Anal abscess... now what? What you NEED to KNOW!
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- čas přidán 13. 01. 2022
- Anal Abscesses can be really scary! It's very important to find a surgeon who is current with this condition! I'm here to help you with your research.
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😷 Dr. Chung is offering 💻 video consultations to everyone! This is Your time to tell your story and give additional information to help Dr. Chung give some recommendations to help you with your bottom end issues.
If interested, please email: YourFriendlyProctologist@gmail.com
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
Thank you doctor Chung. Listening to you reduces my stress a lot.
Watching your videos puts Me at ease. You're like a big brother that reassures me.
I can tell right away your a great doctor. I’m glad I found you!
Thank you! 😊
Thank you for not keeping this information secret! SO many doctors act like this information should be kept secret.
I totally agree!
Please help me doc. I have a abcess fistula but now so drained
Please help me
@@davaodeorovlog.1952are you okay now
Are you healed?@@davaodeorovlog.1952
You are amazing. This was such useful information. Went to a doctor and he wanted to