really appreciate you all writing down your incidents. It makes me feel better that I’m not alone.

    Frank

    November 13, 2007 at 6:53 am

  14. @Frank: Abscesses typically don’t take too long to heal (a couple weeks I believe usually, but YMMV) as long as a fistula has not formed. If a fistula forms, then the abscess will take much longer to heal and may require more surgery. In my case, I had three abscesses, each of which formed fistulas. I had to have surgery to place drains into each of the fistulas (think of it as a piece of string that looped through my anus and out the abscess via the fistula) so that over time the fistulas would heal and the drains would be taken out as each one healed. I had this surgery in January 2007 and I still have one drain in as my fistulas are still healing. The drains were necessary because if they weren’t there, then my abscesses would close up and then fester all over again. The drains kept my wound open so it would dry out and heal.

    After a few weeks, your doctor should be able to tell you if they believe a fistula has formed or not. Hopefully they won’t form and the abscess will completely heal. Best of luck to you!

    fallenposters

    November 14, 2007 at 11:24 am

  15. I *think* I have this. Two months ago I ended up having surgery for what the OB/Gyn called “an abscess in the area next to the perineum”. He said the culture came back with E Coli in it, which is unusual for that area, unless something else is going on. He said we’d just let it go for now, but if I got another one, we’d have to do a study to figure out what’s going on. He did mention a fistula.

    Whatever I had then, I have again. Unless it’s the bartholin’s cyst that I had 3 years ago.

    And I already know I have Crohn’s, but I don’t take any meds for it. I just have to not eat stupidly.

    I do have a question. You’ve recommended seeing a colorectal surgeon. In my mind, surgeons were the people you saw once a non-surgeon diagnosed you. I’d just as soon not go to one doc, just to be sent to another (and my insurance will cover specialists as long as they are in network – no referral required). Maybe I’ll look for a colorectal surgeon, instead of banging my head against the wall trying to get into an OB/Gyn. I don’t want to go back to that first OB/Gyn – he’s very far away. If this is going to be a recurring thing, I’d like to go to someone closer.

    Brenda

    November 20, 2007 at 2:50 pm

  16. Hi, My wife has just been diagnosed with a “PIA”. She assures me that it’s bloody painful and has been suffering with flu like symptoms. To be completely fair it does look like it smarts a bit! (I get all the good jobs!)

    Now my question is as follows. She was diagnosed with the PIA on Wednesday and given a weeks worth of Augmentin Amoxicillin. She was told that the anti-biotics would/should, more than likely, start to kick in after 48hrs and she should see an improvement within a week.

    However, It’s Saturday now and the redness and hardening of skin seems to be on the increase and is now taking up about a third of her left buttock!!! The doctor didn’t even mention getting the abscess drained?? Has anyone had their PIA cured by just antibiotics alone without drainage?

    This subject seems to have very little resource dedicated to it on the web, So this site is is greatly appreciated, as would any advice anyone can put our way. She seems to be really suffering. The Doctor seems to think the PIA was bought on by an ongoing Animia problem that she suffers with so we hopefully Chrones is not even on the cards in this instance. Thanks for any advice in advance. Keep you chins up…

    Fedupwithbuttfiddling!

    UK non-sitter!

    November 24, 2007 at 9:11 am

    • I have had rectal abscesses and perianal abscesses since I was 25 years old. I am now 45 years old and my biggest recommendation for your wife because it sounds to like she has an extremely large peri-anal abscess is by all means get her to a surgeon so that they can open it up and let it drain. The thing with peri-anal abscesses is that they need to heal from the inside out. Also, it took the doctor’s, emergency room doctor’s and any other medical person a week to find out what I had, and by then it was as big as my left buttock cheek. Also, get her a sitz bath. Very simple blue tub that you place on the toilet and have her sit in as hot, plain water as her buttocks can tolerate. This will bring the abscess to a head and hopefully erupt out of her skin. This will also help keep the area clean from all that infection. She needs to also be on an antibiotic. Cipro and Flagyl is what they had me on for two weeks that I was in the hospital. You do not want the infection to get into the bloodstream because this will cause sepsis. My father got sepsis and by the Grace of God, he recovered after having a colostomy bag for months. I still get the abscess now but I know how to control them. I haven’t had a fistula in a few years, but I have had to go through 2 fistulectomies. No picnic for sure. Email me back if you have further questions of me.

      Martina

      July 2, 2012 at 2:27 pm

  17. Had my 4th operation yesterday for a perianal fistula. It’s been six years since this PIA started. Hopefully, this will be my last. To reply to UK non sitter, I was told by the surgeon that operated my first abcess that it would have been possible to get rid of it by antibiotics if it was detected early enough. I was operated on a week after the pain started and it was too late for antibiotics at this point. By then they drained about a cup of pus.

    This website lists some great info regarding fistulas. http://www.bowel-health.com/fistula.html

    For those with Crohn’s, please buy the book “Breaking the Viscious Cycle” by Elaine Gottschall. I don’t have Crohn’s but my friend who does has used this book as his bible and has had his crohn’s in remission for a while.

    Hope this info is helpful.

    Goodbye fistula

    December 14, 2007 at 4:52 am

  18. Hi All,

    I thought it might be worth giving you an update on my wifes condition. It does seem that sure enough, the Abscess did seem to shrink after about 5 days of what seemed to be agonising pain experienced. I was increadibly worried.
    However, we are now over three weeks into the course of Anti-biotics and all is well on the road to recovery. Yay! We are both keeping everything crossed that it never comes back. My wife is boosting her ferratin levels and trying to consume foods that aid her anaemic condition. I still have to keep on at her tho!!

    So, If ever this happens to someone else, I feel for you, because it did look so, so painful. But there does seem to be hope for some in the form of antibiotics. All I would say is, if you can get to a GP quickly, do so, because I am assured this gets a whole lot worse really quickly.

    Good luck to all on this site, and I hope this post helps someone who may find themselves in the same situation one day.

    May peace be with you….

    UK non-sitter!

    December 18, 2007 at 5:58 pm

  19. @Brenda: Yes, if you have been diagnosed with having a perianal abscess, then I would highly suggest that you visit a colon and rectal surgeon. They have the expertise to be able to treat it without it being too painful, plus they can tell you whether or not you need surgery to correct the problem.

    @UK non-sitter: I’m glad to hear your wife is doing better. Keep us informed on her condition!

    @Goodbye Fistula: Good luck with recovery, hopefully this will be your last surgery on your PIA. Also, thanks for the book recommendation, I’ll have to check it out.

    fallenposters

    December 26, 2007 at 6:53 pm

  20. Hello all.
    I am currently experiencing an anal abcess and/or fistula. This is about the 8th or 9th time it has occured. I have never had any type of surgery for them. I am always prescribed antibiotics and Vicodin. It takes about 9 days, and then they pop/drain. I do have Crohn’s disease. Will I have these the rest of my life? Is there an ultimate cure that I am not aware of? Maybe a surgery that will do away with them for good? I am only 25 years old and can’t imagine having these for the rest of my life!! They are so painiful! I can not sit down and all I do is cry! I even got fired from a job for not being able to come in because walking was impossible! I am depressed about the whole situation of having these abcesses…It is seriously interfering with my life. Nobody around me can truly understand the pain I experience.

    Stephanie - My Butt Hurts!!

    January 9, 2008 at 3:33 am

  21. @Stephanie: It sounds like your Crohn’s disease is affecting your perianal area — this is sometimes called Perianal disease. I don’t know what medications you are on for Crohn’s but ask your GI doctor about mercaptopurine, also known as 6-MP. Its an immunosuppressive drug that takes a few months to reach therapeutic levels, but it may help. This is the medicine I’m on and it has helped for me. Also, if you aren’t already, I highly recommend you get referred to see a colon and rectal surgeon. They will be able to tell you the options for treating your abscesses and they will tell you if you ever need surgery. Good luck, I feel your pain.

    fallenposters

    January 13, 2008 at 7:37 pm

  22. I have been diagonized with perianal fistula for last 7 years, have been operated twice, once for drainage the other for curing the fistula… They were done within span of year…

    I m pretty sure i dont have crohns, since the last two colonoscopy has showed no problem with my colon.

    But the damn thing recurred & I lost my trust in surgeries… Now i m going to a gastro-entologist who is giving me azoran-50 mg…The fistulae have decreased in activity but the pus still pours.. lately he said since that medicine has no affect on me, he going to start me on infleximab(remicide)… As my research suggest.. this is costly drug to be taken again & again…

    After all this history, what do u ppl suggest ?? surgery or go ahead with this drug? if surgery which one??
    please let me know…I m smaller than all of my friends, in sweight , height ect, coz of this problem

    sohny

    January 15, 2008 at 7:27 am

  23. About 2 days ago I noticed I had a rather firm and unusual lump in that region. It does not hurt, nor does it cause any discomfort when sitting or during any activity. It seems to have come suddenly but I don’t know when it initially began forming. I’ve been reading the symptoms of an abscess and the only symptoms I have is a lump. I’m not sure what course of action to take since I only have one symptom and have never had a problem like this before. At this point it isn’t even a problem… yet, just a worry. I wish you luck and health in the future with your condition, I hope you get a chance to respond to this.

    Lexikon

    January 23, 2008 at 4:24 am

  24. Just an update on my situation: The lump turned out to be a perianal abscess and just yesterday I went to the emergency room where it was drained. I was then given a prescription for antibiotics. The pain began the very next day after my initial reply here. Thanks to you all I was well informed on my condition beforehand and knew what had to be done. So I thank you, and wish you all the best.

    Lexikon

    January 28, 2008 at 2:43 pm

  25. Hi guys,

    I had my surgery on dec 2007. recently they found that they did not do it properly so i had another one. But even after the surgery i have an area which is hard(Jus below the wound). Do u guys think they will cut it or cure using medicine. I am at university now so i cant afford to miss my classes. =(

    Were u guys able sit down or walk properly after the surgery.(jus after the surgery)

    Thanks in advance

    James

    February 7, 2008 at 5:10 am

  26. I am soooo glad I found this blog! I’m a male, 39 yrs old. I first started getting these horrifying abscesses about 6 years ago. I thought it might have stemmed from an accident on my mountain bike when I had slipped from my pedals and landed rather fiercely on my cross bar. It was within a week or so that I had started to get what I thought was a hemorrhoid (never gotten them before) but it got way worse than that. Same symptoms as described by everyone here, including about a third of my butt check becoming rock hard. A couple of miss diagnosis later I finally had the thing lanced & drained by my primary care phys. I remember hearing him and his nurse gasp and a few oh my’s come from them during the procedure and a horrific smell! Antibiotics were prescribed & I thought that was that…yeah right. The following year, same thing but this time it popped on it’s own & drained…I was disgusted that something like that could come from my body…not too mention the amount!!! Well, here I am 6 years later and maybe 8 to 9 times later of getting this. Antibiotics were taken every time and yes, if I did catch them in time they would simply go away without too much discomfort but a lot more often it would go on for a couple of weeks with insane amounts of pain (can’t sit, can’t walk & really hurts when I use my PC muscle…and lots of depression, anger & tears)…including the one I’m going through now. I am so thankful that you mentioned going to see a colon/rectal surgeon, I don’t think my doc has mentioned it once. I don’t know if there is fistula or Crohn’s or what but I am definitely going to look into it! I’ve looked around for years on the web for some sort of explanation to no avail…and here you are…thank you thank you thank you!!!! Good luck to everyone here & I hope to let you know what happens in my situation soon!

    Writhing In Pain In The Southwest!!!

    February 9, 2008 at 6:18 am

  27. Hey all,
    I last wrote on November 13, 07 and was healing from a Perianal Abscess. Well, it got reinfected in early December and I was diagnosed with a Perirectal Abscess. I was in the hospital for one week and then went home. I had a nurse come to my house twice a week and it finally healed/closed up in mid-Feb. 08. It was extremely depressing but hopefully it’s over now and won’t come bace ever again. The doctor checked my colon during surgery and said there was no fistula/canal and he said it won’t happen again if it heals. Please Pray!!!!!!!!!Hope everyone else heals properly, thank you for this site.

    Frank

    March 3, 2008 at 1:30 pm

  28. Greetings,I guess I am another victim to the PIA. As most of you , it all started with that pain and lump and what the doctor thought was a hemorroid. The family doctor gave me hemmorroids medicine and sent me to an specialist for a colonoscopy. I am 44 years old and the doctor thought it was time to get one anyway. ..I am so glad that was done because they found a polyp in my colon and they removed it while they did the colonoscopy. Luckyly the test results on the polyp were good and it was not malign. The doctor who performed the colonoscopy finally figured out that I have an abcess and referred me to a surgeon. The surgeon tried to treat it with antiboitics first and the treatment worked while I was taking the pills but when I ran out of them , it came back with avengance. ..this time the surgeon made an insicion at his office and a LOT of discusting stuff came out. That was about 1 month and a half ago. Unfortunately my incision healed before all drained out and the lump and pain came back all over again…I could not get an appointment soon enough with the surgeon and I was going to have to wait a week before I could see him , so the nurse called my local pharmacy and gave me more antibiotics and pain meds.
    NOW, here is how I got the guts and took care of the draining myself. The abcess still had the old incision that had closed…I took a needle and sterilized it , then I sterilized the old incision area….I pooked it with the needle and it was like a balloon had exploded and lots of pus an blood drained and an immediate relief came along with that….I saw my surgeon finally , and he actually was happy that I did what I did because it helped to drain it again……right now I am in the process of healing but he wants to see me tomorrow to see if another incision or a pack may be needed.
    I am glad to know I may not be the only one has felt the frustation and feeling of being helpless. Thanks for allowing me to give you my 2 cents.

    Jorge

    March 5, 2008 at 2:24 am

  29. wow. other people get these too!!! im 27, female of average weight and started getting them when i was 24 i have had 4 of them and been hopitalized all four times. twice last year. this weekend i noticed that one of my incisions was hurting so i got a mirror and looked at it, it was all red and blistery. i think that this was just a surface one. i am taking some of my antibiotics leftover from last time and i have a guaze soaked in oregano oil over it. i heard oregano oil is a great anitfungal/bacteria agent. its looking better already, but i am going to go see a doc about it tomorrow.

    con

    March 10, 2008 at 1:12 am

  30. CON….in your case and when they hosptitalized you , was it because fistulas have already been created?…or was it just for the cleaning the abcess…just wondering…..I am scheduled for outpatient surgery in a week and they will try to deal with the fistula that was already created as a consequence of the abcess. Thanks.

    Jorge

    March 12, 2008 at 10:54 am

  31. i’m on my second one, has anyone had theirs drain on their own?? i hope mine does…it did the first time with antibiotic treatment. i cant believe the hospital time involved for surgical drainage! could anyone give me a recount of their surgical procedure? thanks everyone.

    p.s. and MAN do these things hurt like a S.O.B!

    Raffy

    March 18, 2008 at 10:10 pm

  32. Hey!

    Im 23 and i got an anal abcess at the start of Feb 08, the anti biotics didnt work, and i had to get surgery under General anesthetic, the wound still hasnt closed and now this week iv just found out i have another abcess, im on anti biotics again but i thinks its getting worse and i also think another one has sprung up, so now i have 2 abcesses and a wound that wont heal :-( im so depressed about all this, but this site has cheered me up a bit, its good too know im not alone.

    im also waiting for an appointment for my 2nd colonoscopy to see if i have crohns

    thanks for posting i hope you all heal soon :-)

    Mick

    March 27, 2008 at 10:53 am

  33. I have been getting this perianal abcess since 2004. I get them every 6 to 8 months or usually 2 a year for the last 4 years. In fact just today I had one drained. If I am lucky enough to catch it in time then the 2000mg of antibiotics that my doctor puts me on just might work and shrink it and eventually get rid of it within a week or so. He has sent me to surgeons to see if maybe they can operate and maybe cut out the area but by the time you get in to see the surgeon you are completely healed and there is no residual residue left for him to be able to find his way into the anal canal so that they can cut out the area so that they never happen again. I gather that this is something that I have to live with for the rest of my life?

    Janice

    March 29, 2008 at 12:50 am

  34. Hey!

    Have any of you had trouble with your wounds healing properly? I been getting mine dressed now for over 6 weeks and it seems to have come to a stand still.

    Mick

    March 31, 2008 at 5:48 am

  35. I had one of these 5 or so years ago, and I was told that nothing I did could prevent another one from happening! This was truly the most insane pain I have ever experienced. I have had several other surgeries including two c-sections, and nothing came close to the pain, and not to mention humiliation I experienced with this. It took over one year for my first site to heal completely. It was very trying time emotionally, physically and spiritually. I prayed to never go through it again and tried to understand why it even happened. I certainly have been blessed these last 5 years to not have to go through it again. I woke up two days ago to the all too familiar initial discomfort, and I know it is back. I am praying that it can be taken care of with antibiotics. Thanks to all who have written in here, I am glad I am not alone, and I have learned so much by reading your entries.

    Steph

    March 31, 2008 at 9:24 am

  36. Thanks everyone, its relieving to know I am not alone like so many of you have said. My story isn’t as bad as most here but its still disturbing.

    I got my first abscess like 2 yrs ago. But before that I would have pain in my ass from time to time when I would sit on a bench. I didn’t think too much of it and usually it would go away.

    Then 2 yrs ago when I was 29 I had this pain and it intensified. First I would have to carefully plan how I would sit down, and this was painful. The most painful part would be sitting down and/or standing up. Then one morning when I woke up, I did my usualy roll over to get out of bed and I felt this unbelievable pain. I screamed and was like WTF? When I stood up which was excruciatingly painful I could barely walk.

    I looked in the mirror which was difficult because I had to turn my back to the mirror and try to open my butt crack to see what was up. It was a large painful swelling. Walking was so painful it would take me like 10 minutes to walk from my apt to the elevator.

    The only thing I could do that wasn’t extremely painful was lay on my stomach. This lasted about a week and a couple times I cried a little but because I was like what kind of crap is this, why me ? If it stayed I was going to go see a doctor but after like a week it started to go away then finally dissipitated.

    For the next 2 yrs I lived in fear of this happening again. A few of times I would the preliminary pain in the ass, before anything visible formed and would become terrified. It never got to the unbearable point as before and would usually stop.

    But now for the last few days it happened and reached the pain level close to the one the first time. I am just praying that it goes away and I wont have to see a doctor. It happens in the same dam spot each time too. This is bull crap honestly why does nature do this to people. It sucks because its embarrasing too.

    I used to play sports in high school. What if this happened then ? How would I tell people I couldnt play in a game because I had swelling on my but. Thank God each time this happened I was an adult and was off work during the time.

    Thanks for sharing your stories though, its good to know you’re not some freak of nature.

    Cory

    April 2, 2008 at 10:29 pm

  37. How long did it take for your wounds to heal?

    Its been like 2 months and mine still hasnt scabbed over!

    Mick

    April 7, 2008 at 4:27 am

  38. Wow, I have been to hell and back. The second abscess that I had which I thought wasn’t as bad as the first turned out to be WAY worst. After the 11th day I had it, I couldn’t sleep that night, and at 3:00 am in the morning decided to get up and go to the hospital. Luckily for me its right across the street.

    After determining it was an abscess the doctor had to stick her finger up my ass to see if there was anything internally wrong with my ass. MY GOD this hurt. I don’t know how people receive anal sex. She had her finger all the way up in there, twisting and turning it. Im screaming and cursing while her finger is completely up my ass. She’s asking me at different moments what hurts and what doesnt. I’m like “EVERYTHING HURTS ! YOU GOT YOU FINGER COMPLETELY SHOVED UP MY ASS!!” She’s telling me to relax for crying out loud, but I couldnt. Anyway it was concluded that I had no internal problems.

    Next the other doctors came in and said it would have to be drained. This process HURT LIKE A MOTHERFUCKER. It feels like they’re scraping your insides with broken glass. Obviously since an abscess is a swelling full of puss, the slightest touching of it, or movement hurts like hell. These guys had to stick a needle in to make an incision, then push and press it to get the puss out. I mean this HURT. These were the most horrowing 5-7 minutes of my life. They said they gave me painkillers, but they might as well have been pain enhancers based on the agony I went through. I was screaming, cursing, banging on the bed I was laying on, and begging for mercy. I wouldn’t wish this on my worst enemy in the world.

    However after it was drained, there was tremendous relief. I was able to sit and move around without being in excruciating pain. They prescribed me a bunch of medicine, and told me Id have to come back to the hospital for a few check ups. In a few weeks I need to have minory surgery done to prevent this from happening again.

    May God have mercy on my soul, that this is the last of these ordeals.

    Cory

    April 9, 2008 at 3:16 pm

    • I had a perirectal abscess develop (fairly high up and hard with no real pain–until it started pushing toward the surface of my skin) and used oxy 10 pads and oxy ten meds with benzol peroxide to help it pull down and stuck a sterilized pin in to drain. I would sitz and drain 2 x a day. When I went to the dr’s office, I had read enough to know what it was and that it would be cost effective to have it drained in the dr’s office rather than in a OR. My doctor was fantastic and worked with me. She said she could do a surface cut to open but would have to schedule OR for the deeper incision. She totally numbed the area with lidocaine injections — like 20 shots–I felt the first 2 or three–but pain was tolerable. When she cut in at first I felt no pain, but she apparently decided to go deeper and I began to feel so she injected me several more times. So no pain to have it deeply lanced in a Dr.s office.

      My point is DO NOT LET THE DOCTOR LANCE YOU WITH OUT A DEEP LOCAL NUMBING TO THE AREA. I cannot believe these posts with Dr’s not numbing this area for their patients! I would almost consider that malpractice! It is absurd to put a patient through such torture WHEN IT CAN BE TOTALLY AVOIDED WITH NUMBING INJECTIONS.

      t

      June 28, 2013 at 9:11 am

  39. Hi! I was diagnosed last Friday with a Anal Fistula, Abscess, Fissure and Severe external hemorrhoids. I see the Colon Rectal Surgeon Monday and I am scared to death. I know there are two different abscesses 1) Perirectal 2)Perianal.
    Mine is not on the outside, so I am assuming that mine is the worse being Perirectal. I have lived in excruciating pain since the first Tuesday of this month. I have been living on vicadin and tramadol, stool softners then I switched to mineral oil. My pain finally subsided and is almost gone as of Thursday. It is still very achey in that region, but nothing like it was. Can anyone tell me, if you were really ill with this like fevers,chills, fatigue???. I have been so sick for a long time and am wondering if this has been my problem all along. I have experienced terrible night sweats three and four times a night I am up changing my clothes. I have to lay a towel down or a blanket just so I can go back to bed because the sheets are soaked on my side. I run a fever and then my fever disappears and my temperature drops below normal. My pulse is rapid and my blood pressure gets really low. I just want to know am I ever going to feel healthy again……….THIS SHIT SUCKS

    Ruby

    April 19, 2008 at 6:19 pm

  40. I’m so sorry to hear all that Ruby! I’m assuming that you have told the doctor about all that? I did get really sick also. The fevers, night sweats, the whole thing. But it usually happened very close to when the abscesses were about to drain. That shit does suck…big ones. I was finally able to talk my doctor into referring me to a Colorectal Surgeon & hopefully I’m a step closer to getting rid of all this. ;-)~

    Writhing In Pain In The Southwest!!!

    April 19, 2008 at 9:09 pm

  41. Pain in The Southwest, I am glad that you are going to see a Colorectal Surgeon. I have been doing a lot of reading about this topic and it is absolutely nothing to play with. I knew how serious it was, but for some reason when it comes to the butthole we don’t want to admit our problem. I figured it would go away….. Anyhow..I am so sorry to hear you are in pain. I hope you have an appointment soon.

    Ruby

    April 20, 2008 at 9:04 am

  42. After going back & forth to the doctors since Dec 07, being referred twice to hospital with no conclusive outcome! I took myself to A&E on the 7th march where a nice on call surgeon decided i had a ‘perianal abscess’& admitted me next day for surgery. To be honest what a pain in the arse this recovery has been. Still to date i’m off to the nurse to get it checked. It has healed inside but still very sore on the outside & just wont heal that last little bit. Oh & apparently in the end i actually had a hematoma not an abscess. so hopefully i don’t have the same bad luck as most of you! who i can totally sympathise with!!!!

    joey

    April 24, 2008 at 10:04 am

  43. Joey,
    You said “a nice on call surgeon decided i had a ‘perianal abscess’”
    then you said “apparently in the end i actually had a hematoma not an abscess” are huge contradictions.
    The two conditions are 180 out from each other. I take offense that you are condescending to others “so hopefully i don’t have the same bad luck as most of you!”
    I think you are the one out of luck my friend.

    Cranky Geek

    April 25, 2008 at 8:20 pm

  44. I WENT THROUGH THIS PAIN DURING MY WEDDING DAY. I am so glad to have found this blog. I thought I was the only one to have this miserable a PIA. Heres my story. So i’m a fairly healthy active 28 year old and back in early February I went to the gym and went to my regular routine of weights but then I noticed when I sat on the bench and started to lay back there was a painful sensation.

    I didn’t think anything of it as the pain wasn’t bad but then later towards the end of the month. I noticed more pain and when I checked around down there and pushed in I felt a hard lump forming. I thought it was nothing and after a few days I started having spasms at night while sleeping that would wake me up hourly. Pain was the worst thing ever.

    I hate doctos so didn’t go to one until a couple weeks later and found out that I had the Abscess and he gave me anti-biotics which I thought would help it go away in which it didn’t and I was in pain everyday and it made me miserable. I had no motivation to do anything. I was in pain and couldn’t sit too long or stand too long. I was depressed.

    Well I didnt think this problem would last so long as I was getting married to my lovely wife now on March 29th and it was already early March.
    I had 5 visits with the specialist doctor and all his attempts to poke me and drain me were failed so it looked like I had to put my “Wedding Face” on as the day was coming and the pain wasn’t going away.

    The wedding day came and the pain was horrible. I was in so much pain that day and was taking Advil every 4 hours. Standing at the alter for 2 hours was a nightmare as well. The wedding was still beautiful and it will be one I remember for the rest of my life.

    Well shortly after my wedding a few weeks ago. My abcsess started to drain by itself, blood and white pus. It was pretty disgusting but I did what I could to force it all out. I change my gauze pads and use the sitz bath 4 times a day. Its still draining and the pain is still there but its slowly healing.

    I’m so happy to have my wife as she has been so supportive and been my side at all times. Its just unfortunate she had to endure my PIA during our honeymoon phase.

    Here is something that we laugh about now.
    I told her that “I can’t honestly say I will always remember our wedding as the biggest pain in the ass ever”

    dan

    April 25, 2008 at 8:39 pm

  45. Cranky Geek!
    Sorry that i seem to have offended you but i think that you have misunderstood my text. Firstly it is not actually my fought that the on call surgeon misdiagnosed my condition!
    Secondly you seem to think that my condition was no where near the same as a perianal abscess? Maybe not as painful? I don’t know, but the operation was the same and so i’m experiencing the same recovery!
    Thirdly, Bad luck meaning not having to go through this again, before i’ve even had time to heal..
    Have you had this op? Because i dont seem to see your posting?
    “The two conditions are 180 out from each other” Sorry what does this mean? 180 out of what? 200?
    I find your reply very rude and not supportive as i thought this site was supposed to be.

    joey

    April 27, 2008 at 11:52 am

  46. Joey,
    Well I’m sorry for not being sympathetic to your pain but your post didn’t read very sympathetic to the people here. I hope this site gave you some beneficial info. 180 out means they are not the same conditions. Don’t mind me I’m just a cranky geek.

    Cranky Geek

    April 27, 2008 at 7:20 pm

  47. Well, after a long read, I wish I had seen this site sooner. I started with some peri-anal pain the Friday night, I assumed this pain was from hemmorhoids. I couldn’t see or feel them so I assumed they were the inside type. Well hot baths and hot compresses were my only relief. The Tuesday night I was in agony. I took a Tylenol #3 left over from a previous wisdom tooth removal a few months earlier. It helped me to sleep. I made an appointment with my family doc for the next day, but by the morning (Wednesday) I knew he wouldn’t be able to help me. Being a nurse, I knew that something was seriously wrong. So off to the ER I went, 4 hours later I was somewhat diagnosed, given morphine (they waited so long to give me something for the pain because they were probably afraid I was a drug user… alarm bells generally ring off for them when people come to the ER complaining of pain). They confirmed the diagnosis with an ultrasound of the area as a peri-anal abscess. (I found lots of info about it on wikipedia too). They put me under general anesthesia, lanced it, drained it, packed it with gauze, gave me IV antibiotics and sent me home with Percocet. The pain has lessened (9 days post-op). I tried to go back to work yesterday which did NOT work at all. I see the surgeon (colo-rectal and general surgeon… what luck! He is a specialist!) nearly 2 weeks post op (next Thursday). I plan to ask him about Crones and Colitis. Maybe he will recommend a colonoscopy if I mention it. I have NEVER had this problem before. I am a young (27) healthy female. I will keep you all posted. Good luck to all your pains in the asses!

    pain in the north

    May 16, 2008 at 1:17 pm

    • Wow….similar situation. Story goes like this….TTuesday around 4pm I feel some pain sort of in the perineal area. I had this, but on both sides, last fall after a long bike trip. It lasted a couple days and went away, and wasn’t nearly as severe. So, I thought it would be ok. As you know, it got worse, I could not sleep Tuesday night due to the pain, and really couldn’t get comfortable. So, knowing I can’t get in to see my OB/GYN quickly, I call my family MD and get appointment for 10:15a Wednesday….my family doctor thinks I have Bartholin cyst. Gave me Bactrim DS Wednesday morning and told me to follow up with my OB/GYN next week. By that afternoon I have a temp over 101 and feel miserable. Chills, sweats, the works. I discuss with some of my MD friends that usually Bartholin Cyst infections do not cause a systemic infection. They say I am correct. Call my OB/GYN at 4:50p and he happens to be on call for the evening already. We discuss and I decide to go to Christ Hospital ER as he may have to drain it or remove it surgically Thursday AM.

      OB/GYN resident sees me in ER, I get CT of pelvis, then I am told my OB/GYN is talking with general surgeon. THen resident does exam and says he does not think it is going to be easily gotten to with surgery, so he tells that to my OB/GYN. They let me have clear liquids overnight (all I had was some water). In AM, my OB/GYN comes in, takes a look, says it’s not a Bartholin cyst, but he can access and drain it, so he will do so Friday morning (since I was not NPO overnight). Oh – and I’ve been on IV cipro and flagyl since Wednesday in ER, temp is now down to about 99.0 and I get IV Toradol for pain (as I refused Vicodin or Percocet because I did not want to feel weird), with 4 of Morphine for breakthough (which I used after the MD did his exam).

      SO…Friday morning rolls around, I go to OR for the 5 minute procedure, the put me out, and way after the fact of course, I am told when he squeezes it, drainage comes out from where he did not expect it so he cleans it out (he thinks) and sends me back to my room to go home after I wake up. He also wants me to follow-up with a colo-rectal surgeon (Janice Rafferty), and she happnes to come by the room about noon. SHe takes one look at it, says it’s not all drained (as the OB/GYN thought), said, “I can fix that right now”, so does a beside I&D, and put in a little drain that will be there for 2 weeks. So now I am pretty angry with my OB/GYN for putting me under general anestheia after making me spend an extra night in the hospital, both for no reason!

      Anyway, there was the mention of the possibility of crohn’s but also the mention by the colo-rectal surgeon that what I had was “very common” and pretty easily fixed. However, she also mentioned we may have to discuss probable fistua surgery in the future. She seemed upset, too, that I had been there since Wednesday and no one had done anything till Friday. I am betting that the fistula was created (or at least extended) when my OB/GYN squeezed on it in OR. So, not the best, but at least I’m home, and can “do anything except don’t swim if it’s draining” based on my pain level.

      I have to admit, I’m fairly shaky right now. I took a percocet at 4am and it didn’t do a heck of a lot for the pain (as I remembered from last time I took it for a broken arm), but made me feel icky, also as I remembered. I am trying 2 acetaminophen extra strength to see what that does. I think the bulk of the pain is just from the scalpel stab and where the drain is inserted. I’ll be truthful and graphic….I was afraid to have a BM this morning. The drain is stitched in and sitting is not really comfortable. I have a donut cushion, but it’s awkward. I have to take tub baths 3 times a day, put flagyl ointment on the area 3 times a day, take cipro and flagyl pills twice a day, use a squirt bottle to clean up after I have a BM, and of course wear pads to catch the drainage. All for at least 2 weeks. She said I could go on vacation, but wow, what fun it will be. Lovely…..

      I’m a nurse, too, and was so fogged up from pain and then anesthesia I wasn’t always thinking clearly. My biggest concern is worrying if the drain will come out, then wondering if the pain that I do have is just from the scalpel stab yesterday, to put in the drain, or if it means anything else. My colorectal surgeon does not recommend packing, but drains, as the best way to go.

      PIA needs to be MIA

      May 15, 2010 at 11:30 am

    • Are you in Canada??? Sounds like the exact process my bf has just gone through.

      ShyAnne

      September 25, 2012 at 11:10 am

  48. Oh yeah, I forgot to mention that the next day after the surgery I had to soak in a tub and pull out the packing. Then sitz baths after bowel movements and “frequently” to keep the dark moist area clean and very dry. I have placed a 2×2 on the area to prevent any drainage from gluing my cheeks together ; ) This doctor has had good success with this type of abscess to heal on it’s own without the twice a day packings. The only risk is that a fistula may form if it doesn’t heal from the inside out. KEEPING MY FINGERS CROSSED!

    pain in the north

    May 16, 2008 at 1:25 pm

  49. Wow – I was reading this and it was almost exactly what I went through last week. Went to some medical office and the PA and DR told me the same – it was just hems. and i needed to do x, y and z. I was like, no this is different. By the next day I was climbing the walls and hysterical in the ER so much that they pushed me through ahead of a lot of people. The ER dr was good though and diagnosed me in a couple of minutes, then i had a ct scan and the resident surgeon came down to do it. Took him 45 mins of me on morphine and lots of local and screaming my head off. He admitted me and it was good b/c the next day when i saw the surgeon she said he hadn’t gotten it all so i had to go through it again. Thankfully she knew what she was doing but even with 3x the morphine and all that local i screamed my head off. It’s been just over a week and I just discovered it’s still bleeding, it was just pus the last few days. I don’t know if that is a good or bad sign.
    I hope you never had it again. I wouldn’t wish it on my worst enemy!

    Tricia

    May 19, 2008 at 1:05 pm

    • I don’t understand why they would not put you under for this procedure. They can use propofol which only puts you under for a few minutes. I think it’s rediculous they allow a patient to expireance that degree of pain unnecesarally.

      ShyAnne

      September 25, 2012 at 11:14 am

  50. Just had my 2nd colonscopy last week

    my stomach is all inflamed and they think i might have crohns, i have been put on pentasa at the moment, anyone else on these pills?

    Mick

    May 20, 2008 at 9:39 am

  51. My 15yo son recently diagnosed with Crohn’s disease and had an anal fistula from an abscess that had opened and was draining on his own. He’s been on ciproflaxicin and metranidazol since April 1st and we had surgery scheduled to have a seton put in because he was going to start on Remicaide.

    But we canceled the surgery (and the plans to commence Remicaide) when we found an exciting new treatment, Hyperbaric Oxygen Therapy (HBOT). My husband is a doctor and looked up the studies and they have had some success treating fistula with HBOT. Here’s a link to a page that has some studies on HBOT and perianal Crohn’s that people might like to know about: http://www.hitechbo.com/Final/HBOT.htm

    Scroll down that page to find this link: http://www.richmond-hyperbaric.com/RHHC.studies.Crohn's.htm

    We are having miraculous results!! The fistula is beginning to heal after only 9 HBOT treatments. I believe that this is going to be the new way to treat Crohn’s for everyone very soon.

    Frances

    May 21, 2008 at 10:45 am

  52. hi iv had a small lump in my lower left anus that grew in the space of 5 weeks and i had throbbing pains and couldn’t sit down and fevers at night and doc sent me back at first she said it was glands but afew days after that it got alot bigger i went see another doc and he said it was an infected abscess so i had opperation and then had nurses coming to dress wound every day for 3 to 4 weeks and wound has scabbed over now but lumps are still under the scab and theres like a little split that ooze’s yellow stuff and blood but im starting to slowly to get pains when i sit and bruising is by the slit could it be comming back again or is there another explanation some one please tell me ??

    sy

    May 22, 2008 at 6:49 pm

    • Sounds like a fistula may have developed. You should probobly go have a CT or MRI done to confirm.

      ShyAnne

      September 25, 2012 at 11:16 am

  53. hi can anyone give me some advice i have been in agony with anal pain for months, i ave been to see doctor and he gave me hae,mmoroid stuff but iv used it all and its got worse, an emergency doc gave me gtn ointment coz he said i had anal fissure and iv used it all but all that has done is give me bad headache. i am a
    university nurse student and cant take this pain, it feels like a constant throb and sharp
    unbearable stabbing pain. the throb is so intense and agony all day and night, i am using lidocane cream for temporary relief but it doesnt last long. please help someone coz im at breaking point and very embarrassed to go to doctor again thankyou xxx

    louise

    May 24, 2008 at 5:31 pm

  54. well, I went to see the doc and he said I am healing well. He said he was happy he chose to do the surgery instead of lancing it as it was a very difficult area to lance (I probably would have kicked him in the head or something) as well as being deeper than originally thought. I asked him about the Chrones issues and he said that if I haven’t had any issues with bowels, etc, that it was just plain bad luck. There are glands in your anus that secrete mucus that help to lube up the poop chute and one of them probably plugged up, became infected and caused a pocket of pus which grew into a larger area (abscess). So, a 10-15% chance that a fistula will occur. He gave me a lot of time off of work. He said I earned it (LOL). He still stood by his decision not to pack the wound. Probably because I am healthy and have no underlying medical issues. I plan to see him on the 16th of next month. If I have any issues until then I am “NOT TO HESITATE TO CALL HIM”!
    I find the drainage is more clear, but after BM’s and lots of sitting it produces more pus. Thank goodness the smell is bearable. I stopped using Vaseline on the dressing over the hole as the edges of the wound were looking pruny. I also laid off the epsom salts in the sitz bath for a while. This seemed to help. The dressing doesn’t stuck to my skin anymore. I think it was just the blood that did that.
    Scary thing is that now that there is virtually no pain, I freak at the slightest amount of pain down there. I am petrified of living this over again.
    So, for the people who want medical advice… Don’t be shy/proud/whatever. Go see your doctor!!!! If the abscess continues, the infection can spread to your blood stream causing septicemia (a blood infection). That is really bad and potentially fatal. SEE YOUR DOCTOR!!! RIGHT AWAY!!!! DON”T HESITATE!!!! (can I be any more clearer!!) Good Luck to all of you!

    pain in the north

    May 30, 2008 at 11:52 pm

    • Glad you are so much better! It gives me hope!

      PIA needs to be MIA

      May 15, 2010 at 11:33 am

  55. hi all

    well i am glad that i came across this page. i am anoyed at the lack of information/support on the internet for this!It’s great to be able to share experiences…even though you’re strangers to me, it’s a relief!

    ok, so I’m 21, ambitious, busy, college-attending, composer, ‘culture vulture’,fun, etc etc. I was informed that I was coming down with the abscess for a number of weeks before me realising. I was ‘burning the candle at both ends’. I suffered constipation, diorrhea, depression, insomnia,skin irritation and so on.

    I find that I work well at night-time and never went to sleep before 1 or 2am most nights, then generally up at 8 or 9am.

    I went out with friends regularly and enjoyed drinks and socialising.

    I was not completely inactive, I did quite a lot of walking to and from places.

    My diet was disgraceful, not a lot of ‘fastfood’ like burgers or whatever, but not having ‘square meals’.

    All of you, or at least some, can associate with that! I don’t understand why young adults end up with THAT abscess….I suppose we are not as invincible as we like to think!

    Anyway, I went to my GP and I just broke down in his office, crying (i was fucking exhausted!!!!) I had made a list of things so I handed it to him. I had chronic bronchitis too.

    Once I calmed down he lead me to the practice nurse where she examined the area….she asked me if I’d mind if the doctor took a look. So he did, it was very painful, I described it like a severe BRUISE feeling. Without warning he stuck his finger in my back passage. This, was just the cherry on the sundae (or so I thought..).

    I was instructed to go straight to A+E, so I went there. They poked around again, and sent me on my merry way with a few antibiotics. A few days later I was sent back after one night I was VOMITING probably due to the antibiotics) and ended up staying the night in the hospital. I hardly knew what was going on.

    I fasted for several hours before the surgery. y abscess was drained and left a tiny incision. I was told that the incision had to be kept open by a WICK so that it can drain , (has to heal from the inside out). My abscess originated from the side of bowel. The surgery was under general anasthesia and I was so groggy for days after. I did not feel like myself for a week afterwards.

    I stayed in hospital for 4 days post-op. It was very humiliating for me, I shit my pants and vomited when I coughed. I lost all sense of dignity there. NURSES ARE ANGELS FROM HEAVEN…..

    I am sure all of you felt this: I was soooo paranoid when I left hosp, watching my back and worrying. You feel kind of vulnerable, that’s why it’s so important to surround yourself with caring supportive people, friends and family.

    So I had to have regular dressings (and the dreaded wick!). Thankfully I didn’t have to get the wick thing done more than a few times.

    I have finished my antibiotics a while ago, and now on a course of Chinese Medicine (on recommendation from a friend who went through this).So I am having acupuncture weekly for a while and taking Chinese meds. I must say I noticed a dramati difference in even a few days. I would thoroughly recommend it for anyone who has finished antibiotics. My acupuncturist is a liscensed pracitioner and has a reliable and proven track record, and is also a family friend:-)

    Here is my big question:::::

    If the abscess is said to heal from the inside out, and ANY medicine you take encourages healing(including the skin area where the incision was) should I be concerned about the hardness around the area???I mean, if there is no more drainage of puss, does that mean it is not healing?

    The area of hardness has definitely decreased in size and not as severe as it was in the beginning. I am worried it is building up again.This is disgusting I know, but I popped it myself a few times(with a sterilised needle>saline) and has provided relief, but I can’t keep doing this….

    Sick of not being able to work and have a normal life! My boyfriend and friends/family have been extremely supportive, and I’d be ost without them.

    If any of you ave any advice on this matter(especially regarding my question above) please let me know. Any of you who have successfully over come this horrible condition, remember you only have one body! It’s sad that I had to run myself into the ground to realise that.

    it’s sunny in ireland,,,,,woah!

    Irish pain in the ass

    June 2, 2008 at 5:38 am

  56. Hi All,
    After having read most of your responses I am really afraid now. My story begun in 2003. I had my first perianal abscess drained in July 2003. Then the same thing happened in October 2004. After the abscess was drained and healed I went to see a coloractal surgeon. He examined me with an ultrasound and told me to admit into hospital because I had a little fistula and he will cut the track.

    At that time I was 29 and was preparing to get married in December. So I did not go to hospital and I nearly forgot what my specialist advised, until my third abscess formed in May 2008. I went to hospital through ER and the abscess was drained out inadequately by the trainee doctor. I was sent back to home with pain and each day after that for seven days I had such a pain that I never wish my enemy to have. Then I went to hospital again through emergency room and had more puss/abscess drained again.

    This time the hospital colorectal surgeon advised me to come for a test on 30th June to see if there are some fistula/s near my anas area. I promised myself that I will do anything my doctor will say this time.

    My question to any of you that am I too late to have the fistula to treat?

    How long the fistulotomy operation takes to heal back?

    *God help me* I am feeling a little lumpy area very close to my anas now. I am only hopping this won’t be another painfullllllllllllll abscess. God bless you all.

    Kaz

    June 20, 2008 at 4:14 am

  57. hey i really dont want this abscess in my butt drained i mean its embarrassing and painful…… what do i do? its been 5 days since i got it and i havent had thm previously…
    isnt there anything i can do without getting it drained?

    nish

    July 3, 2008 at 1:22 am

    • No – get it done before you get a systemic infection!

      PIA needs to be MIA

      May 15, 2010 at 11:34 am

  58. Hello everyone,

    I had my first abscess in 2006 december and I had it drained. But things didnot go well and it changed to fistula. I had another surgery in 2007 for the fistula and I was fine in few weeks. It was great after then. But now few weeks back I had severe pain again and found another there was an abcess..So, immediately i got it drained. I am curing very slowly now. I am fearing if this will return back again. Can anyone explain me why this occurs and what should one do for not reoccuring again?

    Sheila

    July 7, 2008 at 11:27 pm

  59. Found a small lump on my left buttock on Sunday – by Tuesday I couldn’t sleep or walk due to the pain. Got an emergency doctors appointment at 8am the following morning and was prescribed antibiotics and painkillers. I went to the toilet just after taking my first antibiotic and there was a lot of pussy, bloody discharge.

    I phoned the surgery concerned and they told me this was good and that it had probably burst and was draining and that I should be fit and back to work by friday.

    I really hope they are right! I think the trick is get in there asap, visit your doctor and get it seen to. My doctor said that there didn’t actually seem to be much puss in my abscess so I’m assuming it’s at a very early stage.

    I’m to let him know how I’m getting on by Friday so hopefully I can post here and let you all know if things are better.

    Hamo

    July 23, 2008 at 5:15 pm

  60. I just had one of these drained yesterday. I had been dealing with the pain for 4 days, 2 days excruciating pain, so the experience of the draining was just icing on the cake. I have never felt pain like that during the draining. They gave me 4 shots of lidocaine, which were completely ineffective. My fiance was with me and said he was impressed that I didn’t become completely hysterical, based on what he was seeing. I felt hysterical. I broke out in a sweat, was bawling, and squeezing my fiance’s hands. I asked for valium or demerol beforehand, but they said the local would work. NOPE. They did give me a shot of demerol afterwards, but jeez..that really helps.

    It seems to me that SOP would be to give some sort of general anesthesia or at least something to calm you down, because obviously most people experience ungodly pain during this procedure.

    The good news is that my wound looks good today, and isn’t draining much more. We think the dr. got most of what was in there. I feel pretty good today, and haven’t had any painkillers since last night around 1030.

    suz

    August 5, 2008 at 10:52 am

  61. I had my fistulotomy procedure on 11th July. The surgeon peeled off some skin very close to anal canal and made a deep cut at one side to merge the fistula track with the internal surface of anus. It was a day surgery with general anusthasia. I had moderate pain from day one and more pain from day 3 in that area. May be this is the way it heals.

    I had nurses came to my house daily to change the bandage but it was really an awkward area to deal with. Thanks to my wife who did it three or four times a day. The area took narly 10 days to heal. I was not on antibiotic nor on any pain killer.

    However, I am alright now. Hopefully there will be nomore awfull abscess in future. Fingure’s cross.

    Sheila, I think you should consult a specialist without delay. You should take more than one opinion. Fistula is mainly caused by abscess. But another abscess may be happening for other reasons. You should find out without delay.

    Kaz

    August 6, 2008 at 6:48 am

  62. In mid-July I had that awful feeling something was again getting larger in that area. I’ve had over 6 different peri-anal cysts in the past 8 years, and I know the feeling. 3 I have had to get lanced, and then the rest were either the beginning product or the final product that had to be lanced.

    This time I decided to be very proactive – and did sitz baths every day twice a day for 20 minutes in very hot water. I then applied some topical anti-biotic cream in the hope that the peri-anal cyst would just go away not rupture. After every sitz bath I felt much better, and in less than two weeks it was gone.

    It’s now 1.5 months later and nothing. I’m thinking this method worked, and may work for others if you catch it early enough. Whatever does happen – at least I feel great and don’t need to go to the emergency room or doctor.

    And I have to agree with above – my emergency room visit was the worst of the 3 lancings. I didn’t get enough pain meds – and the liticane was terrible. I was sweating and moaning from all the pain. Terrible.

    So my advice – take that hot sitz bath and make it go away.

    Constantine

    September 8, 2008 at 9:25 am

  63. Thank you for posting this. I went in today and they diagnosed me with a fistula. Tomorrow I have surgery but it sounds like they are going to knock me out! I am just concerned about the pain meds after the surgery. I sit all day at work and can’t afford to take too much more time off (I just returned from 5 months maternity leave). I will find out tomorrow but can anyone tell me what kind of medicine they got to relieve the pain post fistula surgery?

    Thanks again this was really helpful!

    Colleen

    September 10, 2008 at 3:54 pm

  64. hi, it’s been a few months since i first posted…. here’s the deal:

    I had my surgery on 16 June, stitches out (fistulectomy) 2 weeks later.

    Very very slow recovery. I am still recovering and I get seriously worried sometimes that it will come back…

    I was put on antibiotics there a few weeks ago because there was still a discharge coming from the wound…it has decreased in size considerably.

    I am slowly getting my sex life back on track, my partner has been amazing. The last time however, I got a dose of cystitis! Can I not have sex without getting punished. I guess I am still not 100%, I recently had a miscarriage also, so things are tough.

    Anyway, I am generally ok, and still going to my doctor occassionally for him to check the wound. He seems satisfied that it is healing up ok.

    keep the faith guys!

    irish pain in the ass

    October 20, 2008 at 9:29 am

  65. So, it’s been awhile since I last posted (since Feb) and I continue to be blown away by how many people have the same problem. I finally went to go see a Colorectal surgeon this past summer and he comfirmed that what I had was a fistula. We scheduled the surgery but after they had put me under the surgeon was not able to access the fistula since it had closed up and was told after I came through, that he was unable to operate (but holy cow, was I sore afterwards!) and that we had to wait to see if an abscess returned. Of course, one did and we rescheduled…this one being a success! I had my surgery at the end of August. Anyone who has to have this procedure, be sure you are prepared to have it done. It is a long recovery time and you have to be diligent in your recovery routine. Stick with the sitz baths a few times a day and be prepared for alot of down time. Unfortunately, my recovery was rough…in the week after my surgery I had a death in the family, which meant tons of company in from out of town and what have you. Then a few weeks ago, I noticed that the amount of discharge and blood had increased along with a not-so-pleasant smell. But after another round of antibiotics and well needed rest, it seems to have heeled up nicely. I would tell people to be prepared for at least a good six-week recovery time and to really take it easy (thank goodness for pain-killers & Valium!!). Hopefully, I will never have to deal with this again and I hope everyone who has to go through this will find the relief they need, good luck to you all!

    Writhing In Pain In The Southwest!!!

    October 23, 2008 at 10:58 am

  66. Hi Hamo,
    I have similar situation, please post your experience. Here is my story.

    I got fissure 4 months ago and I am in constant touch with physician and a general surgeon. They both are saying not worry, but it is hell of pain if I get constipated some times. Now 2 weeks ago, I got an Abscess (hell of a pain for 4-5 days) and finally got busrt itself, I got scared and went to Emergency, and saw the generic surgeopn, surgeon gave me antibiotics and now the pain is relaxed, but it is still draining on its own, it is almost two weeks, I am worried too much. Please put your comments, I am just eating fibre, doing sitz path twice or some times thrice if I am at home.

    Absascus

    October 26, 2008 at 4:14 pm

  67. Hi,
    Please post your suggestions ||| pls. pls.

    I got fissure 4 months ago and I am in constant touch with physician and a general surgeon. They both are saying not to worry, but it is hell of pain if I get
    constipated some times. Now 3 weeks ago, I got an Abscess (hell of a pain for 4-5 days) and finally got busrt itself, I got scared and went to Emergency, and saw the general surgeopn, surgeon gave me antibiotics and now the pain is relaxed, but it is still draining on its own, it is almost three weeks, I am worried too much. Please put your comments, I am just eating fibre, doing sitz path twice or some times thrice if I am at home. I did my lab tests, no diabetis, no blood pressure, no cholestrol, no heart issues. But I lost 10 pounds in last three months.

    Absascus

    26 Oct 08 at 4:14 pm

    Absascus

    November 1, 2008 at 10:37 am

  68. Hello,
    I just went into the clinic today because I was having the same problem this is my first time I am 18 years old male. My mom and I were in California on our way back I felt this pain but I found a certain way to sit which helped the pain. The next day it was still there I talked to my parents about it my dad said it might by pilodianal (spelling) cyst he had one when he was my age. However, I went to school the next it didn’t get any better, I believe it got worse. So I went the clinic and the doctor diagnosed me with an abscess it is up near the tail bone but still on my buttocks near the crack. He gave me some Antiobiotics and Hydro to kill the pain so I can sleep better. The doctor also insisted that I take warm baths to help soothe it. The Hydro doesn’t seem to be helping but a little bit at times, as of right now laying in my bed is very uncomortable any twist or turn is very painful. The doctor said if the abscess is not better in ten days he will have to drain it. My question is are abscess known to heal 100% or do they mostly always need to be drained? Also are there any techniques that people have to help ease the pain, like put ice on or it etc? Information and Answers to my situation would be greatly appreciated thank you for all of your time.

    Richard

    Richard

    December 3, 2008 at 2:24 am

  69. The young man,

    I was struggling with fissuere from last 4 months, then I had an abscess (see my above post). Fissure is alomost healed, but abscess is still bothering me and slightly better.

    Tips:
    1. See the doctor regularly as abscesses will become complicated some times

    2. Do the strict diet (mainly fibre to ease the bowel movement)

    3. Important: Do not drink alcohol/coffeee/soda, do not smoke,

    4. Do the simple excercises to help your digestive system and for ease of bowel movement.

    Absascus

    December 4, 2008 at 11:30 pm

  70. I got another abscess and am unsure if I have a fistula forming or not. Does anyone know of a physician that is a specialist in perirectal abscesses in California?

    Frank

    March 10, 2009 at 3:34 pm

  71. Go and see a colorectal surgeon immediately. Do not delay. Now I am completely free from the hell of pain I suffered from last 7 months.

    Abascus

    March 24, 2009 at 8:20 pm

  72. My latest updates: I repeat the whole story of this painful sufferings from last 7 months and now I am again a normal person. THANK GOD and good luck to you all and GOD BLESS YOU.

    NO MATTER WHAT, YOU NEED TO FOLLOW STRICT HIGH FIBRE DIET TO BE FREE FROM THIS PAIN:
    (a) Do the strict diet (mainly fibre to ease the bowel movement, eat vegetarian food which has lot of fibre)

    (b) Important: DO NOT drink alcohol/coffeee/soda, NEVER EVER smoke.

    (c) Drink lot of water. Do the simple excercises to help your digestive system and for ease of bowel movement.

    (d) Take sitz baths twice or some times thrice if you are at home.
    —————————
    SEQUENCE OF EVENTS
    —————————

    1. I had fissure in July 4th week end months ago and I was in constant touch with my primary physician and a general surgeon. They both were saying not to worry, but it was hell of pain.

    2. After 3 weeks, I got an Abscess (hell of a pain for 4-5 days) and finally got busrt itself, I got scared and went to Emergency, and saw the general surgeopn, surgeon gave me antibiotics and the pain was relaxed a bit, I was waiting to get it healed and seeing the surgeon frequently.

    3. But the drain of pus never stopped even after 3 months, and imagine what, it became FISTULA, and finally decided to see a colorectal surgeon. Even though my general surgeon agreed that I can see the colorectal surgeon waiting for 3 months is enough and it might need a surgery.

    4. After suffering exactly 6 months all together, I went to a colorectal surgeon, he booked an appointment for surgery on February 2nd. I had to do the lab tests before the surgery.
    Good thing about my health is: no diabetis, no blood pressure, no cholestrol, no heart issues.

    5. It was an outpatient surgery, he removed the fissure, drained the fistula and he stitched as it was a superficial type of fistula, luckily it was not deep and not smelling type of fistula. I was sent home on same day

    6. I was on medication for about a week and took off from work ( guess what! there were lay offs during this time in my company, but I did not bother much as health is top priority). It took me three more weeks to heal completely and I had to work from home. MAKE SURE TO PLAN TO HAVE ABOUT 3 WEEKS OFF based on your complexity of issues.

    7. Now it is completely healed. I went to follow up recently. I have been adviced to continue the SAME DIET for my own safety as these might re-appear if we become careless on our diet. TIP: DO NOT GET CONSTIPATED, DO NOT GET MENTALLY STRESSED. TAKE IT EASY.

    Abascus

    March 24, 2009 at 9:05 pm

  73. Well, first I would like to thank the author of this board and ALL the posters! I started having some light pain in my bottom and thought it was a hemmorhoid and used a handful of salves and creams to no relief! I saw my PC and was told I had a perianal abscess, I was sent to a colorectal surgeon and was perscribed levaquin and vicodin, the pain ceased in about 2 days, I thought I was in the clear! Well approx 7 days later it came back and hurt like HELL and its the size of a golfball, I couldn’t take it anymore and came to the ER and they got me a spot for surgery same day, and since I was fasting they put me under general, I don’t remember the procedure but the surgeon said it was drained and cleaned and explored and no fistulas were formed. As I type this on my blackberry I’m laying in the hospital 19 hours after surgery and PAIN FREE!! They are going to remove the packing and check it and send me home. The only advise is don’t expect antibiotics to cure the abscess, get it surgically debrided under general anesthesia and x ray to ensure no fistulas are formed. I wish the greatest luck to all!!!! And there is hope!

    global pain

    April 26, 2009 at 11:59 am

  74. I get abcesses in that region fairly regularly. I had an operation a few years back, but it didnt stop me from getting them. My advice would be to seek treatment with anti-biotics as soon as any pain manifests. I have sympathy for anyone with this condition as it can be fairly painful at times.

    ogilmore

    May 6, 2009 at 5:38 am

  75. It seems antibiotics are effective most of the time to cure abscesses as the antibodies will not be circulated thro blood veins near the anus.

    Have you met physician followed by a colorectal surgeon again after you have started getting abscesses again after the surgery. Do you have any crohnic issues ? It will be great if you put more details. The reason I am requesting more details is, I have been told that from my doctor that crohn’s type of symptoms will cause abscesses again and also the constipation as well.

    I do not have any crohn’s type of symptoms, but I had surgery 3 months ago and now I have completely recovered, I do not want to get this back and looking for all possible precautions.

    Thank you.

    Abascus

    May 10, 2009 at 10:16 am

    • Sorry, I had a typo in my last reply. I have correction as below.

      It seems antibiotics are NOT effective.

      Abascus

      May 10, 2009 at 10:18 am

  76. When you have a abscess, where “exactly” is it located?

    LM

    October 4, 2009 at 11:14 pm

  77. Hi all,

    I have been going through this for over a month now. It started right after labor day. I thought I had a bladder infection because the pain went around to the front. My doctor gave me some antibiotic that made me more sick then the pain I had to begin with so i stopped it. The pain got worse so I went to a hemorrhoid doctor who gave me Calmol4 and told me to get back to him in a week. Well….2 weeks later i was in agony so he sent me to a surgeon. He looked up there and said could be an abses. He sent me to get an MRI which was inconclusive. He gave me Augmentin that I started on Friday night . Its now monday October 12 and still pain when I sit down for more then 30 minutes. Do I need surgery to make this better or should I give the antibiotics more time?

    please help!

    Caralina

    October 12, 2009 at 1:25 pm

  78. Antibiotics did not fix my issues. I had suffered a lot in past. General Surgeon was not able to fix my fissure and it became abscess. I had to see a COLORECTAL surgeon and got recovered completely.

    See a good COLORECTAL surgeon in your area, do not waste your time. This is hell of a pain, do not get scared.

    DO NOT DRINK ALCOHOL, DO NOT SMOKE.
    DRINK LOT OF WATER, EAT ONLY FIBRE RICH FOOD (mostly vegetarian, fruits and nuts). You will become all right. I know the pain.

    Good luck.

    Abascus

    October 13, 2009 at 8:26 pm

  79. I had one of these develop. It started as a pea-sized lump on Tuesday, and by Friday it was the size of a ping-pong ball and PAINFUL! I found this blog and called a colorectal surgeon who did a good job on a family member, but she couldn’t get me in for a week. I determined to tough it out with soaks in the hot tub and some leftover Tylenol with codeine, but by Sunday night I couldn’t take it any more and it was off to the ER. Well, the ER doc at the first ER I went to wouldn’t drain it, wanted to admit me overnight and have a surgeon do it in the morning… no thanks! I took off the gown and proceeded to our city’s OTHER ER, where a very down-to-earth MD gave me a shot of Dilaudid, numbed the area with lidocaine, and slit it open. After reading some of these posts, I dreaded the procedure, but it wasn’t THAT horrible…maybe a total of 90 seconds of pain on a level of natural childbirth (which I’ve done twice), but then it was over and the relief was immediate. I’ve got the gauze drain in place now. The ER doc told my husband to remove the drain in three days, after I’ve soaked it really well. That would be Wednesday, and then I still have the appointment with the surgeon on Friday and she can check and see how it’s healing and maybe re-pack it if necessary. But I wish now I’d gone to the ER Friday night instead of suffering all weekend with the pain.

    Tallahassee lassie

    October 19, 2009 at 5:57 pm

  80. hi
    for me it all started as a small lump in perianal portion then it started to form as a large lump ..i consulted a doctor and he told abscess is not formed but some neccessary infection,,,,, 5th day from start of this lump it bleeded itsown -some dark coloured thick blood with pus …pain is horrible..today is the 5th day of starting this problem ..tomorow i be havin surgery i am only 21 .. i have clean habits ..still why am i havin this problem .oh lord why you are doin this to me…will surgery be dangerous

    kevin

    November 5, 2009 at 9:29 am

    • Surgery is not dangerous as long as you do your diet life long after the surgery and after the healing. See my other postings. DIET is the key for such diseases. I know the pain, I do not want to get this again as my surgeon has instructed me to follow the DIET life long to avoid this coming back again. I was a freeky guy, now I am total vegetarian and stopped every other food, initially I thought my life with only vegetarian food will be of waste. Now I have realized that this is the best food. Definitely I do not want to get this pain again so I want to continue my diet. I stopped partying.

      I had my surgery in February and it took me about two months to heal completely. I have become perfect now, no more issues. Don’t you think this is good news for you as I was scared after seeing scary posts in the internet. Do not think too much, just listen carefully to your surgeon’s advise after the surgery.

      Abascus

      November 8, 2009 at 9:28 pm

  81. So glad to have stumbled onto this site.

    So here’s my experience and questions.

    About a week ago I had a nagging pain around the anus, which I presumed to be a minor internal hemorrhoid, having suffered from one before. I thought nothing of it for the most part and assumed the pain would go away. 3 days later the pain was to much to deal with, I would wake up every 3 hours, sweating and with the chills. I couldn’t move, sit or do anything for that matter.

    I had studied the causes of such anal problems and so on to the internet i went searching for EVERY possible cause to these problems, at first because i thought it was a hemorrhoid is treated the lump around the anal wall with witch hazel and other medication. I did sitz baths which seem to relieve the most pain. After the 5th day I couldn’t bare with it much longer and decided that i had to go to the ER.

    It’s was quite embarassing as I live in a predomint college town, the young nurse told me to have a seat, which i kindly replied, i’d rather just stand if thats okay. So began me telling where the pain was originating from and the symptoms I had.

    After waiting about 10 minutes in a room they assigned me to I the ER doctor came in to take a look at the problem. His first assumption was a perianal abscess and therefore told me that a surgeon was going to have to take a look at the problem.

    The surgeon came in looked at in and bingo off to surgery under local anesthia. The pain was unbearable, simply the worst pain i’ve ever felt in my life.

    I’ve had tooth aches that I thought were painful, my god I was wrong, nothing in the world hurt more than this surgery. So after being discharged that night from the hospital, i was told to cut one inch of the gauze out per day.

    I was diagnosed with a Perirectal Abscess, which i assume differes from a perianal abscess? Does anyone really know the difference?
    Surgery was two days ago and besides the pain from the incision itself, everything seems okay. I haven’t had a bowel movement, but then again I’m afraid to eat anything because I don’t exactly know what will happen when I do have a bowel movement.
    After reading everyone’s story I’m afraid I might get a fistula and need more surgery. I pray this not be the case, as I don’t think i could deal with this pain again.

    I know it’s early, but is it fairly normal for there to be such large amounts of pus to come out ever after surgery?

    Any suggestions on eating? I’ve starved myself for four days, and i’m so hungry it’s not even funny, but I just don’t want to deal with massive pain during a bowel movement…also any suggestions on cleaning the area? I still have the gauze inside the incision, and i don’t want to aggrevate it.

    Lastly does anyone feel massive pain when they squeeze there buttchecks? I guess i never really noticed it until i wake up from the middle of the night from the sharp pain.

    It seems all my procedures were similar to many of the posts, but I don’t have health insurance, and it seems the er was less willing to help with post op care as they told me to take care of the dressing myself, and call if the pain worsened.

    any help or guidance would be greatly appreciated as I can’t just go see doctors left and right without insurance. Thanks so much

    john

    November 6, 2009 at 7:41 am

    • Your fears were just like mine. I’m sure by now you’ve had the BM and it’s fine. I was terrified, too! It’s only been 24 hours since my I&D and I will have a drain for 2 weeks. Worried the drain might come out, but yes, I do have pain in the buttcheeks. How long did it take for that do go away?

      PIA needs to be MIA

      May 15, 2010 at 11:36 am

  82. I had big trouble and check my old posts on this web page. I am perfectly all right and I have become total vegetarian (eating fruits, vegetables, whole wheet bread, fibre rich nuts like soyabeans, almods, dates etc.). DO NOT drink alcohol, soda or energy drinks, do not eat meat or fatty food. If you have crohnic type of issues, add a tea spoon flaxo seeds powder with your vegetarian food with every meal.

    1. Eat only fruits and/or fresh juice for few days and then slowly start eating fibre rich food.

    2. Drink lot of water, DO NOT drink soda
    3. Avoid fatty food, it is better if you continue eating only fibre rich vegetarian.

    4. Do not take mental stress, take it easy and you will become alright.

    5. Consult the surgeon regularly.
    6. Continue sitz bath even after the healing.
    7. Do simple excercises

    GOOD LUCK

    Abascus

    November 8, 2009 at 8:47 pm

  83. Wow, seems I’m not the only one in the world…
    I got my perianal abscess last afternoon, and I agree that the pain was really bad. Seems local anesthesia doesn’t make it pain-free…
    I have a piece of gauze inside the incision. I have to go to the hospital for redressing, and am really afraid that the process of replacing the gauze will be painful too. Oh my poor *ss. Wish noone to have this.

    Howdy

    December 10, 2009 at 10:24 pm

    • I feel your pain. Mines happened 11/8/09 or rather thats when I went to the hospital. Im a gym rat. Deadlift and squat pretty heavy so at first i thought it was a hemmeroid. I’ve had them before. Then it just got to be downright painful. I tried all the normal hemmy treatments. Fiber uptake, rest, etc. Sitz baths..you name it. The symptoms would subside. Afterwhile none of it worked except the sitz bath. The pain was so unbearable that I couldnt even sleep. I couldnt lay in any manner without being in EXCRUCIATING PAIN. My buddy who have hemmy surgery told me try extra stregnth Aleve. I had been taking Percs and that wasnt even doing it for me. I was poppin Aleves like it wasnt nothing. They stopped workin. I was scared to go to the hosp. as everyone online mentioned hemmy surgery was painful. After praying to Lord for healing I decided I couldnt take anymore. Afraid to eat cause the bowel movements were murder !!!!! Hungry as heck. Tried to get up with the help of my girlfriend but pain was so unbearable that I literally laid down on my stomach and just ried. Pain so intense I blacked out. Came through 30 min later. Aleve briefly working so I hurried up to take a dump. I instantly felt relief. Relief enough that I could walk to the car. In the car I wa samazed at how much better I was feeling. Was noticing a horrible smell but not sure what it was. Went to ER and still could smell it. Waiting on the ER nurse I quickly dipped into the bathroom and found that the sucker had burst probably from the bowel movement. The pressure relief was soooooo good !!!!!! I kept trying to wipe it up but it wa samazing how much was leaking every where. Thought I had gotten it all. Stripped down to the land of butnakedness…And yes when you are in this much PAIN you dont care who see you but ass naked . The ER doc came in ..pulled my cheeks apart and Gasped as she was even ready for it. My girl said the ER doc had a shocked look on her face. When she noticed my girlfriend there..she tried to play it off. The gave me an IV because fluids were low. (the pain is so much you lose your appetite). Gave me a Cat scan for $1700.00 to see how far the infection had spread. Thank GOD…it didnt spread ..just in the but region. The told me they were going to cut and drain it and gave my pain meds.
      THAT ISHT DIDNT WORK..AND THE REAL PAIN WAS GETTING READY TO BEGIN. They stuck a needle in the area to numb it. I felt the whole thing !!! Then she pressed her finger all through out my poor little butt crack to force as much pus out as possible. I screamed like HAN SOLO on Empire Strikes Back when Jabba was Darth Vader was torturing him !!!!.

      Then she had to pack it …The literally had to hold my cheeks apart because I was going down with out a FIGHT !!!! I have never felt any pain like her packing that wound.

      The gave me some meds and sent me home ..ass felt instantly better. Told to return in two days to have packing removed..was scared but afraid something worse would happened if I didnt get it taken out. Stung a little but it was cool….

      Told me to take meds for 10 days to clear it up and to little the surgical cut stay open to help drain any infection that may have still been inside. old to take sitz bath 20 mins a day to keep the wound open as long as possible so it can heal from the inside.

      Its 12/12/09 a full month plus and the hole is still there. It was draining pus 1.5 weeks ago but nothing know. I look at the hole with a mirror and see a dark mark/line right under the skin. I have a sneaking suspicion this WHOLE ordel may have been brough on my an ingrown butt hair. SIGH!! It is showin all the classic syptoms of an ingrown hair. Stubborn to heal ..not leaking pus or blood but still a sharp pain from time to time. Usually ingrown hairs will do that as they are growing under the skin and pushing through the flesh. Will give it another week or so. The hole will close up and then after awarm shower open back up. I’m a GOD believer so I believe in prayer and what the word of God says. He does not give a spirit of fear in anything. The word also says that which I fear will come upon me. So remember that if you are facing this. If your think you may have one. Syptoms include chills, fever , night sweats, loss of appetite go to the doc IMMEDIATELY. The long you wait the WORSE it becomes. Possible Septic shock of my Blood is what convinced me to go !!! There is soooo limited info on this so I’m posting my experience with hope that it will DEFINITELY HELP SOMEONE GOING THROUGH THIS !!!!!

      i fell your pain

      December 12, 2009 at 10:54 pm

  84. previous post went a lil wrong, sorry. Still in pain.
    Wow, seems I’m not the only one in the world…
    I got my perianal abscess drained last afternoon, and I agree that the pain was really bad. Seems local anesthesia doesn’t make it pain-free…
    I have a piece of gauze inside the incision. I have to go to the hospital for redressing, and am really afraid that the process of replacing the gauze will be painful too. Oh my poor *ss. Wish noone to have this.

    Howdy

    December 10, 2009 at 10:26 pm

  85. Guys I feel for all of you.
    My husband just had his 3rd GA surgery performed on Sunday, this year!!! His Perianal abscess- luckily- had no communication, however no one can with surety explain the reson for recurrence. We have decided that after western medicine had failed on any follow up treatment, to try tackle the issue with a holistic approach. So we tackle the bowel flora using lactobascillus acidophilous, we tackle the immune system with echinacea, vit c zinc and vit e, we tackle the bacteria using the natural antibiotic wild oregano oil. Not the commercially available oregano, oregano vulgarus is the herb in use. So far, nothing to report however this seems to be the only form of follow up treatment that makes sense. Will report on progress though.

    mich

    December 11, 2009 at 4:45 am

  86. I feel your pain. Mines happened 11/8/09 or rather thats when I went to the hospital. Im a 30 yr old gym rat. Deadlift and squat pretty heavy so at first i thought it was a hemmeroid. I’ve had them before. Then it just got to be downright painful. I tried all the normal hemmy treatments. Fiber uptake, rest, etc. Sitz baths..you name it. Taking a dump was horrible. I had to trick my body by using Suppositories. The symptoms would subside. Afterwhile none of it worked except the sitz bath. The pain was so unbearable that I couldnt even sleep. I couldnt lay in any manner without being in EXCRUCIATING PAIN. Couldnt walk, drive, stand for more than 2 minutes. My buddy who had hemmy surgery told me try extra strength Aleve. I had been taking Percs and that wasnt even doing it for me. I was poppin Aleves like it wasnt nothing. 4 every 2 hrs. It would get me to sleep but woul wear off in the middle of the nigh. AAAAAAAAAA!!!!! They stopped workin. I was scared to go to the hosp. as everyone online mentioned hemmy surgery was painful. After praying to Lord for healing I decided I couldnt take anymore. Afraid to eat because the bowel movements were murder !!!!! Hungry as heck. Tried to get up with the help of my girlfriend but pain was so unbearable that I literally laid down on my stomach and just cried. Pain so intense I blacked out. Came through 30 min later. Aleve briefly working so I hurried up to take a dump. I instantly felt relief. Relief enough that I could walk to the car. In the car I was amazed at how much better I was feeling. Was noticing a horrible smell but not sure what it was. Went to ER and still could smell it. Waiting on the ER nurse I quickly dipped into the bathroom and found that the sucker had burst probably from the bowel movement. The pressure relief was soooooo good !!!!!! I kept trying to wipe it up but it was amazing how much was leaking every where. Thought I had gotten it all. Stripped down to the land of butnakedness…And yes when you are in this much PAIN you dont care who sees you but ass naked . The ER doc came in ..pulled my cheeks apart and Gasped as she wasnt even ready for it. My girl said the ER doc had a shocked look on her face. When she noticed my girlfriend there..she tried to play it off. They gave me an IV because fluids were low. (the pain is so much you lose your appetite). Gave me a CAT scan for $1700.00 to see how far the infection had spread. Thank GOD…it didnt spread ..just in the butt region. The told me they were going to cut and drain it and gave me pain meds.

    THAT ISHT DIDNT WORK..AND THE REAL PAIN WAS GETTING READY TO BEGIN. They stuck a needle in the area to numb it. I felt the whole thing !!! Then she pressed her finger all throughout my poor little butt crack to force as much pus out as possible. I screamed like HAN SOLO on Empire Strikes Back when Darth Vader was torturing him !!!!.

    Then she had to pack it …They literally had to hold my cheeks apart because I wasnt going down with out a FIGHT !!!! 1 person to pack it..the other person to hold me down on the bed with my arse in the air and cheeks pulled apart. I have never felt any pain like her packing that wound.

    The gave me some meds and sent me home ..ass felt instantly better. Told to return in two days to have packing removed..was scared but afraid something worse would happened if I didnt get it taken out. Stung a little but it was cool….

    Told me to take meds for 10 days to clear it up and to let the surgical cut stay open to help drain any infection that may have still been inside. also told to take sitz bath 20 mins a day to keep the wound open as long as possible so it can heal from the inside.

    Its 12/12/09 a full month plus and the hole is still there. It was draining pus 1.5 weeks ago but nothing now. I will look at the surgical hole with a mirror and see a dark mark/line right under the skin. I have a sneaking suspicion this WHOLE ordeal may have been brought on my an ingrown butt hair. SIGH!! It is showin all the classic syptoms of an ingrown hair. Stubborn to heal ..not leaking pus or blood but still a sharp pain from time to time. Usually ingrown hairs will do that as they are growing under the skin and pushing through the flesh. Will give it another week or so. The hole will close up and then after a warm shower open back up. I’m a GOD believer so I believe in prayer and what the word of God says. He does not give a spirit of fear in anything. The word also says that which I fear will come upon me. So remember that if you are facing this. If your think you may have one. Syptoms include chills, fever , night sweats, loss of appetite go to the doc IMMEDIATELY. The longer you wait the WORSE it becomes. Possible Septic shock of my Blood is what convinced me to go !!! There is soooo limited info on this so I’m posting my experience with hope that it will DEFINITELY HELP SOMEONE GOING THROUGH THIS !!!!!

    i feel your pain

    December 12, 2009 at 11:02 pm

  87. I suggest you to see a colorectal surgeon as soon as possible, no other physian or general surgeon can fix the issue. I know this pain, see my past postings. I have become alright after the surgery since Feb 2009.

    Abascus

    December 17, 2009 at 9:18 pm

  88. Well, I don’t feel that much pain now, it’s been 10 days after the incision and drainage. Sometimes I have a very short sharp pain, feels like in the wound area, and then it kinda moves to my bellybutton area and disappears. I had no problem with the bowel movement ever since after the incision, but, today I could feel some irritating pain. It was not very painful, but feels like if there was a small lump, may be pus is coming back? The wound is not deep, I think it’s just skin that is still open, no gauze inside the wound anymore, but whenever I change the dressing I find quite a bit of liquid that looks like pus, but my doc said it’s just a wound fluid and as long as there’s no pain it means there’s no infection. The wound doesn’t really seem to be closing, sigh. I hope I’m not going to have a bigger operation, coz I’m in China, got no insurance, and have wife with 2 weeks old newborn, so there’s no way to stay at the hospital. Wish a very good luck and strong health to everybody as well as myself… Wish noone has pain even in the ass.

    Howdy

    December 20, 2009 at 8:35 am

  89. Hi Everybody,
    Seasons greetings and welcome to a pain free 2010!
    Abascus, hubby will be seeing a colorectal surgeon soon as per your and our general surgeons advice.
    What did the colorectal surgeon advise? what did he check for? were there any underlying conditions for recurrence according to him?
    Just want to know what to expect…
    thx.

    mich

    January 19, 2010 at 6:11 am

  90. I will never forget my past and this severe pain. That is the reason I still visit this web site as I did not find any better website than this as hardly any person shares the issue with this sensitive body part.

    My first impression with Colorectal surgeon made me more courageous as he made me to sleep with head down and legs up to conduct a visual inspection and it was not as painful as by general surgeon.

    What colorectal surgeon told me before the surgery:
    ===================================================
    1. I was been told clearly by the Colorectal Surgeon that antibiotics may not work as the blood circulation will not reach the rectum part, that is the main reason I had to undergo the surgery.

    2. He also told me that, he will come to know the complexity of the issue only when he puts me on sleep. I do not want to scare you, but the issues with digestive system is like this. Do not get scared if the colorectal surgeon tells you that you may need two/there surgeries depending on the complexity of issues.

    3. He told me to take only one week off from work, but I suggest you to take 2-3 weeks off after the surgery or work from home if possible after a week rest.

    What colorectal surgeon told me after the surgery:
    ===================================================
    1. You are a lucky man as the issue is very superficial and you do not have to come for another surgery. (This is my luck#1).

    2. Actually he operated the fissure and sent the tissue for further lab analysis and no issues were found. (This is my luck#2).

    3. He told me that, I do not have any chrohnic issues after all the tests I had underwent. But he told me repeatedly that DIET is most important and I have to continue my diet all the life, otherwise it might come again !!!! I JUST FOLLOW MY DIET (see my other postings)

    My advise to yoor husband:
    ==========================

    1. Do not get scared because of severe pain as this part is very delicate and wet all the time and takes time to get healed.

    2. Listen carefully to surgeon and you must follow his/her directions.

    3. Plan for couple of weeks off from work.

    GOOD LUCK TO YOUR HUSBAND and GOD BLESS HIM, HAVE CONFIDENCE IN YOURSELVES.

    I BECAME ALL RIGHT FROM LAST ONE YEAR and I AM ON STRICT DIET.

    Abascus

    January 19, 2010 at 8:22 pm

  91. This is great information everyone.. I’m currently going in for a lancing for an infection that sounds similar to your PIA, that has got to go and will not drain on it’s own.. sigh.. But I remember having an infection drained from an injury that happened to my leg and it was one of the most painful experiences I’ve ever had.. I’ve broken a femur, had kidney stones and OMG this was one of the most painful procedures I’ve ever experienced.. Lidocaine (as a local) does not work Doctors and Nurses.. I screamed bloody murder for 10 minutes while they drained a cup full of puss from my incision.. And then they of course give me a script for a heavy pain med after the fact.. It would have been nice to have had something while you were torturing me, because your local anesthetic sucked!!
    Wish me luck.. because I can’t wait to see the Iodine and Scalpel.. Yippeee!!!

    GregoryPeak

    January 30, 2010 at 1:04 am

  92. I had a perianal abscess develop in late October 2009. The ER drained it, packed it and provided me with a short supply of antibiotics. I have religiously taken twice/thrice daily hot soaks keeping the area clean. I use 3 x 3 gauze pads during the day to soak up any drainage. It has been over 3 months and the incision has gotten smaller, but still hasn’t closed up. I still get a little bit of drainage. I have seen the same ER doc twice since the initial visit. She said it’s healing on its own and there are no fistulas. How long does this take?

    Lola

    February 1, 2010 at 3:01 pm

  93. Keep a close watch and I hope it will heal. Good luck !!!

    If it does not stop (say in about next 1 month), as per my experience I would suggest you to see a colo-rectal specialist before it becomes complicated. Though I am not a doctor, you should talk to your doctor.

    Abascus

    February 1, 2010 at 8:36 pm

  94. My problem started this time last year, with my abscess needing surgery under general anethesia.Hole was so deep it took a month of
    daily packing from a district nurse to heal. But apparentely the surgeon had not gotten it all,and the day the nurse did her last visit i had to go back to emergency!Mind you i had to wait six hours there before i was seen.(On really hard chairs)Once again he cut it all out and once again a month recovery. Now ever since, it comes back, but only a little, and i can usually drain it myself and it will go. But comes back maybe a month later!
    I got so sick of this so went to a surgeon who advised me to have a colonoscopy(Chrones Disease)
    Wow never had one before,and doing that prep was CRAZY
    Anyway nothing was found and i havent seen him again,but as i type i can feel that familiar pain starting up!
    Why Why Why! Im a healthy 32 year old female with two children and this basically sux!
    My husband is kind of supportive,but its hard to live with me now,due to me being very up and down!
    The pain is hard to deal with, but does anyone else really have trouble mentally with all this crap!

    trinadi

    March 18, 2010 at 12:13 am

  95. Hello all. So here I am, a recurrent abscess victim (whether it be perianal or perinal I don’t know, not that it matters, but I suppose it’s peri-anal. Yay me! Early 30’s male, by the way. When I was first diagnosed with this while on shore duty (I’m in the navy), I remember a good period of pain, don’t remember how long (probably 2 weeks?) before it opened itself up. Right before it opened up, I broke down and went to the doc (we all know how embarassing it is to lay down and show a doc everything you’ve got to offer). I finally build myself up, and go in. After a quick referal, I get diagnosed, and sent to the surgeon for a (painful) exam. I’m barely getting around by this point. He actually gives me options, I can let it be and work itself out, or can lance it and try the glue method. I figure I’ll try the glue method (incontinence doesn’t sound too hot to me). I get in there, again, swallowing pride, and prepped (with this surgery, you KNOW how they prep you), and he invites a bunch of students (navy med) to watch, fun times! After I rush to the rest room to empty myself out, I come back, get put under… I wake up, and low and behold, no surgery was done! They found the glue was outdated! So, now, I’m scared shitless of these military medical folks, and my nether-regions.
    I have one or two recurrences, their past now, but I’m sure they weren’t fun. Here I am once again having a fun recurrance. I’m on a ship, deployed none-the-less. 3 months ago I felt a small lump down there, thinking “uh-oh, here we go again…”. Finally, it shows up! Comes to a head, I’m guess it’s opened itself up, judging by that oh so lovely discharge I keep finding. JUST IN TIME FOR MY SEMI ANNUAL FITNESS EVALUATION! That goes well (but painful, love situps with this condition!). 3 days into this though, and I’m sure I should be doing better if it’s actually opened up (which I’m certain it is). I’m half tempted to try and lance it myself and was wondering if anyone’s had experience with that, and any recommendations? I’m not wild about going to medical and having a doc that I may eat lunch with checking that region out and lancing/squeezing it’s guts out (that lovely, PAINFUL experience). No fever or anything, not feeling sluggish, but my buttock on that side is a bit sore in the muscle. Might be from limping around, but who knows. Need to atleast make it several more days, finally going to hit a port and go golfing!

    Love reading all the posts in here, it’s warming to know I’m not all alone in this. Folks here on the ship aren’t so experienced. But everytime they comment on my walking, I just dive right into it, all the gory details, and they shut up. :)

    Sailor

    April 24, 2010 at 9:46 am

  96. Thank you all for sharing your PIA stories. I am so glad I found this site.

    Story goes like this….TTuesday around 4pm I feel some pain sort of in the perineal area. I had this, but on both sides, last fall after a long bike trip. It lasted a couple days and went away, and wasn’t nearly as severe. So, I thought it would be ok. As you know, it got worse, I could not sleep Tuesday night due to the pain, and really couldn’t get comfortable. So, knowing I can’t get in to see my OB/GYN quickly, I call my family MD and get appointment for 10:15a Wednesday….my family doctor thinks I have Bartholin cyst. Gave me Bactrim DS Wednesday morning and told me to follow up with my OB/GYN next week. By that afternoon I have a temp over 101 and feel miserable. Chills, sweats, the works. I discuss with some of my MD friends that usually Bartholin Cyst infections do not cause a systemic infection. They say I am correct. Call my OB/GYN at 4:50p and he happens to be on call for the evening already. We discuss and I decide to go to Christ Hospital ER as he may have to drain it or remove it surgically Thursday AM.

    OB/GYN resident sees me in ER, I get CT of pelvis, then I am told my OB/GYN is talking with general surgeon. THen resident does exam and says he does not think it is going to be easily gotten to with surgery, so he tells that to my OB/GYN. They let me have clear liquids overnight (all I had was some water). In AM, my OB/GYN comes in, takes a look, says it’s not a Bartholin cyst, but he can access and drain it, so he will do so Friday morning (since I was not NPO overnight). Oh – and I’ve been on IV cipro and flagyl since Wednesday in ER, temp is now down to about 99.0 and I get IV Toradol for pain (as I refused Vicodin or Percocet because I did not want to feel weird), with 4 of Morphine for breakthough (which I used after the MD did his exam).

    SO…Friday morning rolls around, I go to OR for the 5 minute procedure, the put me out, and way after the fact of course, I am told when he squeezes it, drainage comes out from where he did not expect it so he cleans it out (he thinks) and sends me back to my room to go home after I wake up. He also wants me to follow-up with a colo-rectal surgeon (Janice Rafferty), and she happnes to come by the room about noon. SHe takes one look at it, says it’s not all drained (as the OB/GYN thought), said, “I can fix that right now”, so does a beside I&D, and put in a little drain that will be there for 2 weeks. So now I am pretty angry with my OB/GYN for putting me under general anestheia after making me spend an extra night in the hospital, both for no reason!

    Anyway, there was the mention of the possibility of crohn’s but also the mention by the colo-rectal surgeon that what I had was “very common” and pretty easily fixed. However, she also mentioned we may have to discuss probably fistua surgery in the future. She seemed upset, too, that I had been there since Wednesday and no one had done anything till Friday. I am betting that the fistula was created (or at least extended) when my OB/GYN squeezed on it in OR. So, not the best, but at least I’m home, and can “do anything except swim if it’s draining” based on my pain level.

    I have to admit, I’m fairly shaky right now. I took a percocet at 4am and it didn’t do a heck of a lot for the pain (as I remembered from last time I took it for a broken arm), but made me feel icky, also as I remembered. I am trying 2 acetaminophen extra strength to see what that does. I think the bulk of the pain is just from the scalpel stab and where the drain is inserted. I’ll be truthful and graphic….I was afraid to have a BM this morning. The drain is stitched in and sitting is not really comfortable. I have a donut cushion, but it’s awkward. I have to take tub baths 3 times a day, put flagyl ointment on the area 3 times a day, take cipro and flagyl pills twice a day, use a squirt bottle to clean up after I have a BM, and of course wear pads to catch the drainage. All for at least 2 weeks. She said I could go on vacation, but wow, what fun it will be. Lovely…..

    PIA needs to be MIA

    May 15, 2010 at 11:41 am

  97. 1 year update. Since my surgery 4.25.09 I have been free, the first few weeks are tough but you have to keep the area clean. I did stiz baths after every bm. I still do sometimes and use baby wipes instead of tp. My perianal abscess was from toilet paper lodging in my anus and some found its way into a pore and caused an infection. I have cut down on pork and loaded up in fiber rich foods. I have ibs so its required of me anyhow. My wound healed in 2 months I kept hosing it down in the shower and kept fresh gauze in it for 1 month and flagyl and cipro for 30 days and pain meds, its healed with no problems. THANK GOD! The key is taking care of it.

    global pain

    May 15, 2010 at 11:13 pm

    • Thank you so much for your update! Going through this right now is tough. Knowing there is hope is great. I had surgery 3 days ago. Hungry, but the cipro and flagyl give me diarrhea. Draining some, but not a huge amount. Pain mostly from where the stitch is holding in the drain. But I will be able to go on knowing that you and others have had success and are doing ok.

      PIA needs to be MIA

      May 17, 2010 at 8:58 am

      • PIA, I remember taking Flagyl, the metallic taste in my mouth was unbearable!!! I kept mints nearby and fruit snacks to curb the taste. I purchased a new shower head after the surgery because my doctor told me to get one that was detachable and use it to provide myself a sitz bath, so after every bm and during showers I just put one leg up and used the direct stream feature and lightly blasted water in that area for 5 minutes 2-3 times a day. After which I dried the area and used a flat gauze pad and slightly inserted it into the wound, then left it there for the remainder of the day until I had another BM (which were horrible due to pain) then repeat the process. You can see the drainage since it absorbs into the pad, it was smelly stuff but I did that for 2 months until it completely healed shut from within. I used neosporin as a lube for the pad since I didn’t like it sticking to my bum.

        global pain

        May 17, 2010 at 9:14 am

      • Shower head change was great for me too, best $30 ever spent. I also stand one leg on the side of the bath, more elevated than the other. I then directly squirt at the wound for a few minutes even if I haven’t had a BM. I am taking Flagyl as a precaution, but if you are very hairy in the area, it is probably best to have the area shaved for the rest of your life. Mine started because of an ingrown hair on the anal muscle which led to a pocket of puss in one of the main lube glands down there. Just thought a follow up might be useful to others.

        Robby White

        April 21, 2011 at 9:20 am

    • 2.5 year update, since my surgery 4.25.09 still no re occurring abscess, I still keep up my rituals of sitz in the shower and baby wipes vs TP, unless I really cant help it. I still have some hemmorhoids but that comes and goes, usually comes up when im sitting very long or have a rough bm. But so far to good, wound is healed completely and its just a scar now that reminds my wife and I of the ordeal back in 2009! Keep hopeful and YES, it can be healed and treated, but it takes time.

      global pain

      October 24, 2011 at 8:06 am

  98. I was diagnosed with crohns in 2000. I began experiencing perirectal abscesses in 2007. Crohns is a big deal. Don’t think for a minute that medication is a cure. For ppl like mebwothout health insurance it is a luxury that is hard to come by. Crohns has seriously hampered my life goals due to a lack of medical coverage. I’m 10s of thousands of dollars in debt and see no relief in site. Some days r better than others but there is nevr a day that is normal. Whatever that means. All I know is 10 yrs of diarrhea and pain have made me pretty damn cranky. Good luck to u all. Everyone on this thread needs it lol

    angel

    May 19, 2010 at 9:34 pm

  99. I found this blog after doing a ton of research in perirectal abcesses. I was looking for personal stories on how people had dealt with this in their own lives. Thank god I found this site because it has helped me know other’s have gone through this before and also provided me courage to write about it on my own blog sirenanow.blogspot.com.

    I am just in the beginning phase of my abscess and believe it wad caused by pregnancy/ traum of pushing/ postpartum constipation and ultimately my c-section. I wanted to find other women’s stories and it was great to eberyone’s information on here.

    I’ve been in antibiotics for five days, it’s the same size as it was – like a marble but most of the pain is gone and inflammation. If I have to have it drained I hope it is out patient because I have a nursing baby at home that needs me. She is only three and a half months and depends on me. No one should ever take their health for grant it. Good luck to you all for a safe, quick and healthy recovery!

    Sirenanow

    May 23, 2010 at 5:34 pm

  100. Hey guys..Also glad I found this page..Recently had a large golfball size knot in the peri-anal section..Tried hot compresses for two days..A small white head came up and i sterilized a needle and pricked it.. It did drain some but would not all come out and no pain relief. Finally broke down and went to family dr. They refused to lance it because of the size and the area it was in..They sent me to the hospital to see a eneral surgeon who put me to sleep last night and did an incision and drainage on it. Got to come home this morning. It is packed with strips of gauze and am having a home health nurse come out for the next two weeks to replace gauze daily. Also on Flaggyl and Cipro.. This is a terrible feeling and I so hope I have no further complications.. I see so many people on here talking about sitz bathes and I was told nothing about doing that.. Thanks for all the comments and I pray that everyone is recovering well

    Misty

    June 3, 2010 at 9:10 pm

    • Don’t worry about not having exactly the same treatment. It sounds like I am one of the few that actually had a drain stitched in my perineal area for a little over 2 weeks. It was not fun, and it was very uncomfortable to sit. Sitting made it bleed, and while it did drain some, most of the drainage came out around the tube instead. I had to do tube baths 3 times a day, not sitz baths. I was also given a squirt bottle to use after each BM. Unfortunately, it has been a little over 3 weeks and while the drain was taken out earlier this week, I have had diarrhea (from the antibiotics) since the day I left the hospital. I probably have a mild case of c. diff., but I was already on Flagyl (as well as Cipro, which probably caused it). It is getting a bit better, but definitely no where near normal. I have used immodium now twice, but was afraid to before because I didn’t want to be constipated and then strain and have the drain pop out. The Flagyl made me sick, lose appetite, and I lost 7 pounds in 4 days. Anyway, now that my drain is out, the hole does not let stuff continue to drain, so before I take my tub baths I sit on the floor in front of a mirror, then try to express some of the fluid in there. It’s mostly serous fluid, but sometimes it appears more whitish and of course that scares me, thinking that more pus is developing. But at least I can sit normally for now. I almost wish my doctor was one that thought packing the wound was the way to go, but we’ll see. She is highly respected and her nurse practitioner was confident I was healing ok. Good luck to you! We are all still here for you, and each other!

      PIA needs to be MIA

      June 5, 2010 at 6:56 am

      • Sorry – that should be TUB baths, not tube baths!

        PIA needs to be MIA

        June 5, 2010 at 6:57 am

  101. Reading through these comments I’m wondering how many people out there are assuming they have hemorrhoids, and are home treating to no avail. How quickly do these develop into serious condition?

    Scott

    June 15, 2010 at 5:51 am

    • Probably a lot. I noticed my abscess on a Tuesday, late afternoon. It hurt so much I had trouble sleeping that night. Wednesday morning I went to my family doctor who gave me antibiotics. Four hours later I had a systemic infection with a fever of about 102, chills, sweats, etc. But some seem to linger. It probably has to do with how deep the infection is at first. If it starts deeper, by the time you find out you have something, it’s probably on the worse side of things. If it is nearer the surface, you are probably less likely to get a systemic infection, and it can fester for a while.

      PIA needs to be MIA

      June 17, 2010 at 4:21 pm

    • I thought I had a hemorrhoid based on the initial pain, but that quickly turned into concern because a hemorrhoid shouldn’t actually be as painful as I was feeling, so I had my wife check it out and said it looked like a clear whole had been created above my anus, so she took a picture on our digital camera (I suggest taking lots of pictures along the way). I looked and compared to all Google images of hemorrhoids and it didn’t match any of them. So, I went to my family doctor (embarrassing, I remember him saying well drop ‘em cause I can’t help if I can’t see, so I did…best decision I ever made though). He told me that he didn’t want to assume it was one thing or another, so he sent me directly to a colorectal surgeon who told me the bad news. He said fistulas were 50/50 when getting in and fixing the abscess, and I had a fistula so another surgery after the abscess healed up enough but the fistula surgery has been SLOW to heal and actually had a few setbacks along the way, but might be done SOON?!! We’ll see, I’ll keep you posted.

      Robby White

      April 21, 2011 at 9:35 am

  102. hey guys,
    i had mine a couple of weeks back. thanks for this site. i really don’t know what to expect and i am practically on the verge of being really depressed.

    i have a question…would any hardening or slight pain i feel near or on the wound itself mean that it is coming back? although mine was still draining after 3 weeks since the lancing…

    ajp

    July 24, 2010 at 3:13 am

    • I would think one of two things….either there is some drainage building up behind tissue that has healed over the spot, or it is just scar tissue. Most of the people I have talked to have had drainage for at least 3-4 weeks after the abscess is lanced.

      For me, when mine gets that way, I can squeeze it a little and it will drain again. It will close up in the next week or so. I am going back to the MD in a couple of weeks, during which I will find out if the fistula healed with the use of the neomycin-hydrocortisone suppositories that I used for a month. I am guessing not, and that I will still have to have a fistulotomy. I am not looking forward to that, but then again, I am not looking forward to the possibility of someday suddenly having another abscess happen almost without warning.

      Interstingly, my sister who had the same thing ended up having a seton placed, and she has that for 3 months. It is supposed to help her abscess heal from the inside out. After 3 months, she is to have a fistulotomy. Her MD said that if they had done the fistulotomy instead of the seton, she probably would have ended up incontinent of stool. YAY for her MD! I am now very curious what will happen to me at my follow-up visit. I am feeling like there might be some drainage backing up in there again, so I am betting the fistula did not heal, and she will recommend surgery soon.

      PIA needs to be MIA

      July 29, 2010 at 4:16 pm

  103. Thanks for the writeup and all the great comments. It has now been a week since my second abscess/fistula surgery. Feeling much better than I did before the surgery, but still spending most of the day in bed. I really need to work on moving around more in the next week.

    My first time I had this issue was in 2005. I was sick and had several pain. I went to my doctor and he sent me to a specialist. I had it drained that day and it was a huge relief. The next few months were a struggle though as it just wouldn’t heal with antibiotics. It was right near my anus, so BMs were very painful and sore. I struggled to walk around or sit it work. My job then was a combination of office and field work. Finally after antibiotics failed, I headed for surgery. BMs still weren’t fun, but I healed well.

    I was hoping to be done with this for good. At the time, I ate unhealthy, was overweight and drank too much.

    In summer of 2009, I took up running and lost 50 pounds. I ran my second marathon on May 16th of this year. My behind felt sore as I went to the marathon expo, the day before. That was the first time I noticed any problems. I woke up marathon morning with the backside of my pants wet. At first, I thought I had an accident in my sleep. I quickly realized it was an abscess draining.

    I didn’t have any problems, aside from the drainage. No soreness or anything. I ran the race and cut half an hour off my first marathon time. I missed qualifying for the Boston Marathon by three minutes and thirty seconds (qualifying was my goal).

    Since I had been through this before, I bought a sitz bath and tried that for a week. I started feeling worse though, so I saw my doctor and she sent me to my specialist again.

    He confirmed that it was another abscess and put me on antibiotics. This time it was much higher up than last time and thus initially less bothersome.

    I worked at a sporting good store and was on my feet for up to 8 hours. At times it was uncomfortable, but usually bearable. I irritated nearby areas when I wore pads and did so much walking around. Some days were fine, others I battled through pain.

    It would seem like every day the abscess would fill up and I could barely walk, then eventually it would burst and I’d have relief and be fine for the rest of the day. Eventually, I figured out to push on it to make it drain.

    The antibiotics didn’t help and things got much worse at the beginning of July. I had to leave work after only an hour on back to back days because of it. I just decided to quit the next day (since I was going to quit at the end of July anyways).

    I went to the doctor that week for my regular visit. He gave me some more antibiotics. He noticed some soreness near my 2005 abscess area and wanted to keep an eye on it.

    That weekend, I went camping at a racetrack. It was worthless, I spent most of every day laying on the couch or bed in the camper. I had a fever which would go away after a couple hours. I drained my abscess as much as I could. I felt great on Saturday night and decided to prove it by walking around the track. With a pad in, I really irritated the section by the old area.

    I was in a lot of pain when I got back home. Around Monday or Tuesday of that week, that area really began to swell. The abscess on the outside got pretty big, maybe the size of a cherry.

    I made an appointment again with my specialist. Luckily, it burst the night before. It was still very swollen and full of puss when I saw him though.

    He then numbed the area and drained it. That was a huge relief. He put me on Cipro and Flagyl. When I went back in a week, it had healed some, but not enough.

    I had surgery on July 22nd. He said that it was really nasty. The higher up abscess had formed a fistula to the old area. He tested some of the tissue as well because it didn’t look good. Nothing was found though.

    I felt fine for the first few hours in the hospital afterward. That is until the spinal wore off. Then I had a lot of pain and burning. The pain meds weren’t enough, so they had to call my doctor at 1 AM and get me approved for stronger stuff. Once I got some percocet, the pain was gone. It started to wear off after 3 hours though and I had another hour before the next dose. I made it though.

    I also had to have a cathater put in because I was in pain and unable to urinate before the spinal wore off. That was fun (not really).

    I was able to go to the bathroom on my own again in the morning, so they let me go home. I still had some pain, so I took another percocet for the car ride home (which was an hour to my parents house).

    I slept most of the day, but felt fine after that. I really had no pain at all after that. A couple times after BMs, I’ve been sore. The good thing is that with the cipro and flagyl, I’ve had diaherra so BMs have been messy, but not painful.

    I have one area that feels like a cut and it’ll burn if I move the wrong way. The upper area is a hole that is draining. I feel like I’m slowly getting better, but I’m still going crazy sitting around and doing nothing all day. I’ve been soaking in the tub three times a day, rather than in an actual sitz bath.

    I feel good and like I’m finally on the road to recovery. The next few weeks will truly tell. I head to the doctor again on August 11th.

    I’ll do anything to never have this happen again. I want to run competitively and this has really set me back. No idea when I’ll be able to run again, but even at this point, I’ve basically lost all the fitness that I spent a year building. Good luck to everyone and thanks for sharing your stories.

    durunner

    July 29, 2010 at 6:45 pm

    • Thank you so much for sharing your story. It helps, I think, for everyone because we all wonder if our “slow” healing time is normal or not.

      I am wondering, what is the name of the type of surgery you had? Was it a fistulotomy? Or did you end up having a fistulectomy since it was between the 2 abscesses?

      Good luck at your doctor’s visit. I go back on August 10th.

      PIA needs to be MIA

      August 1, 2010 at 4:02 pm

      • Good question. I’m not really sure. The doctor didn’t realize they were connected until the surgery.

        durunner

        August 2, 2010 at 10:31 am

  104. Had my operation on the 27th of April, a wide excision, over 4months and it still hasn’t healed properly and still leaks pus. It fills up and explodes on a daily basis. My whole life is on hold and I’ve never felt pain like it.
    I have received no follow up care once the nurses stopped coming after about 10 days, I can’t sit up straight, walk very far or drive. I have actually had to lance it myself a few time because I just can’t bear the pain.
    It is humiliating, I did go to A&E three months ago and had to sit and wait for two hours before I was seen, Agony!! Of course in those two hours it was discharging the whole time bacause I was sat on it and I was starting to get blurred vision and nausea.
    When I finally got to see a doctor he was so rude and arrogant to me it was unbelievable
    I haven’t worn my contacts for four months and because I was wearing glasses he suggested that I wouldn’t get blurred vision if I didn’t remove my glasses!! he was serious, I then had to let him axamine me, it was awful, it’s easy enough to move your pants to the side to look at it, but oh no, I have to just remove my pants and expose all my bits!! I had my back to him while he examined me and when I turn round, there were five student doctors all stood there looking at my bare arse. Nobody asked my permission. He then suggested that I should stay on top of my personal hygiene because it had just discharged pus all over the place, I bathe four times a day, I have to or else it will fill up. I just couldn’t believe it and I honestly feel like I’ve been assaulted or something, I can’t bear the thought of another doctor examining me now and that’s why I’m lancing it myself. I don’t know what’s going on I’ve been told nothing. Finally, yesterday, I called the hospital complaints department and now I’m seeing a doctor on Friday but I’m really so angry and upset that nobody seems to give a Monkey’s chuff. I’ve been on two lots of antibiotics from my GP, no change whatsoever. I don’t have Crohns or anything like that, I suspect it developed becasue I slid down a really steep hill on my backside while out fell walking about four days before it appeared. I’m very upset and stressed. I guess 4 months is no time at all compared to some of the posts I’ve read. It’s very worrying, I’ll end up bankrupt if I can’t get back to work soon.

    stayontheground

    August 10, 2010 at 7:35 pm

  105. would anybody here know if fistulotomy would eventually cure the problem? i had a fistulotomy last week and it seems that everything’s fine. i am scheduled for a post-surgery check-up with my surgeon next week. he said that mine was not really complex. after my last post, the same area became swollen twice in two weeks (although they weren’t as bad as the first, and I burst both of them by myself) that is why my doctor immediately scheduled me for fistulotomy. the first abscess eventually formed a fistula so i had no choice but to resort to fistulotomy. it is supposed to be a definitive and corrective procedure right?

    thanks guys.

    ajp

    August 13, 2010 at 5:37 am

    • It opens up the fistula tract so there is no more fistula, and then it heals from the inside out. Be sure to pack the wound as instructed, or it will try to heal from the outside first, and in doing so will create a pocket for bacteria to grow, thus making another abscess. I have found that not all doctors’ offices provide exactly the right information and people are not always told to pack it, or at least put a piece of gauze into the area where it was opened up.

      Unfortunately, once a person has had a peri-rectal abscess, they will have a greater chance of getting one in the future. A person who has had a fistulotomy should not get an abscess in that same location, though.

      I was told this past week that my insides are nearly healed completely, but of course I still have the possibility of getting an abscess because mine formed from a gland just inside the anus that got infected. SO, no surgery (fistulotomy) for now but always this thing hanging over my head that it might be necessary.

      I was also told that because of the location where my abscess was, if they did a fistulotomy to be pro-active (since I have no current infection) the risk of becoming incontinent of stool would be fairly large. The doctor told me that the presence of pus in the abscess actually makes it easier to cut the anal muscle in the correct place so the risk of becoming incontinent is reduced quite a bit, so we are just going to wait and see if I get another abscess in the future, and if so, I will have a fistulotomy.

      PIA needs to be MIA

      August 13, 2010 at 6:11 pm

  106. I am curious if anyone has undergone an endorectal flap. Was it successful and how long the initial recovery period was? Thanks for any info.

    Sophie

    August 31, 2010 at 4:52 pm

  107. My husband has had fistula surgery, but because of the
    two fistula’s sharing the same canal the surgeon can not cut because he runs the risk of cutting a muscle which could cause him to loose contol. Tubes have been
    inserted (about 3 months ago) and they continually drain and cause pain. The surgeon has given him two options, the first being to cut, which runs the risk of cutting muscle or the other to close them up removing the drainage. The surgeon says everything looks good, and try not too be so anxious, but that’s hard to be when your experiencing so much discomfort and puts limitations on his life. My concern is where does all the drainage go once they are plugged? Has anyone else experienced this situation. Very confused on what to do but can’t keep going on like this continualluy experiencing discomfort.

    JLS

    September 3, 2010 at 10:21 pm

  108. I had surgery to drain a perirectal abscess 7/12/2010. The doctor said ‘you could park a car’ in the area that it took up (4″x3″). Next week will be 3 months and I’m still having some yellow/green not foul smelling drainage. My doctor doesn’t seem concerned. Has anyone dealt with this for that amount of time?

    Tired of this

    October 4, 2010 at 3:53 pm

    • Mine is going on 8 months. My abscess surgery took over three months to heal up enough to do the fistulotomy procedure since I had a fistula found with a seton placed on it during the first procedure. In most cases, if the abscess has not healed then there is a fistula somewhere that needs to be opened up and healed from the inside out, good luck.

      Robby White

      April 21, 2011 at 9:44 am

      • Mine was equally large, huge in fact.

        Robby White

        April 21, 2011 at 9:44 am

  109. a

    jeje

    November 8, 2010 at 1:20 am

  110. My husband was diagnosed with a perirectal abscess at the end of October. A surgeon cut him in the ER and he had some powerful antibiotics. He went back to the surgeon twice and once more to the family doctor. It is now January, and he is still draining quite a bit and has discomfort. Is it common to drain for such a long period of time? Thanks.

    Jennifer Bishop

    January 4, 2011 at 7:49 pm

  111. My doctor has made arangments for me to see a surgeon for this perirectal abscess I’ve had for at least four years(finally worked up the courage), but I have not heard from him yet. My question is can this abscess cause your stomach to always gurggle and and be sore, aswell as always feeling tired even when waking up first thing. I even have started to get a sick taste in my mouth thats always there even after brushing. In general I feel like I’m falling apart. Told the doctor these symptoms and he says the surgeon will let me know if it’s connected. To me it seems as if this abscess is poisoning my whole body…..is it even possible? Never had any problems with my body before this happened. Any feedback would be much appreciated. Thanks!

    roger

    January 19, 2011 at 5:18 pm

  112. I just want to say I am so grateful for this site. I saw my dr. for what I at first thought was an external hemorrhoid, but what she told me was a butt abscess. She gave me Keflex and told me to wait several days and then see a surgeon if necessary. Thanks to all the postings here, I instead called a colo-rectal surgeon who got me in right away and lanced the abscess. She was very upset with my dr. for not referring me immediately. She said she’s trying to get the word out to other doctors not make their patients wait! My abscess was still small to medium and had not developed a fistula, and she congratulated me on my quick action. DON’T WAIT!!!

    Donna

    January 20, 2011 at 5:56 pm

  113. Great reads here leads me to post. About 3 weeks ago noticed a bump. Basically painless, but felt dull ache when coughing or some sitting positions. It’s toward the lower bottom left side, somewhat deep. It could not really be noticed from the outside. I went to the doc(General Practice), doc said it was a cyst and gave me 10 days worth of Amoxicillin. Next day, it was sore and seemed somewhat inflamed on the left side more. The next day it was better, and now 12 days later its much-much better. Small little bump remains, like the size of a finger nail. It’s hard & smooth, doesnt move, and no pain. It’s deeper, and hard to feel for it unless you push down on it or place your finder in your rear for about a 1/2 inch and press it towards your pelvis bone. Praying and crossing my fingers it gets smaller and smaller and goes away totally! Sounds like these things can keep you sidelined for a period of time if they get bad! Good luck to all, and God Bless!

    Dwayne

    January 21, 2011 at 10:44 pm

  114. Just to fill some hopes in all, I have been free from this pain from last two years after the surgery. But remember that, I am following very strict diet.

    1. No soda, no boozing – just drink plain water
    2. Strict vegetarian with lot of fibre
    3. Simple excercises

    Good luck to all and check my other posting in the past. It seems to me that I have complete control on my life now.

    Abascus

    January 30, 2011 at 10:36 am

  115. This is a great site – it is so hard to find information about this condition. My story is similar to many on here, though I think I am lucky that the doctors have treated me pretty well to date.

    I had a pain in the anal area last October which persisted and when I looked up my symptoms on the internet, thought I might have a perianal abscess. All the information on the website said to go and see my family doctor. On my first visit, I saw a locum who thought I might have an abscess and prescribed me antibiotics and he told me to come back if it didn’t clear up. The week I was taking the medication, the abscess got much worse – probably growing by three times in size and very painful. I went back and this time I saw a more experienced family doctor and she decided I needed urgent treatment and got me admitted immediately to hospital. The emergency general surgical team drained it under general anaesthetic that evening and kept me in overnight. They packed the cavity so I then had several weeks of regular visits to the nurses to get the dressings changed. The wound seemed to be healing well so they discharged me.

    All seemed well for a month or so, then round Christmas I started getting that familiar pain in th butt for a couple of days, then I would get a discharge in my underwear for a couple of days, no pain for a couple of days, but then the cycle would start again with the pain. After several cycles of this, I went back to see the same family doctor who referred me for surgery. She could only see a superficial cut where the abscess had been drained with a small amount of pus coming out. She explained it could be a skin infection so prescribed me antibiotics, but said there was a possibility I might have a fistula so told me to return if it did not clear up. It did not clear up. A swab of the discharge was inconclusive so she referred me back to the surgeons last week.

    I saw a colo-rectal surgeon a few days later. He examined me thoroughly (including feeling my abdomen and anal area, a digital rectal exam, and procto-sigmoidoscopy) and diagnosed a fistula, which apparently in an otherwise healthy patient (eg no history of Crohns) is almost always the reason for failure to heal/recurrence. I was a bit frustrated that despite massive efforts to keep my abscess wound well cared for (including careful dressing changes and washing several times a day), I still got a fistula, but the surgeon says he thinks I already had the fistula when the abscess was drained, but with all the swelling, it probably wouldn’t have been noticed. Therefore however clean I had kept myself, the wound was never going to heal.

    He has suggested a fistulotomy. I wasn’t too keen on the idea of having an even bigger open wound on my butt than last time and the risk of incontinence that the surgery has, so I asked what would happen if I just left the fistula and lived with the drainage. He explained that there was a good chance the fistula would get worse and that almost certainly the perianal abscesses would keep recurring. Therefore it doesn’t sound like I have much choice. I am now scheduled for surgery in 3 weeks under GA. He thinks it is a low fistula, as he could feel an internal opening when he did the digital rectal exam, but wasn’t able to tell for sure if there were any more tracts higher up until he has a proper look when I am on the table. He has promised that if there is any risk that the surgery could make me incontinent, he will wake me up and discuss the options with me before he proceeds.

    I’m not bothered about the surgery, but I am not looking forward to the aftermath – but hopefully if it is just a single fistula I will be all healed up a couple of months from now. If there is one thing I am grateful for, having read some of the horror stories on this site, is that all the doctors I have seen have taken the problem quite seriously and have not dismissed me like some of you folks out there have. Good luck to any others out there who have been similarly afflicted.

    Linda

    February 24, 2011 at 7:19 am

  116. I’m going to let everyone know my story. I got my abscess about 7 months ago on my twins birthday (july 22 2010). It started as a bump, then burst and was excrutiating pain. I went to my family physician who said it might be an internal hemorroid but wasn’t sure so he sent me to a colorectal surgeon to look at it. I went to the surgeon just an hour later, and he said I would need surgery, so he got me in the next morning and thus started my tragic road to recovery. The abscess was the deepest he had ever seen after surgery, so I had in home care for a couple of weeks until my wife became comfortable enough doing my changes. I changed my shower head so that I could remove the head to shoot it directly at the butt/wound to keep it clean. This was especially helpful after bowel movements. The first surgery, a fistula was found, so I already knew I’d be back in the operating room once the abscess healed. The changes became less and less painful, but when I’d go back to the doctor they would burn the wound with some kind of silver nitrate stuff to remove dead tissue and stimulate good tissue growth…those burnings still happen and are awful. But, abscess almost completely healed, so we went in for fistula surgery three months later on My birthday, that seemed to go well and continuous doctor appointments, burnings, changings, and improvements were occuring. January 2011 seemed like it would be the end of the road for me, but in February the wound broke back open and so I increased wound changes and burnings and actually found out I got a bacterial infection a week ago which might be related to another fistula down there, or I could just have chrones disease and will need to fight my wound with a specific med for that, but either way I’m on my way to get a cat scan to find out what the additional source or problem might be, if it’s chrones then I’m sure I’ll be fine, but if it’s not then they will need to do a colonoscopy and check out for any colon disease or problems, and if that’s not the case then it’s on to a wound care specialist. This has been the biggest pain in the ASS in my life, and I’m only 32. I used to be very athletic and active, but have been so limited the last seven months that I do have bouts of depression and crying still. But, I believe in God and have faith that my wound hasn’t healed because there is another problem that needs to be fixed so that the abcesses don’t actually reccur on me. Anyway, thanks for hearing my story and I had never heard about an abscess before the colorectal surgeon mentioned it, and now I feel like I know too much! God Bless, Robby White

    Robby White

    March 10, 2011 at 12:15 pm

  117. Wow! I am grateful i found this site. I too am suffering from peri-rectal abscess. It started with almost 3 and half weeks of diarrhea which caused extreme pain in my rectum. The pain was so bad i would cry at times for someone to put me out of my misery.

    Not having a job and no insurance forced me to go the General hospital. I had to go to the emergency 4 times before they ran me through a CT scan. There the doctors said that i have several pockets of bacterial infection deep in and around my anus. That was the first time i ever heard of peri-rectal abscess. I was scared to death but was in such extreme pain i agreed to their advice for immediate surgery.

    The surgery was performed under local sedation and it hurt like hell!!! They said they put me to sleep a couple of time because i was in so much pain. Now its been 3 weeks since that operation and i have developed a 2 inch lump that is more painful than the rectum pain that i had before. I can’t sit or walk or do anything else for that matter.

    I went back to the doctors office to remove the packing gauze and for them to have a look. They said it was healing fine but i may have a fistula. Great, more surgery and pain is coming. I go back in 2 days for them to check it again. I also have a colonoscopy scheduled later this month. I heard too that this is not a fun procedure.

    My fistula or new abscess that has formed keeps me awake at all night. It sucks because i have a 7 month old boy who misses his poppa. My poor wife has to do everything including going to work. Thank God her boss is understanding and lets my wife take our son with her.

    I feel as if my like has come to a complete stop. It has been going on like this for almost 2 months now and i am sick and tired of it.

    Thank God i found others who are going through the same thing and all of the input. I feel as if i am not alone now.

    I miss playing with my son and doing things together as a family. We tried for a long time to conceive, now that my boy is here i feel pretty sad that i cannot take care of him like i use too.

    Thank you for anyone who is listening and or had any advice and encouragement. We must keep on trucking. I know i will. I have to because my family needs me right now.

    Best to all of you who are suffering. Heal well and fast.

    RG

    rg

    April 12, 2011 at 8:47 am

  118. @RG, hang in there, a colonoscopy is the easiest thing you’ll have to experience during your fight with abscess and fistula recovery. I’m now 8 months in, and hoping to be healed in less than a month but with these things it seems like no one really ever knows, but you MUST try and see a colorectal surgeon which will make your life and experience with all this much better, good luck and God Bless, will say a few prayers for your recovery. I understand the burden this takes and how it affects your family. Be well.

    Robby White

    Robby White

    April 12, 2011 at 9:07 am

    • To Roobbie,

      Thanks for the encouragement. After reading your story above mine, i know you know what we are going through. I too cry and battle depression. You have twins and i have one little guy (7 month old) who mean the world to us. I too was active, i went from 205 to 187 in 2 months or less. My legs look like chicken legs because i have not been able to walk or stand much. I do try to stretch my muscles when i can because they get sore for not using them like i use to.
      Nine months to recover is long time. I fear i might have to do the same. At times i still can’t believe that i caught this but then again the doctors mentioned that people with compromised immune systems like diabetes can easily get this infection.

      I’ll say a few prayers for you and your family too. Thanks again. God bless.

      RG

      rg

      April 12, 2011 at 12:28 pm

  119. Hi all,

    I am going through the same stuff as i been reading on this site. Its actually making me a little nervous because after reading all the posts i feel like i am never going to heal and i was hoping to heal from this peri-rectal abscess/fistula after a week or two. I was in pain for about a week before i had enough and went to the health clinic this past sunday. The doctor there told me to get to the ER immediately and i need to have surgery to drain it ASAP. I was petrified but i just wanted relief. It has been 2 days since my surgery and im still in pain since i can not take the perkisets the doc prescribed. I have been through so much, i had a colonoscopy and endoscopy over a year ago and nothing was found, other then i had internal external hemmroids which are another story all on its own. My hemmroidectomy was done in September of 2010 and since then nothing has gotten better. I feel like my misery will never end and im 22 years old. I cant live a normal life like all my friends and i sit in on friday and saturday nights because i am in pain. I have sat on these websites and read peoples stories and atleast have a little comfort that im not the only sufferor, even thought i wish this kind of stuff would not happen to anyone. Well besides, i have a follow up appointment in 2 weeks and hoping that i wont ever go through this again!!!!!

    Best of luck to everyone else.
    Probably will be back for updates….
    Thanks

    suffering hard

    April 20, 2011 at 6:37 pm

    • i had my parianal abscess surgery on the 21.03.11 under spinal anaesthesia. Then the wound was very deep inside and like two inches of cutover part falling outside. Now about a month later its only about half an inch left to heal. i am still wondering how much more time is it going to take for it to heal completely . And once itis healed from outside is it still soft from inside ? basically wat all precautions are to be taken in the second and third month after the surgery.

      when will it end

      April 21, 2011 at 3:52 am

  120. thanks to all and a very nice site, :)

    when will it end

    April 21, 2011 at 4:09 am

  121. been a week since my surgery, still in pain. just want it to end already =(

    suffering hard

    April 24, 2011 at 11:10 pm

    • It gets better SLOWLY, but it does get better. Just keep taking care of the wound, above all making sure the area is cleaned often. That was the hardest part for me since I had to go back to work after a week. Just prayed for you too, that is the most important part of your recovery!

      Robby White

      April 25, 2011 at 10:27 am

  122. today was the first day i actually felt OK! thanks for the advice. ive been doin all i can! clean clean clean!! =) i am hoping and praying that i will NEVER get this again. its just really sucks that it puts ur life on hold.. ugh! but ill be okay im trying to be strong sometimes its just so hard yaa no — but thanks again ! =)

    suffering hard

    April 25, 2011 at 9:41 pm

  123. I was sent home 2 days after having my absess drained under GA. The incision is really small – 4mm – and I was literally screaming yesterday when the district nurse tried to pack the wicking. Is it just me or does everyone find this unbearable?

    lyndsay

    May 13, 2011 at 2:24 am

    • it’s definitely unbearable, you should try and go to a colorectal surgeon if possible

      Robby White

      May 13, 2011 at 4:51 pm

  124. Hello all…
    feeling sad to c so many ppl have gone through this. this is a life stopping PIA indeeed…. I had my first abcess in Jan-Feb 2011.. i ignored it sadly as i thought its a slight lump and will go away … but in March it grew and i went to c DOCTORS. one doc said operate it immediately 2 others said use ANTIBIOTICS… so i tried to get rid of it via antibiotics it would subside but always came back …. 4 times it came back… 2 weeks ago it exploded on its own and alot of blood and pus came out… i have had urine test.. endoanal ULTRASOUND .. and today i had my first operation with sigmoidoscopy test(short version of colonoscopy) the doc removed the abcess but says there is not fistula and found on track or connection to URETHRA or ANAL CANAL…… i hope there is no recurrence and no fistula forms later on… after operation(7-8 hours) alot of blood is comin out from the wound is it NORMAL???? ….
    Please tell me its possible even after 6-7 months of havin an abcess no fistula exists … Please pray for me it does not come back.. and i pray for u all that u stay safe and healthy and free from PIA…..

    my PIA story...

    August 2, 2011 at 9:18 am

  125. I am a 34 year old female and this forum provided much insight and relief during the past year as I dealt with a peri-anal abscess. On some accounts I feel I am fortunate as the abscess was close to the surface of my skin. A gold-ball sized lump started to come an go on the inner part of my left butt check in May 2010. I most noticed it when I was in sitting positions while doing a 20 minute pilates video. Then it would go away. During a two week trip to Europe, it continued to come and go. It got worse over the summer until tt ended up bursting on its own, but with barely any blood and slowly leaking puss for days. I mistakenly thought it was a hemorrhoid. Nothing I read about them indicated they only occur on the rim of the anus. Plus I had had small ones in the past and was no stranger to using Preparation H for treatment. Nor am I shy about looking at my nether regions with a mirror. I even resorted to drinking cayenne pepper water because I read about how it would shrink the tissue. What a lovely tea concoction that was!!!

    I thought it would heal, but it only got worse. I have health insurance and I finally went to a doctor who referred me to a surgeon. I was told to take sitz baths, which did not help at all. After a month or more the surgeon tried burning the wound with silver nitrate to try to get the flesh to start to heal. From there I was referred to a wound care clinic. The clinic took a cautious approach since the abscess was so close to my rectum.

    As it became clear I would be making a lot of visits, I had to practically demand to be seen by the same people when I went there. Revolving door medical treatment doesn’t do a patient any good. Early on, a PA suggested cutting the skin off the abscess where it tunneled under my skin by about a half inch. All told the burst open part of the abscess was about the size of a quarter. The thought of it being cut freaked me out and the nurse practitioner and doctor I saw regularly after that still did not think that the best course of action.

    I had to pack it with string gauze at one point. Needless to say I became very adept at these things as having my husband assist me would have dissolved the last shred of dignity that I had. The months dragged on. Silver nitrate was tried again. I was told to stop taking my arthritis medication (plaquenil) in hopes that the medication could be interfering with the healing process. Most of my care consisted of using a padding of AquaCel over the open part of the abscess and covering it with a patch of thin duoderm.

    During these long months I had to teach full time. I usually felt okay when standing. It’s not the type of thing you want your students to know about either as they would have a hey-day with their teenage humor. At home, I sat on a memory foam pillow. Sex or any kind of intimacy with my husband was a rare occurrence, but with the duoderm and a good day, we still managed to make love once in a blue moon.

    A chronic wound preys on a person’s mind and soul. The outer edges of my abscess did finally start to heal, but the stubborn area close to the tunneling did start to heal over, forming the most delicate scar tissue. Finally, on spring break, the skin over the tunneled section was finally cut off. Even though it was close to my rectum, it actually started to heal!!!

    Even the nurse admitted she should have cut it long ago. So needless to say I was in chronic wound misery for six months and it took it another good month to heal closed. Almost a year to the day that it first burst open, I have a scar that is thickening every day, but it still feels tender at times. I also have a very ugly scar, and am prone to not wanting the lights on at all when making love to my husband. I guess I will take a scar over the agony of the abscess. I hope I never get another one again.

    What is the moral of this story? If you have any mysterious lumps on your butt, get it checked out ASAP. My ordeal probably would have been less severe had the abscess been drained properly. As humans, we endure all sorts of medical nightmares, and perianal abscess has to be pretty high on the list.

    JLW

    August 17, 2011 at 1:36 pm

  126. I hope everyone heals well from this. I posted here back in July 2010. I had just had my second fistula surgery in five years. I was in so much pain then and glad that it was finally over. That’s what I thought anyway. After surgery, I was sick almost every day. I did nothing but lay in bed and I had an upset stomach.

    I thought I was just recovering poorly from the surgery. In October 2010, I developed a bladder infection. I had lost a lot of weight. I was down to 115 pounds and I’m a 30 year old male. I was sent to a specialist and determined to have Crohn’s disease. They also found that I had a fistula between my bowel and bladder and that was the cause for the bladder infection.

    I eventually gained weight and I’m doing much better now when it comes to Crohn’s. I still have some bad days, but nothing like last fall. However, I’m still dealing with the bladder fistula. They tried to get it to heal with antibiotics and it was unsuccessful. It is quite painful at times when I urinate and my urine is very dirty. It’s not nearly as bad as pain I felt with the abscess, but it has been going on for almost a year now and it is frustrating. I will finally be having surgery in the near future to fix the problem. Hopefully that’ll be the end of things for this long year plus.

    The good news is I’m so much better than I was last summer and fall. I was a runner before I got sick and I’m now back to running since about April. My abscess/fistula is healed. It still does seem like it leaks a little, but it is minor compared to what it used to be. The only other problem I have now (aside from the bladder fistula), is chafing on my behind from going to the bathroom too often and wiping as well as sweating and running. I hope this is the end of the road for me. Either way, stay strong because it does get better in time and you should be able to lead a normal life again.

    durunner

    September 21, 2011 at 8:31 pm

  127. I had one a year ago,I thought it was a hemorrhoid and didn’t think much of it at first,then one night had so much pain i fainted in the bathroom hitting the toilet on the way down.I went to the hospital next morning and they took it all by 1pm.
    I got pain now on the other side and Im not happy,i’m hoping this time if it is a abcess that antibiotics will clear it, I really do not want to end up with a ileostomy, this is my biggest fear and I think this time i will be letting them know not to go doing anything like that i’d rather have an operation a year then have an ileostomy.
    I guess for now its off to the doctors again :(

    Chanel Leia

    October 18, 2011 at 3:15 pm

  128. I was diagnosed with crohn’s disease in april at age 23. I have not had the normal symptoms of crohn’s and the only reason they found out I had it was because of fistulas I had on my anus. I have had them for over a year now and they were misdiagnosed as hemorrhoids by 4 different docs before i was told they were fistulas and got a colonoscopy done and found out i had crohn’s. Everything seemed like it was getting better till the 1st of september when i found a lump forming near my anus. I went into the emerg and they told me i had a abscess. They drained it there and said i had very little pus. They didn’t pack it or anything, Just put some gauze on and said to contact my gastroenterologist. So the next day that is what i did and was told i couldn’t get in with him for a month and a half. So i went for a week and a half with pus draining and soreness till I got a call that there had been a cancellation. When I saw the doctor he didn’t even look at the abscess just prescribed more medication. The abscess seemed like it was not getting better just staying the same. Then after Thanksgiving weekend i started to notice blood was draining from the abscess and it was getting more uncomfortable. It has now gotten even worse. this last week I could barely walk. Standing still for longer than 30 seconds causes a great deal of pain and I wake up in the middle of he night regularly either from pain or the abscess has been draining. I went back to the doctor yesterday and once again he didn’t look at it. I think a second one has formed and I told him this. He just prescribed more antibiotics. Please help! In a lot of pain!!

    In pain up north!

    October 23, 2011 at 9:02 am

  129. When you do your research with reputable sites online it shows that antibiotics do not often help. They can be lifesaving in some cases but in other cases where there is no fever or spreading infection or in the case where you don’t need surgery, they can do more harm than good by weakening your immune system and making the bacteria resistant. Especially when you go through repeated courses of antibiotics. In addition to some of the meds I was given for my perianal abscess, I used complemetary therapies to strengthen my immunity and speed up healing. Sitz baths are a must, but also the homeopathic remedy Silicea is amazing for removing foreign bodies and getting abcesses and boils to burst on their own. Silicea helped mine drain completely so I did not need surgery. It emptied out completely but the site is very sore because it is right at the main opening so each time I have a BM it hurts. For the raw wound I have been applying vitamin E (i break the capsule into the site) to relieve itching and speed up healing. As well as the inner clear coloured pulp of a freshly harvested Aloe Vera leaf. I find this gel to be very soothing and it also helps with healing. Mega doses of vitamin C have also helped and a variety of immune boosters. Dr Shulze’s Supertonic and Echinacea are great, and you can get the recipes online and make them yourself. At the height of pain/inflammation, fresh garlic suppositories gave me relief. Also check for symptoms of Candidasis because Abscesses are sometimes linked to that broader disease. Oh and Cayenne pepper taken orally mixed in water also aided to subdue my bacterial infection so now I am much better without having had to take antibiotics for my PIA. These are only suggestions that worked for me. I would highly recommend doing research extensively. If there is one thing only that I want you to take from my p into both complementary and conventional therapies. ost – okay two things – drink vitamin C (sodium ascorbate crystals dissolved in water) in bucketloads.I’m talking over 10,000 miligrams a day, just stopping short when your stools get loose. No side effects whatsoever and it will give your immune system an incredible boost so your body can heal itself. And for boils/abscesses if you don’t want it lanced by a surgeon, go out there and buy the homeopathic remedy Silicea and take it every 3 hours until the boil disappears. Wishing you all a speedy recovery.

    Tricia Wanjala

    October 24, 2011 at 3:17 am

  130. http://www.meb.uni-bonn.de/dtc/primsurg/docbook/html/x1411.html

    Have a look at what these Surgery students are taught at Medical school about antibiotics for fistula/anorectal abscesses.

    Tricia Wanjala

    October 24, 2011 at 3:18 am

  131. Very interesting write up Tricia, thanks for sharing!! I had my Perianal Abscess lanced and drained in April 2009 and the post op was exactly the same as this textbook. No re-occurring abscesses, still regular sitz baths after BM’s and plenty of fiber!!

    Pain in FL

    October 24, 2011 at 8:01 am

  132. Can you have a sitz bath if your lanced abscess still has the packing stuffed into it?

    FML

    November 5, 2011 at 4:42 pm

    • Ask your doctor…but I don’t think so. I remove the packing in the morning before my BM and have a sitz at that time. Then my knight-in-shining armor replaces the packing. The visiting nurse comes every other day or so.

      Just a note: I asked the nurse if it would hurt as much if she knew the angle of the wound. She said, “No. If it’s hurting, it’s because we’re poking the sides trying to find the top of the wound.” After this discussion, just before she repacked the wound, she took pains to not “force” the Qtip and gauze. Because she was going to measure the wound that day, I took a hydrocodone about 2 hours before she was due. The packing was, dare I say it, completely comfortable. I hope that continues.

      Midge Dana

      December 13, 2011 at 9:26 am

  133. My first round with a perianal abcess was a nightmare, bounced around a couple clinics until it got so bad I had to go to the ER. The doc that saw me stared at me for a minute and asked if I was gay… I’m not. Got checked out and was told I had swelling but they didn’t know what it was. Found a specialist who said I had not only a full horseshoe abcess but chrons disease as well. Had surgery done to put three drains in that consisted of cutting through my cheeks into the bowel and tying a rubber band through the holes after pulling them tight. Terrible pain. One by one the bands were removed and I was good for about two years, then all of the sudden it’s back and it’s looking to make up for lost time. I leave work to go to the ER and fill out all the papers and sit in a rock hard chair for an hour and 40 minutes. When I finally get into the exam room there’s the doc and 4 kinda cute nurses so you can imagine my horror as I put on the gown and display my out of shape self to anyone who cared to look. They take lots of blood, the doc gives me a internal exam with a glove and says he can’t feel a mass. I point to where it hurts and tell him it’s so bad I cannot go to the bathroom due to the swelling. He sends me off for a ct scan which shows nothing (I got a copy of the image disc and looked through everything and I didn’t even see my anus in any of the scans) doc says I have cellulitis which is a skin infection. I tell him it’s an abcess and he says I’m wrong. Sent me home with antibiotics and painkillers. For me anyway, the painkillers do NOT work. I’ve had all over the counter brands, different strength hydro and oxycodone with no help. I feel very lost in this. Have a appt with new gi doc tomorrow, hopefully he drains it because I’m very nearly at the end of mobility, can’t stand up straight, walking is a joke and getting up or sitting down is a nightmare made worse by the stitches in the palm of my hand. My advice to anyone having this issue is to challenge the doctors diagnosis, ask to see another doctor while you’re there. Ask to see pictures of the problem they say you have them have them compared. Do not take no for an answer. I’m a mechanic who regularly get hurt on the job so I know pain very well, broken both legs, had stitches all over, walked face first into truck hitches when the truck was up in the air and this rectal pain beats all of that. I’ve gone #2 twice in the last two days, barely anything came out. My gut is getting swollen. Cellulitis, what a joke. Currently in a hot bath tub, it does help! Also ask for some lidocaine ointment, use it on the anus and some inside, it’s a painkiller and also acts as lube. I know it’s gross but it helps!

    David

    November 16, 2011 at 5:27 pm

    • Goodness, what about a colorectal surgeon. I wouldn’t even miss with any other doctors at this point. You need to go to a specialist that can actually help you. Good luck.

      Robby White

      November 17, 2011 at 12:04 pm

  134. Well my story goes…started back in February of 2011. I had previous pimples like blisters that i later learned were perirectal abscess. After 4 visits to the ER, they finally performed a CT scan. In which they discovered the perirectal abscess. I had the painful procedure (“Surgery”) performed and boy was it a nightmare!!. They gave me the normal general painkiller but it was not enough! I felt every bit of it until they were done. Since i have no job, no insurance, i have to wait until they have openings for a colonoscopy. The wound took forever to heal with constant bandage changes. I tried eating a gluten free diet and it has helped a lot.
    It’s now November and i was doing great until a pimple like lump started forming just today as i write. I am scared and frighten to go under the knife AGAIN!. I’m afraid i have no choice now to get this corrected ASAP!. I am very conflicted though. After hearing of some stories here that even though you go through that excruciating surgery, the problem still comes back. As it is, i have just gotten use to not having to wear anymore gauges or change them out frequently. I am dreading on what lies ahead. IF anyone has any suggestions it is very welcomed at this time. Thank you all for listening. Feel better everyone!

    RG

    RG

    November 19, 2011 at 1:51 am

  135. Wow! I am so glad I found this site! I too recently suffered a PIA and have never experienced such intense pain – both from the abscess and from the lancing/draining at the doctors office. I was certain I had an abscess and fortunately, my nurse practitioner – who retired from the army and had seen countless abscesses in her career – agreed with me on the spot. She administered a local (NOT pleasant) and lanced it. She reported that about a cup of pus drained and I believe her – the damned thing was so big I had trouble passing gas, much less stool. The procedure was pure hell. I passed out, became drenched with sweat, and vomited. Th NP told me that was from the result of the vaso-vagal response. Anyway, even though the procedure was hell, the relief was immediate. I am currently 8 days into recovery and was wondering if any of you can tell me how long it took for your incisions to heal. I am also wondering about how long i should expect it to drain. At last checkup, the NP said I was healing well and that the drainage I am currently experiencing is normal and not an indication of continued infection.

    Pamma Jamma

    November 30, 2011 at 2:24 pm

  136. Should start up a pictures thread for after op I know my one was pretty gross and had to be open with no drain as to the pain and postition.

    Danielle Hall

    December 7, 2011 at 8:00 am

    • I would happily show my wound off.

      Robby White

      December 7, 2011 at 3:35 pm

  137. I now understand that these rectal abscesses are often mis-diagnosed as hemmorhoids. What a terrible mistake. My pain started on a Friday and began ratcheting up until, by Tuesday, I could barely pee, Hadn’t had a bowel movement in five or six days. The only position in which I could obtain relief was lying on my side. Pain on standing/walking was exquisite. I went to the emergency room and was diagnosed by a nurse practitioner after a digital rectal exam as having a “small hemmorhoid.” This after I explained I couldn’t sit down, my pain level on standing/sitting was at a Level Ten. I told her that if this was a hemmorhoid, it was the worst hemmorhoid on planet earth. She sent me home with some foam crap to help this “small hemmorhoid” heal and told me if I wasn’t better in a couple of weeks I should see a colo-rectal doctor. Four days later, still no BM, urine dark brown, excruciating PAIN. I’m still thinking, “You little baby. You’ve got a hemmorhoid! Get over it!” I layed in bed one morning (could barely sleep) praying for God to give me a hand…and I thought of the story about the guy who prayed every single day that he win the lottery. Finally, after months of praying, God said to him, “Hey! I’m doing my best! But, for heaven’s sake!! BUY A TICKET!!” That morning I called an ambulance and went to another ER. When the Triage Nurse talked to me, she pulled up a wheelchair and said, “Come sit here.” There was NO WAY! I could sit anywhere. She wouldn’t give me a gurney; pointed to the chair and some rolled up towels and said, “Sit however you have to to get comfortable. Or stand up until we can see you.” I rolled of the ambulance gurney and propped myself up against the wall and said, “Then I’ll stand until I fall down. I can’t sit!!!” The lesson here is that a SECOND emergency room…this second one without even an EXAM…diagnosed me as having hemmorhoids. “No big deal.” This time, though, I had a fever and a severe kidney infection. So they called in a DOCTOR instead of a nurse practitioner. One look and the surgeon said, “We’re admitting you into the hospital and putting you on the emergency surgery schedule for later today or tomorrow. You have a rectal abscess.” By this time, I had a general infection that showed up in my blood tests, kidney infection, completely dehydrated, no BMs in DAYS, could barely pee. And the pain was the most excruciating pain I’ve ever felt in my entire life. I would not wish this pain on my very worst enemy. I honestly wouldn’t. Anyway, that night I was on morphine every two hours, on IV antibiotics for a systemic infection, and prayed they’d be able to do surgery the next day (with a fever, I just didn’t know for sure). Next day. Relief! After surgery, the doctor came in and said, “You are one strong lady. Your abscess was huge.” I cried because, FINALLY, someone understood what I’d been going through. The relief was immediate. I mean immediate! OMG. If people haven’t had one of these, they simply have NO idea. I now have to have the wound packed every day — it’s about 3″ deep — but healing nicely…I hope. To those who have suffered this, we all understand what we’ve gone through. There is just no describing the intensity of pain. I hope this doesn’t recur…but I take comfort in knowing it will NEVER get that bad again — because I’ll know what it is. To all of you, my sympathies…brothers and sisters in arms. Hemmorhoids my ass. ;-)

    Midge Dana

    December 11, 2011 at 9:38 am

    • If only they had federal relief disasters to help pay for our costs of surgery (ies) and hospital and doctor and nurse visits. I know how much this all costs, and it sure isn’t pretty. But the pain I suffered through with my abscess was nothing I could ever describe to anyone else. To this day, anytime I see the picture of my 4″ abscess I cringe and get goose bumps. I will never be the same. BUT the problem I had was similar to what your initial ER visits had suggested…I thought I just had a hemorrhoid at worst and a bad pimple at best. It was neither. I had 5 days of intense and excruciating and knee buckling pain, and felt so much better after the surgery. But the packing was insanely painful and almost OD’d on pain meds once. SO, I just ended up suffering through those packings and changes and dealt with the 30 seconds of madness, and of course when they fixed my abscess they noted a fistula. So, three months after abscess surgery it was off to fistula surgery, and that recovery process took almost a year because of way they had to filet me, and how the hair and bowels would only allow the new wound to heal a very little at a time, the doctor tested me for Chroms disease because of the duration of the healing process and even did a CT scan to make sure there weren’t any other abscesses. Talk about dealing with emotions…I never hope to have a setback, and every day I try to eat more fiber than I otherwise might, and also changed the shower head to one that detaches so I can shoot the water up my butt to keep it from retaining any foreign matter. That’s how I have managed to stay healthy and right now I am at my “stand up” desk at work that I had ordered so I wouldn’t have to sit down ever again. Of course now that I’m healed, fingers crossed, I sit down a lot again. But, I am with you…I wouldn’t have sat down if you paid me a billion dollars, okay maybe ONLY if you paid me a billion dollars. But I would have had to seriously consider before accepting. It was THAT bad! I pray that you all stay healthy and enjoy time with your family and friends this holiday season. God Bless!

      Robby White

      December 12, 2011 at 10:34 am

      • I understand about your diet…I’m almost afraid to eat. I lost 15 pounds during this ordeal and find that I don’t have much of an appetite…probably because of all the antibiotics. I wish you well.

        Midge Dana

        December 13, 2011 at 9:31 am

  138. Good stuff , Many thanks. Coming from North of Scotland it’s excellent to keep returning to a great sitelike yours, especially with useful entries like the one above. Many thanks and keep up the fab work.

    starting a business

    January 7, 2012 at 6:33 am

  139. Hi there, I found your site by means of Google even as searching for a similar matter, your website got here up, it seems to be good. I have bookmarked to favourites|added to my bookmarks.

    This Really Grinds my Gear

    January 20, 2012 at 11:47 pm

  140. It is good to know you are not alone. I had a fistulotomy (fairly small, just inside the anus) around the beginning of September 2011, expecting it to heal within 1-4 weeks. To help the general area, I used baby wipes with vitame A, E and aloe, and that sped the healing.

    I was still having occasional bleeding and drainage by November, so I went back to my C&R surgeon. There were crystals forming on the wound that were preventing healing. He said that the interior had healed, but the exterior was all that was left. After scrubbing the wound with peroxide (afterwards, it felt like I had sit on an electric orange juicer). I went back after a month, and it was better, but not healed. He prescribed 12 doses of Canasa (Crohn’s medicine). That helped, but I went back a third time in January 2012. It feels like it has leveled off; I go back Feb 7 2012 for another round of scrubbing. I am tempted to try homeopathy (oil of oregano) at this point. It has been 5 months for a small wound. I have had other cuts, so I am healing normally, except for this.

    I wish everyone speedy healing.

    the malady lingers on

    January 27, 2012 at 11:33 pm

    • Argh. On vacation in Palm Springs two weeks ago, I felt dry skin outside my anus…I thought it was just your garden variety skin dryness. Then one day it bled like mad, and a perfectly round hole that always bleeds formed.I had a CR specialist the day I got back, and he said it wants to tunnel. Now tonight, another round of bleeding, and another hole. I have an appointment this week for my second fistulotomy. And the first one from last September is not completely healed! Patience is running in short supply…I’m thinking of asking my CR if he can prescribe a mood elevator, to raise mine out of the basement…

      the malady lingers on

      April 30, 2012 at 10:20 pm

  141. I have had them on and off for about 4 years now and had it cut out once i now have another one so off 2 the doctors i go so they can fob me off with more antibiotics!!!!!

    Katie

    January 31, 2012 at 7:22 am

  142. My goal with this post it to try to get people to go ahead and go to the doctor. Compare my story with some of the others on here and that should be enought to convince you. Here’s my story: On Monday morning, while in the shower, I noticed a small lump about an inch above my anus on left side. I didn’t think much of it. Monday night, I noticed a little discomfort down there, not really pain, just like it was raw or something. Tuesday morning, I was starting to feel a little pain, it was uncomfortable to sit down. Tuesday evening, I noticed some blood, bright red, on the toilet paper. On Wednesday morning, the lump was noticeably bigger and quite painful. I also noticed a little bit of brownish-red puss which increased if I pressed on it. It leaked quite a bit on the gauze that I placed between my cheeks but the pain was signficantly reduce. On Wednesday night, I looked around the web and decided I probably had an abcess. On Thursday morning, I called my doctor’s office to make an appointment and told my doctor about my symptoms. He said I would most likely need a surgeon so the best route was to go to the emergency room. I went to the ER and waited the customary two hours before I saw a PA. He took a look and did a rectal exam-lovely. He started talking hemorrhoids and I told him I thought it was an abcess. He looked again and finally agreed with me. He called in a surgeon who came and tool a look. He said it needed to be drained and said I had two options. I could have it lanced and drained under local anesthesia or I could go under general anesthesia and have it drained and a fistula closed if necessary. He said if I had just the local, there was a 50% chance that I’d have to have later surgey to repair a fistula. I decided to roll the dice. He prepped me for surgery and injected me with lidocaine which hurt like an SOB, but was over pretty quick. The lidocaine did it’s job, I didn’t feel anything while he drained the abcess. He packed the would and sent me home with instructions to re-pack the would twice a day or after any bowl movement. He also prescribed hydrocodone which I almost didn’t fill, fortunately, I did. My wife was thrilled to find out she had to repack the would for me. Once the area wasn’t numb anymore, there was a little pain, but very manageable. That night, I removed the packing from the wound, which, to my surprise, hurt like hell and I bled, a lot. It hurt like an sob when my wife re-packed the wound. It’s been 3 days now and I’ve learned a few things about re-packing. First, I got some lidocaine spray to use right before re-packing. Second, I take the pain killers 30-45 minutes before re-packing. I’m nervous about the possiblity of a fistula, but so far, so good. It was far from a pleasurable experience, but because I decided to go to the doc early and didn’t let them misdiagnose me with hemorrhoids, it went much better than it could have. I don’t really like doctors and I wasn’t excited about people poking around my ass, but going to the doc quick saved me a lot of pain and anxiety. Go to the doctor now, don’t wait.

    Anonym Ass

    February 25, 2012 at 6:34 pm

  143. Hi there, I have been scouring the internet looking for information on abscesses that don’t heal. I had my first bout with a perianal abscess 2 years ago. My GP doctor kept saying that it was hemmorhoids, prescribed me creams and whatnot. Well, 2 years ago Thanksgiving morning, I took myself to the ER and the came to the conclusion that it was an abscess, a large one. They preceeded with CT scans and then they put a drain in. The drain stayed in for about a month and a half and then all was well. Fast forward to this past Thanksgiving (about 2 days shy, actually), and the familiar pain resurfaced. I went to the general surgeon who treated me prior and he couldn’t figure out why it came back. Just wanted to drain it again without further scrutiny. That didn’t sit well with me, I wanted to know why I was so lucky to have this come back agan. I found a Colorectal Specialist in my area and the day of my 1st visit, he drained it; empyting about 1 pint of pus from the abscess cavity. He opted to keep the cavity open to let it heal from the inside out. That was in Novemeber. Can anyone please tell me why the wound is STILL open and still producing pus and blood???!!! I cannot find anything anywhere about have an abscess that won’t heal. I need help! Thank you so much for any help anyone can give me.

    Jennifer

    March 12, 2012 at 9:17 am

    • There are five possibilities really:

      1) A fistula is present somewhere, could only be seen by doing surgery (rather than draining)
      2) You could have Crohn’s Disease which helps regenerate abscess or doesn’t allow to fully heal once you get one
      3) You might be really hairy down there, and infected hairs around the butt can cause abscess, start shaving your butt hole (wouldn’t recommend doing it yourself)
      4) You might not be getting enough fiber to allow for healthy tissue reconstruction, drink Metamucil everyday
      5) I would hate to call it bad luck, but it’s higher possibility to get another abscess after having your first one, of course the reason for getting them again could be a combination of above as well

      Hope you are able to figure it out.

      God Bless – Robby White

      Robby White

      March 12, 2012 at 9:34 am

      • Silly question , but is it OkaY to shave the butt Hairs with a trimmer?

        abscess healed after 2 op

        March 12, 2012 at 11:57 am

      • I would go with traditional razor blade. That’s what I saw they used for both of my surgeries, so I just stuck with that. I am sure trimmers, with some gentle TLC, should be fine unless you think it might cause needless irritation or if you sometimes break out after shaving with a trimmer. I dunno. You could probably call some home care place in your area and they would give you a good answer.

        Robby White

        March 12, 2012 at 12:26 pm

    • Jenifer see my post below

      Filipe

      Luis filipe Gomes

      August 14, 2012 at 5:53 am

  144. Wow this hurts. I think I might have one of these. It started last Tuesday with just a little lump on my but cheek next to my anus. I thought it was a pimple or something but by the next day I could barely walk and it was the size of my fist. I was on vacation at the time so Wednesday night I left the wife and kids in the hotel room and hopped in a taxi. I got to an urgent care clinic where they told me I had an abscess but it was too deep to drain so they prescribed me somer antibiotics and hydro condone and said it should heal. I returned home the next day and made it till yesterday when I couldnt bear the pain anymore. I went to the er last night and the fun began. The dr said this is going to burn a little as she started the numbing injections. I screamed like a little girl my whole body was shaking and tears came to my eyes. I always thought I was tough, heck I was in the army for six years and deployed to Iraq twice not to mention I’m from Texas, so when I tell you this hurts it really hurts. After she was done with the injections she left the room and another lady came in lecturing me to not scream or they are not going to help me what a b#%*%, she has obviously never had one of these. Anywase after I argue with her a little the doc comes back in the office and now she punches several holes through this thing but says only blood is coming out. She said the anti biotics I was taking must already be working and that it should heal and I don’t need to see any one else. Well I have been on the couch since last night ded up on hydro done because it doesn’t feel any better than it did before I went to the er. It is a huge ,fist sized ,rock hard lump. I had to call in to work and tell them about this and I am hoping it heals so I can return to work in the next couple of days. If it doesn’t feel better by Wednesday I will go see a colon rectal surgeon I guess. Well that’s my story. Please pray for me.

    Joshua monroe

    March 19, 2012 at 2:02 am

    • I can sympathize with you. The pain is straight from hell. Soak in a tub of epsom salts water as hot as you can stand it.Heat can help a great deal. If you have a large hard area the abcess is still there and the pus needs to come out. I had abcess on both sides and my Doctor opened one side but a few days later the other side abcessed and while soaking in the epsom salts it ruptured and relieved the pressure. I was on antibiotics and pain killers.

      All I can say is get to a Doctor ASAP. It will not go away. It needs to be opened up and the pressure released.

      Nole

      March 19, 2012 at 4:50 am

      • Thanks I’m waiting for a doctors office to open now. No more ers they are horrible.

        Joshua monroe

        March 19, 2012 at 7:34 am

    • I know exactly what you mean about the pain. I literally passed out from the pain as my abscess was opened. My doctor opened my very large abscess in his office. The other option was to admit me to the hospital and put me under local anesthetic. I suppose that might have been preferable to just a local, but I wanted immediate relief – I was in agony! Once the abscess was opened, the relief was immediate, so I’m not sorry I chose the more expedient although more traumatizing option. My advice to you – GET ANOTHER OPINION! Antibiotics DO NOT work on an abscess that has not been opened.

      Pamma Jamma

      March 19, 2012 at 10:40 am

    • We know how you feel brother. Like everone else said… get it drained properly ASAP, my General prac and the colorectal doctor stalled and i was to the point of blacking out with pain. The ER surgeon who happened to be a colorectal specialist put me under and when i woke up i was pain free, the surgical incision felt like mickey mouse compared to the abscess!!

      Paininmia

      March 20, 2012 at 8:56 pm

    • Update. Went to see a real doctor and was admitted for surgery the same day. I’m out now and what a relief. I now have a gaping hole and weeks worth of healing to go but thanks for all the advice.

      Joshua monroe

      March 21, 2012 at 12:48 am

  145. Think i might have an abscess but i was diagnosed with hemmorhoids. I went to the doctor and i was given a foam med that you insert into the anus and told to take hot baths with epson salt, so i did and the next morning i felt fluid in my under wear which came to be blood and puss. After it drained on its own the pain was so much better to handle. Just seems that there was more blood and puss than the size of the hemmorhoid. Can anyone tell me, was i misdiagnosed?

    Kenny Jones

    March 20, 2012 at 1:22 pm

    • Sounds like an abcess to me. May want to get another opinion. It is good that it ruptured.The right antibiotic can help it heal now that it is open.

      nole

      March 20, 2012 at 3:26 pm

    • Also keep up with the Epsom Salts.

      nole

      March 20, 2012 at 3:36 pm

      • I would probably still have it checked.

        Some additional info for everyone:

        I still have never used Epsom Salts, I just went ahead and changed shower head to removable so I could shoot into my butt for long periods of time while standing with my legs spread (not a fan of baths so that was good for me personally), and I gave up toilet paper for good (only use baby wipes which I highly recommend to everyone for the rest of their life), and lastly before exercising and stuff especially for us hairy guys to rub a little butt cream for babies around our anus (Destin or Equate are both good). God Bless.

        Robby White

        March 20, 2012 at 4:01 pm

  146. Epsom salts( Magnesium sulfate) has been used for a long time as both a laxative and a soaking agent for wounds and infections and to reduce inflamation. My grandmother used it in the early 1900’s. If is also a plant food for plants. In the case of abcesses it has the ability to pull the material from the lesion and to help the body ward off the infection along with heat speeds up the antigen/antibody reaction and reduces swelling.

    When I had my infection if really helped the healing process.

    I also use the shower head with hot water along with baby wipes. toliet paper can be very irritating.

    Nole

    March 20, 2012 at 7:43 pm

  147. Please let m knw hows it going wid da status i think i got da samething last month had a abscess now its cuming back wat can i take

    famidah

    March 27, 2012 at 4:45 pm

  148. This whole thing is soooo horrible…my husband had his 3rd abscess I&D about a month ago…now…another bump..you never want to hear that…laying in bed in pain..again…what do you do??? Dr’s have no answers “it just happends” No solutions just deal with it..very frustrating. I work in the medical field…I can now sympathize with the patients who come in with this. You don’t understand the level of pain until you strong husband is in tears. Now I understand as I am shoving packing into these patients. What’s next?? More pain..more surgery..more time in bed…

    Laci

    March 31, 2012 at 12:35 am

    • He has to have them drained, let heal and pray he doesn’t get a fistula like me. I went through that same pain your husband is going through. I am waiting to have a colonoscopy performed to see what type of surgery that they are going to recommend. I too am a proud strong man myself, a US Marine at that! This whole ordeal has really changed my life. I was crying and yelling like a baby. Now i have to go through another operation to have the fistula closed. More pain, more crying, more screaming, more bad mood swings. Did i leave anything out??

      rongomez_1@yahoo.com

      March 31, 2012 at 2:22 pm

  149. pain from Hell, I was flat on my back for a week!

    Nole

    March 31, 2012 at 3:25 pm

  150. Hi everyone I’m so glad I found this site I’ve been beside myself with worry for a month now I cannot believe how many people are suffering with this PA!!! :(
    Mine started last month after a bit of constipation ( sorry!!) I realised the next day I felt very sore near the rectum area again like others I thought it was probably hemmaroids due to the constipation so I ignored it.. Well the next day I could not walk let alone sit or turnover in bed it was excruciating pain I checked in the mirror and there was a swollen very red lump beside the anus!! I started treating it with hot compress and it eventually drained went to the Gyno and she gave me Cipro for a week all was well swelling went down then last Saturday I slipped and fell onto my bum/hip same side as where abscess had been ,well the next day I had the same familiar sensation of the abscess returning!!! I couldn’t believe it so again I treated it with hit baths and put turmeric & honey paste onto the abscess it then drained so I went back to docs this time a rectal surgeon who quickly looked at it and said I had a complicated fistula as my abscess has returned in a month!!! I live abroad and the docs here do bit know how to make there patients feel better or positive ( it’s private healrhcare) the only advise he gave me was to do sitz baths and take more cipro, which I’m nearly done with today, I’m so confused and so worried I’m trying to eat more fibre only drink water hot baths showers regularly I’m so scared it will return ( abscess I mean) I asked him if was defo a fistula and his reply was ” it’s not definate but it looks that way” so how would he know it’s complicated if he’s not even sure I even have a fistula in the first
    place? I’m so sorry for the long post but I know you guys know how I am feeling right now, you can’t even discuss it with anyone as it’s in such a personal area yet I want answers and the docs here just want my money, I don’t want anymore antibiotics I’m trying to treat it naturally has anyone succeeded this way? Any advice would be so helpful, Thankyou again, healing thoughts to all that is suffering!!
    (female 35 years old)

    Shifan ozseza

    April 4, 2012 at 4:09 am

    • Go and find a specialist, or visit the hospital.

      Second Chance

      April 23, 2012 at 2:07 am

    • Shifan read my post below

      FILIPE

      Luis filipe Gomes

      August 14, 2012 at 5:48 am

  151. Mine is not 100% cured but I am slowly healing. I continue the hot baths with epsom salts.I take fiber pills and stool softners. No antibiotics in a while. Prsgress is slow but better.

    nole

    April 4, 2012 at 5:50 am

    • Does your abscess/fistula keep returning? Is it safe after rupture to not take antibiotics? ( trying to treat naturally) I can still feel a little stinging and itching but I can’t see anything does this mean it’s healing or returning , ? ://

      Shifan ozseza

      April 7, 2012 at 2:22 pm

  152. Hey! I feel I am more cursed than all of you! This is my 3rd perianal abscess and that too all three have occurred in a span of just two months! I had my first abscess surgically drained from my right bum on 27th February by a general surgeon. Then there was a recurrence, but this time on the left one! Expanded in size and pain became excruciating just within a couple of days. I went to another surgeon this time. He diagnosed this condition as an anal fistula, saying that the fistula had formed on the right bum, pus then traveled to the left one and I ended up with an abscess there. The second surgery was just 15 days back, on the 15th of March, 2012. It was a major surgery, unfortunately had to stay in the hospital for a couple of days. The Surgeon did not put any stitches and I had to make everyday visits to the hospital for dressing. The pain persisted but the Surgeon said it was on account of the operation and there’s absolutely no chance of an abscess to recur at that place again. I was feeling happy, atleast partly on account of the fact that the problem’s been removed from its root. Alas! The same thing has come back, and its happened barely within 20 days from my previous discharge from the hospital. I don’t understand why this has to recur, and that too for the third time, with just a month remaining for my final exams! I am now going to consult a super specialty hospital in my area. Lets see if I am lucky enough if this gets cured by antibiotics. Though this seems to be wishful thinking, as it’s never been cured before like that in my case.

    zambrotta

    April 4, 2012 at 11:46 am

  153. Hey my name’s Vinod. Don’t know how Zambrotta popped up there!

    Vinod

    April 4, 2012 at 11:48 am

  154. I just completed reading all the posts that have been made on this discussion. Its a really long list, probably the longest ever I’ve read on a blog before! I sure have one thing to say, all of you here need to have a more positive attitude towards life. I’d like to share some optimism on this aspect below.

    1) Stop taking yourself too seriously, and don’t think that somehow you should be protected from misfortunes that befall others.

    2) Please don’t borrow trouble. Imaginary things are harder to bear than the actual ones.

    3) Don’t hold postmortems frequently. Avoid spending your life brooding over sorrows and mistakes. Learn to get over things quickly. Forgetfulness is actually more of a blessing than a disadvantage.

    4) No one has everything, and everyone has something of sorrow intermingled with the gladness of life. The trick is to make the happiness outweigh the tears.

    5) Try to forget what’s bothering you. The trick is to keep yourself busy. A busy person never has time to be unhappy.

    6) And most of the times, its more to do with the mind and less with the body.

    I cannot guarantee that you’ll not face the same problem again. In fact, no one can. But if you practice what I’ve said above, I am sure you’ll still be able to achieve your internal desires and goals and that too irrespective of all the adversities that befall you in life.

    Vinod

    April 4, 2012 at 12:39 pm

    • I think you misunderstand the reason many of us have posted to this list and continue to be engaged. I for one find it extremely beneficial to know that there is a group of people out there just like me that have experienced this extremely painful and embarrassing problem. I don’t feel comfortable sharing the experience with anyone other than my husband given the nature of the problem, and even he doesn’t really understand it never having suffered one himself. Have YOU had an anal abscess? If so, I would think you would be more sympathetic and realize that talking and sharing is a part of the healing process. If you have NOT, then why are you in this page to begin with?

      Pamma Jamma

      April 4, 2012 at 1:03 pm

      • Please read the comment made by “Zambrotta”, and the comment made by me just below that. You’ll understand why I have commented on this blog in the first place.

        Please don’t misunderstand my thoughts. I never meant to blame you or anyone else for that matter in this regard. This can happen to anyone, and we did no wrong in the first place. It’s just that one needs to be positive when fateful events happen, even this is an essential part of the healing process.

        I am in fullest sympathies for you and your family. Hope this phase of your life passes by soon! And I hope the same happens in my case too! :)

        Vinod

        April 4, 2012 at 1:15 pm

      • And my comment was especially to those who “THINK” they have Crohn’s Disease. It’s a very rare one and I’d rather hope NOT TO HAVE that in my diagnosis.

        And why are you afraid to share this problem with others? By “others”, I mean your close friends and people who truly care for you. It can happen to anyone. Sharing your problem with a close one would rather make you feel more comfortable. I know it’ll feel embarrassing at first, but you’ll really feel happy when a week later your friend messages you to ask, “How are you feeling now?” :)

        Vinod

        April 4, 2012 at 1:28 pm

    • are you serious! how can you be busy doing anything else when you are dying with pain.

      shiznit846

      April 25, 2012 at 8:02 am

  155. By the way, how are you faring in the present? Again going through one of those painful swellings?

    Vinod

    April 4, 2012 at 1:30 pm

    • Vinod, this has nothing to do with attitide or with the mind. You get this and you will wish for just a pain free day. Hell itself could not curse an individual more. This havoc caused by bacteria regardless of whatever reason.

      nole

      April 5, 2012 at 1:15 pm

      • I’ve been through this thrice! I have been operated twice already in the past two months. A third one’s on its way now. First was in February 2012, second in March 2012 and the third one’s scheduled a week from now. I’ve been through a lot of pain, suffered more than you can imagine.

        I shared these thoughts just so that anyone who is going through this phase in life doesn’t become frustrated and mentally upset with himself.

        I’ve my exams coming up next month. I still haven’t lost courage and will give the exams to the best of my capabilities, NO MATTER WHAT. This is what I meant by being in a proper state of the mind.

        Vinod

        April 5, 2012 at 1:54 pm

  156. Hi I’m 19, in college, and am really embarrassed and scared. I am afraid of doctors at the best of times and I am also a college student and cannot afford to miss class. My classes are accelerated (8weeks instead of normal 16 weeks). I had a small bump near the top of my tailbone for the longest time, but I had no discomfort, or problems with it, it was just ‘there’. On Saturday it started to swell and it hurts to touch. Hot water makes it shrink a little and makes the pain lessen. I am tempted to pop it myself but am afraid of that doing more harm than good. What should I do? I really am scared and it’s so embarrassing, I have been making my way through the past few days with a smile plastered on but it’s starting to hurt quite badly. I also had fever symptoms starting, my lower back is sore, and feel really off balanced. I am slightly overweight and I don’t always eat as I should. As stupid as it sounds I am really scared to tell my mom, she leaves on a business trip to India on Monday, she has been looking forward to it for months. I don’t want her to cancel on my account. Should I hold out till she leaves or just tell her? Please Help!!!!

    Inutana

    April 18, 2012 at 1:03 am

    • The way you describe it seems you have an abscess. Please tell your mom about it and see a good surgeon right away. Don’t worry, they are your parents and they’ll always care for you. I don’t think your mom would have to cancel her trip as the surgery for an abscess drainage is a minor one and its very much possible that the doctor would discharge you the same day itself. Take care. :)

      Vinod

      April 18, 2012 at 2:33 am

    • From your description, you may have a pilonidal cyst – not an abscess. You’ll still need to have it opened and cleaned out, but I don’t think you’ll have the rough time we all describe here with accesses. Also, they dont cause fistulas. Get it checked out – it may not be as bad as you think!

      PammaJamma

      April 18, 2012 at 6:30 am

  157. I picked up a bandage to cover it so it would not get irritated or get too much worse

    Inutana

    April 18, 2012 at 1:04 am

  158. Hey I’m doing great now! The diagnosis was a fistula. The surgeon was good enough to properly diagnose my problem. Now I have been going for dressings daily for almost 15 days post the operation. So there’s no chance for the fistula to form again. The operation’s termed as Fistulectomy. Even the wounds of the surgery have healed and its been almost a couple of weeks I’m doing great. The antibiotic that finally worked on me was LINEZOLID. The culture test reports revealed the bacteria that was causing disturbance. It was some methicillin resistant variant of staphylococcus.

    I now realized that I would have never had to face this problem thrice had I gone to this surgeon before. He’s charged me a bomb, but he’s confident that there’s no chance for the problem to recur in the future. (Thank God I was covered under insurance!) Guys please don’t make this mistake and go see a good surgeon. Even if it’s a bit costlier. Not many doctors have the knowledge to deal with this thing.

    Vinod

    April 18, 2012 at 2:29 am

  159. Hi All,

    Great blog. I had a perianal abscess about 3 weeks ago. I had to drain it because the pain was unbearable. It’s been about 3 weeks and I was concerned about an anal fistula forming. I’ve googled and looked everywhere but have not found much.

    In terms of the wound, I have about .5-.9MM left to close. At what point should I go see a specialist? How long would it take to fully heal?

    About 2 weeks in, I thought I was on the path of recovery, but recently my due diligence of examining the area might have ‘tore’ the skin ab it while spreading the area. Now, I see very slight faint pink on the toilet paper.

    Will my abscess turn into a fistula? Did you folks have symptoms? I figured I should give it 2-3 more weeks and if there’s still a ‘hole’, I should get it checked out. I haven’t experienced any pain though, certainly not anything close to what I had experienced with the abscess.

    Any thoughts?

    -I’m so scared.

    Second Chance

    April 23, 2012 at 2:04 am

    • yes you have to get it checked ASAP with a specialist these were the exact contions when i developed a fistula

      shiznit846

      April 25, 2012 at 8:06 am

  160. I just got back from the doctor and he examined it and told me a I have a perianal abscess and he said that they cause extreme pain and I was in extreme pain till about 3 days ago. He gave me some antibiotics and set me up with a surgeon. He told me since I was so young and my diet was healthy that i most likely didn’t have to have it drained. He said that the antibiotic would take care of everything. The swelling has gone down by itself in the last few days so I’m hoping what he is telling isn’t just some bullshit and it actually works. I’m only 20 and this si the first time I have ever experienced this.

    Ryan

    May 9, 2012 at 4:07 pm

  161. I have been suffering from my perianal abscess for the past year and a half now because many fistulas formed over the areas that I was cut to drain. The Doctors have said that there is nothing I can do to prevent this from reoccurring, because of the fistula. I have, since my surgery, been cut at least 7 times (if not more). The condition is extremely painful. Did you know though that this is actually more common in men and younger males than it is in women. I am just so sick and tired of the reoccuring pain every three to four months. I have to have sit baths every hour and since then my immune system has decreased from me being a very health female, to someone that now gets sick quite often. Last week I had three burst and this week another. I had to go home early from work so that I could perform the ritual of the sitbaths etc. Is there anyone that can recommend preventing regular occurrences. Surely there is something that can be done.

    sam

    May 16, 2012 at 1:43 am

    • Hi I’m also female ( yes I read that it’s more common in males :((
      I totally understand your worry and pain I’m in exactly the same boat, I’m on my 4th abscess in 3 months, drained them both naturally using Turmeric & honey and have been on two lots of cipro ( no surgery) this is really getting me down like you was a healthy 35 year old female then all of a sudden I got this in March out of the blue, I’m really trying to sort this out as natural as possible as everyone seems to have reoccurring abscess/fistula EVEN with surgery, I live abroad and the docs really don’t explain things too well and are constantly trying to feed me AB or book me in for surgery!! I’m like whoaw hang on a minute let’s give it a chance!!!
      All I can suggest is mixing turmeric powder and honey and placing it on the abscess even when it’s drained, the turmeric is a natural antibiotic and bursts the abscess while healing the wound, I was abscess free for 5 weeks had a little swelling yesterday popped the turmeric back on and it’s back down, I went to my pharmacist this morning to ask if I really need more AB and he said to carry on with turmeric, unless I develop symptoms of infection to not worry and continue doing what I’m doing!!! Hope this helps a tiny bit, wish you better soon ;))

      Shifan ozseza

      May 16, 2012 at 3:21 am

      • THANK YOU SO MUCH FOR YOUR COMMENTS, IT IS NICE TO KNOW THAT THERE ARE MORE OF US SUFFERING WITH THE SAME THING. I WILL DEFINATELY TRY YOUR METHOD, SEEING THAT THE DOCTORS DO NOT GIVE ANY ASSISTANCE OTHER THAN FEEDING US WITH ANTIBIOTICS & PAINKILLERS, BUT I HAVE SINCE STOPPED GOING TO THE DOCTOR SINCE DECEMBER 2011, WHEN I HAD MY SEVENTH SURGICAL DRAINAGE, BECAUSE THATS WHEN THEY SAID THERE IS NOTHING THEY CAN DO. I HAVE SINCE LEARNT TO LOOK OUT FOR THE TELL TALE SIGNS OF THE PRESSURE AND THE PAIN IN MY COCYX (NOT TO MENTION THE IRRATATION AROUND THE AREA BEFORE THIS HAPPENS), BECAUSE THAT IS WHEN I KNOW I HAVE ANOTHER ONE READY TO “BLOW” AND IMMEDIATELY SOAK IN HOT WATER & EPSOM SALTS. IT IS A PITY THAT THERE ISN’T REALLY NOT MUCH KNOWN ABOUT THIS AND AN INSTANT CURE, OH, WELL, I GUESS THE BEST OF US GET WEIRD THINGS – I ALSO WISH YOU THE BEST OF HEALTH. CHEERS & HOPE YOU ALSO GET WELL SOON.

        sam

        May 16, 2012 at 3:31 am

      • Shifan watch my post below

        Filipe

        Luis filipe Gomes

        August 14, 2012 at 5:37 am

    • The only reason you keep getting the recurring abscess is because the area is not healed. You have to be free of all fistulas and abscesses. You need to see a colorectal surgeon and they can stop you from having your lapses. I don’t know why anyone would ever tell you that you can’t prevent them from coming back, that’s absolute bologna.
      Robby

      Robby White

      May 16, 2012 at 8:52 am

    • Hi Sam,

      You have to go to a surgeon specialized in Fistulas .

      The correct procedure is :

      First they cut the abcess to drain it
      Then they wash the abcess inside with medical bleech
      To make sure you have a fistula ( a channel that was formed between the abcess and the inside of anus) they will inject inside the abcess oxigenated water and because it is a expansive liquid if you have a fistula bubbles will come out of your anus. This is the way they know you have a fistula and in this case YOU NEED TO GO ON SURGURY. In any cases they have to inject inside de abcess a contrast liquid (metilenne blue) to map all the routes or fistulas that you have and on surgury the doctor have to remove or scratch everything that is painted in blue ! Because most on inexperient doctors do not do this procedure they do not remove every peace of meat contaminated and thats why months later the abcess returns again !!!. After the surgury the wound HAS TO BE OPEN to alow the cicratization from the inside to outside ! yes i know !! it will sometimes take 1 and a half months ho heel but it it the only way !!!
      Because you might have a fistula and a channel formed between your anus and the abcess ( the abces it is like a small bag that was formed inside of you) the fezes or bacteria are always going thru the channel to the abcess causing again the same problem. With the procedure of healing from the inside (leaving the woud open) will alow the channel and the abcess bag to be replaced by new healthy flesh and this is the only way to have again a new ass :-))
      very important…… as more years or months without the proper treatment the worse will become and the surgury and recovery will be more complicated.
      GO TO SPECIALED SURGEON !!!!
      all the best

      Filipe

      Luis filipe Gomes

      August 14, 2012 at 5:31 am

  162. Good morning everyone,
    I have a question that I can’t seem to find an answer for anywhere. I was hoping some with experience in this area might have some answers. :)
    Has anyone ever noticed a correlation between getting sick (say, strep throat) and an abundance of blood/pus drainage from an abscess hole? I’m still healing from my last draining from this past November. The wound hasn’t healed yet, but the drainage has been getting more minimal every day. That is, until I started getting sick. The day after I realized I was sick, my wound pretty much opened up and started profusely draining blood and pus. Could the two be connected? Will this happen forever until it heals shut?
    Any thoughts would be greatly appreciated! Thanks everyone, speedy recoveries to all!

    Jennifer

    May 20, 2012 at 8:59 am

    • You guys probably need surgery to properly clean out infection and to heal from inside out. They can also see if you have a fistula (which causes the abscesses to keep returning). It would be good to consult with a colorectal surgeon in any case.

      Robby White

      May 21, 2012 at 8:58 am

  163. I my self jus recently experinced the same thing but the worse part of it is tht as of today I am now 7wks and 3 days pregnant….so the pain cause hell for my ass and my stomach

    shante walker

    May 20, 2012 at 10:36 pm

  164. Hi all, I’m in UK and just had my 31st op/eua on my perianal/ischorectal absess. tried loads of different ways to get rid but thing is really deep so taking a long time. My surgeon is one of the top colo-rectal surgeons in the country. i had a vac pump inserted for 10 days recently which has helped heal the deepest part. Glad i’m not alone with all this suffering, but also feel for you guys.
    Cheers
    Dave
    twitter @wavey1068

    dave

    May 22, 2012 at 3:23 pm

    • I am also in UK.
      Went to A&E with terrible pain around anal area.I thought it was an absess…..A&E said it was a torn muscle.
      Well they got that wrong.
      2 days of horrible…..and agonising pain later a large hard lump had formed under the skin to the side of my anus.
      called emergency private GP to my home.(He was Terrific)
      He said it was the worst he had seen for ages.
      Gave me a pain killing injection….and ciprofloxacin tablets and co-dydramol tablets.
      Lets hope they work and surgery isnt needed.
      TERRIBLE TERRIBLE pain and couldnt walk properly or sit.
      Had night sweats and temperature.
      An Anal absess is dreadful.
      £200 well worth spending cos our NHS is crumbling under the strain of mass immigration.
      Later this year I am emigrating to THAILAND.
      Their hospitals in Bangkok are terrific.
      Lost confidence in the NHS……completely….So sad..I’m 56.

      Douglas

      June 4, 2012 at 2:39 pm

      • This is what Obamacare will become in the States unless it is stopped!

        Gowa

        June 5, 2012 at 6:50 pm

      • UPDATE……..June 12th

        Had to go to A&E at St Marys…Paddington.
        Kept me in 2 days.
        Had EMERGENCY surgery to drain the absess.
        Connected to drip…had MORPHINE.
        Surgery was under General Anaesthetic.
        THEY WERE WONDERFUL.
        They did internal examination and several blood tests.
        All NEGATIVE…thank goodness.
        Horrible horrible thing to get.
        I thought it might go away….It didnt.
        Before surgery ..It was dripping a vile Pus.
        Now everything is fine..but the cut they made takes time to heal.
        Also had dreadful constipation….so bad I wont tell you how I dealt with it.yes I will.
        Laxative eventually dealt with the problem….after DIGITAL EXTRACTION.
        If you get one deal with it ASAP.
        Guaranteed…you cant deal with it without a doctor /surgeon.
        Havent lost confidence with NHS…they are just OVERWHELMED and UNDERFUNDED.
        Best Wishes.
        D.

        Douglas

        June 12, 2012 at 6:50 am

      • no the nhs isn’t crumbling from mass immigration. its crumbling for many other reasons like lack of money due to the population spending more money than they have and lowing the national income, and increased population. This accumulates in less staff, less facilities and less training. also when you talk about immigration the problem I see for last 20-25 years is not enough English or british people train as doctors so a lot of out doctors are imported, and sadly from my experience some of the doctors don’t have the right training. oh yes lets not forget the lazy people that live of the dole or even disability faking and I see that every day as you have. So please don’t blame immigrants cause without them you’d be waiting to see a gp and waiting months. better to see a less trained doctor than not one for 3-6months, by which time people would die. see simple as.

        jayce

        September 24, 2012 at 2:35 pm

    • Hi me again. Cavity still deep and I now have another absess hole where the tract has branched of. I now have a plastic tube settled from the bottom of cavity, and then in a week will have the vac pump attached again. I’m now up to 34 ops from 06 September 2006
      twitter @wavey1068

      dave

      June 21, 2012 at 3:36 am

  165. The area in which my abscess was cut and drained has now re-opened via a tiny hole. This has been about 2-3 months since the drainage. People said I have a fistula, but could this reopening (fissure) be something else?

    he

    July 16, 2012 at 1:38 pm

  166. Hi all,im a 38yr old aussie male and its been really helpful to hear im not alone with this embarresing,painful,smelly,antagonising problem.I have been dealing with a fistula for 3yrs now,ive had multile procedures done,ie:seton inserted,removed,plugged,braided seton etc etc.
    I am currently writing this with my braided seton inplace,and this time the amount of discharge is phenominal,and the smell now as opposed to the first seton is disgusting,perhaps a good sign???
    My big question with seton’s is,how can anything heal/drain when u deliberately keep a wound open internally inside your anus,i mean the amount of crap (literally) that get inside,rubs along it is disgusting!?!?
    I hate it and have been having a real hard time lately,im alone and im so over it..(

    jason

    July 28, 2012 at 4:49 pm

    • Hang in there, you can do it. I am a full year free of abscess. It’s been hard, and it took me nearly two years to heal. But, if you eat lots of fiber, and after each poop use a detachable shower head to clean your butt, or at least have baby wipes with you at all times if you aren’t home, you should be okay. I had a lot of miserable nights, and lots of tears, but took it one day at a time. That way its not as frustrating. God Bless.

      Robby White

      July 30, 2012 at 8:59 am

      • thank u so much for your words of support,i cant belive how much it helps getting contacted by a total stranger but who happens to know exactly what u are going through makes a huuuuge difference….i woke up this morning,usual pain/inspection/depression then decided to check my mail,,,,and feel much better now,even if it is temporary ill take it..thanks again..)

        jason

        July 30, 2012 at 4:48 pm

  167. Hello friends,

    sorry about my english that sometimes can be dificult to understand.
    Yes !! i suffer all you did 4 years of repeted perineal abcess in my case cause by cycling. To may Kms , too hot, to heavy (100kgs) and so on. Most of perineal abcess start by a infection of the glands by the anus or start as a normal foliculites. Everyone who has black and strong hair and has grease skin is for available to be atacked by stafilococus and develop a abcess. As you cas gess i’ve passed through everything (huge pain, not be able to seat and so on) and i’ve tried everything to avoid the bubble to come, creams, antibiotics, natural products etc etc. 4 weeks ago It returned again and finaly i found a good and very experienced surgeon on this kind of cases. I was operated in 2010 but because the surgeory was not well done the bubble came back again. So if you want to get reed of it first look for a “special” surgeon, that one who has experience in fistula and perineal abcess operations, NOT A COMMON SURGEON, this is very importante !!! second….. face the problem and face the fact that entire city and hospital will know your genitals better than your mon, husband, wife or girfriend :-)) it is dificult for the first on second times but them make fun of it and face it as natural, those people see anus, vaginas and penis every hour every day !!
    Be positif, you are in deep chip but there are always peoble worst them you !!! this chit will have a end !!
    As soon as it started go imediatly to the hostpital, avoid complications and fistulas because you are ashamed to show your genitals around !!! . if it is a simple abcess they will cut it, they will inject oxigene water inside and if you start bubbling on you anus it is because you have a fistula ( canal between the abcess and anus) In this case they will inject inside the abcess a blue liquid so they can map all the infected tissue to be removed later by cirgurie. if they do not do that, and if just a grain of contaminated flesh is not removed that i will assure you the abcess will grow again !!! if there is not a fistula they drain the abcesst and the ONLY EFFECTIVE PROCEDURE is to “get a contract ” with them :-) because you will have to go there every day for the next month. Every day they have to wash inside the abcess with chlorine or oxigenated water, then they have to insert a piece of gaze (drain) to avoid the cut to close! it take sometimes months to heel it but it is the only way. If they closed the wound with stitchs the probabilitie that the abcess returs it is to high !!! litlle by litlle the flesh inside will grow and replace the capsule that was formed inside. There where some days that my usual nurse was replaced by other that was not so professional and for do not cause me pain let the wound to close…..fortunatly after 3 days, meeting my usual nurse she had to reopen again (pain pain pain) to avoid the clousure of the wound.
    My dear friends this is the way, the only way to get rid of that chit !!!!! But don’t panic it only hurts de first 3 days and then becomes mutch easyer.
    If you are having the abcess goe as soon as possible to the “special surgeon”, take the atibiotics to stafilococcus, go home, put something hot over the abcess to help the capsule to break up and expell the pus.
    To help this procedure i also use FUCIDINE cream.
    I hope that i helped you guys !!!! every question is welcome

    Filipe

    Luis filipe Gomes

    August 13, 2012 at 1:07 pm

  168. I have just had my second perianal abcess. I am a well built man and i can hanfle pain but my god the pain is unreal, the worse part of it all is the first time they remove the packing after sergery, i got my first one 3 years back drained it,then packed it for 2 weeks and its been fine for 3 years until last week, i felt the dreaded pain,could somebody tell me is the pain worse second time as i am really in agony, dureing the packing process off nurse. I am takeing 2 paracetamol 1 ibruffen 400mg and 1 codene a hr before nurse comes but pain is still there when shes packing it, like i said i normally can handle pain no problems but i feel like i am going to pass out in the process thanks frankie

    Francis Marshall

    August 23, 2012 at 5:15 am

    • My abcess was large and mind-numbingly painful. I haven’t experienced anything like those early packing changes in terms of level of pain. Scale from 1 to 10 , I would have said a billion after the first couple. Also, the doctor would occassionally use silver nitrate to burn off the top layer of the abcess as it healed from the inside out and those burnings were almost as terrible. Luckily the pain was only limited, and not constant after both things were done, but still I have a new perspective on taking care of my rear and appreciating it every day after it was healed. No more toilet paper for me, only wet wipes for the rest of my life, forever. I only owe it to me and my butt!

      Robby White

      August 23, 2012 at 3:31 pm

      • Wow happy to see this blog. My husbandwent through 7 surgeries 5 years ago for a ‘horseshoe’ rectal fistula. What a terribly painful, humiliating ordeal he went through. He is just yesterday developing the early signs of the abscess returning and we both have that sick feeling overcoming us. He immediately started antibiotics and we’re hoping its been caught soon enough. I want to throw this out there for feedback -I have always been interested in the association of spirituality and physical illness. When my husband had his first episode he had just lost his job. It was an extremely stressful time in his life when he was totally self absorbed, full of anger, and obsession about money. I know you’re probably thinking ‘well no kidding – the guy just lost his job’ but I believe when one internalizes major stressors and doesn’t release them to God’s care the result is a physical manifestation of the spiritual ailment. Fast forward to this month – we received notice we were being audited !!!- though we had absolutely nothing to hide my husband once again became full of fear, anger and anxiety. Sure enough all the signs and symptoms of the abscess are surfacing again :( The surgeon agrees that stress lowers ones immune system and therefore recurrence is definitely a possibility but my interest is exploring if there’s more to it than just lowered immunities. Sorry if this suggestion is offensive to anyone – just looking at deeper more spiritual aspects of our maladies in a very superficial world.

        Mimi

        September 11, 2012 at 9:54 pm

  169. its strangely familiar to me. After being admitted into hospital with a anal abscess, emergency and my god it was very painful I couldn’t even stand or sit(and it took them about 2-3 hours to see me). 3 months of packing holes nearly as big as tennis balls(not an exaduration, and im small) the wound seemed to heal, days later my abscess was back. for 1-2 months I had to wait for surgery(Hospital admin errors added to delays) in which time the abscess would heal up and explode open every 3-10 days which was incredibly painful. On my 3rd operation they put in a seton oh what a relief. Yes very painful but compared to not having the seton it was a huge relief. My operations are usually 2 months apart. I have read so so much about the procedures I have had. Just hope it goes or heals soon.

    Unfortunately I am on operation number 7 in just over 1 year. I don’t go out except to shop to get essentials I use women’s sanitary products, as men’s are so uncomfortable. I have no social life and am not working. Has anyone else with an abscess had it intrude on your life in the same way it has for me. I keep reading about people going to work with a seton and I am so jealous. just to get out of the house away from watching tv would be a luxury to me.

    jayce

    September 24, 2012 at 2:28 pm

  170. Hey Guys,

    I had my fistula surgery about a month ago. I’m now on my 8th week and still have very very little yellow/pus drainage. On 9/15 or so, my CRS said it looked good and that I didn’t need to see him again.

    I just wanted to ask the crowd how long it took for everything to heal completely, but more so, in what scenario should I go back.

    The actual site of the fistula healed, but it’s the other part that they cut up which is draining.

    Thanks.

    owieher

    September 28, 2012 at 2:54 am

  171. Great Blog Buddy
    I found out more on here than I have by visiting the pharmacy . I had hemeroids last year , removed by surgery ! a week ago I had serious pain and thought they were back but it did feel different. I purchased some cream that did nothing at all , only the ibuprofen had any effect. Anyway something has popped , leaking like a dripping tap ( sorry if your having your dinner ) stopped now , had a bath and pain has gone ! Weird , i’m guessing its what you had.

    FLY

    October 14, 2012 at 9:06 pm

  172. My 18 year old daughter had a perianal abscess drained about 21/2 weeks ago. She is still in considerable pain and the abscess continues to drain. She has been complaining about not feeling well in general, but tonight she is having abdominal pain and is running a fever of 100. I called the after hour doctor, but she said it might be anything. Has anyone had a similar experience or can anyone give some advice?

    Corie

    November 18, 2012 at 7:46 pm

    • Corie !! I would personally call an ambulance for fever, abdominal pain and problems in the rear all together .. better to be safe

      fly

      November 18, 2012 at 8:08 pm

  173. Ugh. I’m simultaneously thrilled to have found this site and horrified to be in need of it. I’m feeling particularly sorry for myself this afternoon, so I’m going to share my tale of woe. Mostly, I’ll just be adding to the advice others have offered here to get to a doctor (preferably, a colorectal specialist) ASAP…like as soon as the symptoms pop up (non pun intended). 10 days ago, I developed a wicked pain in my bum. A deep, searing, throbbing pain that I, like others, assumed was probably a hemorrhoid though I had never had one before in my life.

    I’m 38, F and have IBS along with a host of other issues, so I also thought maybe it was just irritation from a recent bout of diarrhea. No way–irritation doesn’t feel like THAT! So this was on a Wednesday, and I made it until Friday morning before I was begging for an appt. with a local colorectal practice (I’m fortunate to be in the DC Metro area and have my pick of specialists). The long Veteran’s Day weekend was coming up, and I did NOT want to be living with this misery for the whole weekend! I had managed to finagle a look at my bum with a mirror and small flashlight and some pretty impressive twisting, and I could see that there was a very angry, red bump right around my anus….this did not bode well.

    OK….soooooo, fast forward, I ended up meeting with a lovely doctor (she was so pretty and sweet that I was tempted to ask her if she might not want to consider another specialty, but, I digress.) Long story short–after being examined (a bum-examining table thingy is quite the achievement of modern construction, by the way), it turned out that I had….an anal abscess! What??? Pardon ME? Alas, it was true. She assured me that we had caught it and treated it early, but there was still no way to predict whether I would develop a fistula.

    Boo-hoo-hoo, and then I had the abscess drained.That was 10 days ago. It continues to drain, I continue to take multiple baths throughout the day (I’m lucky that I telecommute 3 days a week, so that makes the afternoon bathing a little easier to achieve). I’m terrified that I’ll develop a fistula. I’m terrified that I might have Crohn’s instead of IBS. I’m terrified that this is going to come back. I’m mostly just terrified, period. :-(

    Dragon12

    November 20, 2012 at 5:26 pm

    • Hi please don’t worry ( easier said than done i know) I too am a female in my 30s and suffered this at the beginning of the year, after
      3 lots of cipro and sitz baths oh and a change in diet it still kept coming up, so I researched into more natural solutions and for me this worked ( may be not for everyone and depends on how advanced the abscess is)
      I used Turmeric powder & honey and made a paste, I would leave it on covered with a gauze and after a few hours it would burst, the natural antibiotic in the turmeric & honey
      Helped heal it, I must say it was not that easy
      You do need to stay calm and patient, keep away from sugars, caffeine alcohol dairy products take vitamins eat well drink 100 percent juices and try relaxation techniques, this all helped me with keeping the abscess from re forming even when I was abscess free I continued to keep putting the paste on the area!! My doctor said to keep doing what I was doing and that no antibiotics were needed unless of course I developed a high fever and felt very unwell!!!
      I still eat well but I do like to have the occasional cake & wine, but I religiously try to relax and keep my immune system high, get checked out for crohns etc first because treatment for them will be different but still no biggy so don’t panic!! But I would suggest you my method too and see how you go, I know your worried ive been there I would search frantically on line for hours to see if anyone had a cure or could at least make me feel better, actually googling made it all worse
      By telling me the worst ( extremely rare) scenarios, so don’t worry it will go you have to stay positive and believe it will disappear!! for now carry on with hot baths add a little oregano oil into your water make the turmeric paste put on the affected area every day.. I wish you well and if you ever need a panic -chat ( a word I made up) feel free to contact me anytime much love
      Regards x

      Shifan Ozseza

      November 21, 2012 at 1:30 am

  174. Hey all,

    I have had perianal abscesses 4-5 times in the last 6 years. I always got them lanced by a doctor and they would always stop discharging puss after a few days.

    Now I am suffering one again.

    The difference this time is that I don’t have any money or insurance to go to a doctor/hospital. I lost my job and basically living on a very limited supply of funds.

    I simply don’t have the means to get a medical help. I live in a country with no social healthcare.

    What I am doing now is just taking pain reliever and sitting on rubber bottle filled with hot water.

    What happens if the abscess bursts on its own? How do I treat it afterwards?

    I appreciate any suggestions

    Thank you.

    Miserable

    December 12, 2012 at 1:33 am

    • @ MISERABLE.
      If you have a recurring abscess in the same area, then you might have a fistula, or something inside causing the infection. What you need to is pop it. I had an abscess which caused me unbearable pain which led me to the emergency room. It was drained and the wound would not close. It was later determined that I had a fistula and I had to go through w/ surgery.

      I am not a doctor, but you should seek medical attention.

      owieher

      December 12, 2012 at 2:05 am

      • Yes, I know.
        But again, I can’t. I’m living in a 3rd world country, no social healthcare, no money.

        Miserable

        December 12, 2012 at 3:27 am

  175. Okay, after 3 hellish days my abscess finally burst on its own just now. I have cleaned the area with some 0,1% Ethacridine lactate (trade name Rivanol), which is an antiseptic solution.

    I then jammed in a roll of gauze soaked with the same antiseptic solution to draw more puss.

    I have also taken 500mg Cefadroxil antibiotic.
    Am I missing something?

    Again, I don’t have the means to go to a specialist.

    Thank you.

    Miserable

    December 12, 2012 at 11:58 am

  176. @Miserable–

    Sorry you’re dealing with this–if the abscess has drained, it will probably just continue to do so for several days/weeks, depending on the size. If you can take several hot baths a day, that will encourage the draining and healing process. The gauze is always a good idea as it will also encourage draining and allow the wound to heal from the inside out. Because the abscesses continue to plague you, it’s entirely possible that you do have a fistula. I know you’re not able to deal with it surgically now, so it may just be a game of draining the abscess every couple months. Will you be relocating to a different part of the world in the future?

    Dragon12

    December 12, 2012 at 1:39 pm

  177. Another person glad to have found this site! im 29 Female and have started to have the odd abscess on my buttocks every so often. On friday I had horrendous pain and swelling on the inside of my right buttock and assumed like another abscess it would only be small and pop within a couple of days. Well this ones a killer! I can barely walk and the only relief i get is in bed on my side, even then it stings like mad. So I called nhs direct and was told to go to my out of hours Gp. He said there are 2 abscesses and one has popped but the other is hard and has prescribed me antibiotics. He said it could take a week or so for it to pop but to wait it out. Thing is I’m in bloody agony, tried putting turmeric paste on it to no affect and have also been using a warm compress.

    The thing is the abscess he said has popped hasn’t, it does feel ready to pop, quite soft and fluidy but the other is rock hard with no improvement really since friday. Do I just wait this out? How long do you think it could take to pop.

    Just another note for people who are getting lots of recurring abcesses who dont have crones, have you been checked for hidradenitis suppurativa, My sister suffers badly with this and gets abcesses in the usual places plus all over her body, groin,armpits,stomach and someone may have the early stages without knowing. My sister has to regulary wait for abcesses to burst and heal then they return, or she has them cut out and packed. I dont mean to scare anyone, just thought Id mention it.

    Anyway, is there anything I can do to speed up the popping process?

    Thanks

    Sarah

    Sarah

    January 14, 2013 at 9:25 am

    • I can sympathize with you. One thing that will help is soak in a tub of hot water with Epsom Salts. The water needs to be as hot as you can stand it. This brought more relief to me than anything. When I had my bad episode i was doing this twice a day. This will also speed up the rupture of the abcess. Hopefully this will help some.

      gowa69

      January 14, 2013 at 1:43 pm

      • Thankyou :) Ive bought some epsom salts today so im going to try it later. went back to see another gp this evening and she said it just has to rupture on its own, ones near bursting but the other is hard so i guess its just a waiting game. taking fluxocillin and have been given cocodamol for the pain which thank god seems to be helping. I do feel a bit spaced out but im just so relieved its working im not bothered!

        sarah

        January 14, 2013 at 2:03 pm

      • I can assure you this is pain from Hell. The heat and epsom salts will help with the pain and healing. It should also speed up the process. I had two. One the doctor opened up and the other ruptured while i was soaking in the hot water. Good luck and hoping you heal quickly.

        Gowa69

        January 14, 2013 at 5:26 pm

  178. Hi again!, well woke up this morning after the worst night of pain ever and the biggest one has popped! The relief is amazing! Although im not looking forward to the next one getting bigger :( Now this one has popped can I still have an epsom salt bath or will it be too painful? Also its a bit graphic but whats the best way to keep it clean? Ive bought some sensitive toilet wipes and have just been wiping it every hour or so untill it stops pussing, im assuming because of its size that it will take a few days?

    Finally whats the best preventative measure to stop me getting these? I normally go to the gym for an hour a day so i wondered whether shaving down there and using talc to keep it as dry as possible is the best idea? Maybe even cutting out dairy too? I really dont want another one although I know its unlikely.

    Sarah

    January 15, 2013 at 4:32 am

    • Epsom salt bath will bring relief. I continue to take them daily and that is the best thing I have found for treatment.This is a very slow thing to heal.

      Gowa69

      January 15, 2013 at 5:55 am

    • Wet wipes will help. I also take probotics and stool softners. Again this is a slow thing to heal. In some cases surgery may be needed to clean up.

      gowa69

      January 16, 2013 at 5:20 am

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  181. Just Had Mine drained 2 Days AGo, UnderJusT Local. TalkAbout Pain. I HOpe This Heals Soon, PackingJust Came OutAnd I’m Halfway Done My Painkillers.

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  186. I haven’t read all the comments yet, only the first handfull, but I just want to say, I feel for everyone that’s gone through this. I recently went through an operation to have a perennial abscess removed, and all I can say is going for No. 2 now is massive pain in the butt (forgive the intended pun), because it’s so damned close that every time I go, the dressing from that damned crater (which is what it is) keeps falling out. If anyone here manages to keep the dressing in, I’d like to know how you do it!!

    TigerSpirit

    August 5, 2013 at 1:39 am

  187. A day ago I had my Anorectal abscess identified by my doctor. At that time my skin was just red in the area. She put me on meds and said to come back in a week for ccheck up. 2nd day it’s swelling up and it’s red. There is pain not sure is meds working so I’m wondering if I should get drained now or fight some of the pain and see what happens. Reading ppls stories about inexperienced surgeons has a doubt about it.

    Lukas

    January 19, 2014 at 8:24 pm

  188. just thought i’d share my experience w/anal abscess… after reading thru this blog i decided to treat myself instead of going to a doctor (no health ins. etc). i ordered fish flox (cipro) and waited for my abscess to burst. i didnt get the cipro til 7 days in, which was probably as long as i could have waited. it arrived the same morning my abscess finally burst while i was asleep.

    i did the hot baths with epsom salt as many as 4-5 times a day. i covered the abscess w/gauze and tumeric powder paste. the 24 hours before it burst were close to pure agony. the pain was unreal. it was bigger than a golf ball. i cried alot lol. also my fever and headache were at their worst. thx to mary jane and my evo i knocked myself out that night. otherwise i dont think i would have slept at all.

    when i woke in the morning, i didnt feel anyone stabbing me in the ass. i suspected it burst and it did. after cleaning it, the pain was much more manageable. then i got the cipro and my recovery began. i’m now on day 3 of cipro and feel much better. today is the first day i feel normal in the last 10 days. now i’m just dressing the wound w/gauze and bactine and my fever and headache are near gone thanks to the cipro.

    buzz

    March 29, 2014 at 12:31 pm

  189. So grateful for this site. i didn’t know what I had – I thought it was some kind of crazy hemorrhoid. I found this website and then another that talked about using Oregano oil. It won’t let me paste that site in.

    I have used oils before and loved them and have had good success. I mixed oregano oil and grape/seed oil (you can use any other oil – extra virgin olive oil) mixed at 50/50 directly on the abscess. Yes, it stung!! for about ten minutes. I might dilute a little less for the first time and then build up but the result was great. Overnight it shrunk to half the size. I have continued for the next day (putting it on 5 times) and it is down even more to like 1/4 of what it was. I have been doing epsom salt baths too. Also, I have been taking oregano orally in a capsule – mixed with a base oil again (two to three drops of Oregano mixed with at least double or triple the grapeseed). So, I think the combination is wiping it out. Oregano is like an antibiotic. I have used it that way before. I really can’t believe it and am so happy that I don’t have to go for surgery! Also, be careful to just get the oil on the abscess so it doesn’t sting the surrounding area. I know everyone is different, but this worked for me. Thanks for all the comments and help! Just finding out what it was – was a relief!!

    Lyn

    May 4, 2014 at 5:24 pm

  190. Thorn of Girl

    Great facts can be identified on this web weblog.

    ivy techubook

    May 21, 2014 at 5:45 pm

  191. I Think My Butt Crack Always Hurts In My Private Part Of The Buttocks And It Is Really Painful When It Hur
    ts And I Can See The Blood On The Bathroom Toilet Paper And It Is Hurting So Much Inside My Butt Crack!

    allen993

    August 8, 2014 at 10:05 pm

  192. I’m a 15 year old athlete with a half dollar size knot on my right butt cheek in the crack. It’s been hurting in excruciating pain for 5 days now. Idk if it is an abscess or if it’s just a hematoma. Can someone help please?

    Jessica

    August 14, 2014 at 2:01 pm

    • I think it is an abscess. When i was in high school playing football i had the same thing. It got so bad it would bleed pus, blood, and smell really bad. At first it didn’t do anything but grow and hurt but as time went on it developed into something else. Go see a doctor before it gets worse.. I had to see a doctor before i joined the Marines. They removed the abscess and it went away. 25 years later i developed something else in the anus area which was the most painful thing i have ever felt. Take care of yourself kid and eat right. I should of cut red meat and pork a long time a go and now i have an ongoing fistula that i need to get a operation to take care of it. Even if i do that their is a chance of it coming back 2 or 3 more times. i have a 4 year old boy who i am teaching to eat right, So far he has never eaten red meat or pork. Only chicken, fish, and turkey. Good luck and go see a doctor. Don’t wait until its too late like i did.

      Mr. R

      August 14, 2014 at 2:47 pm


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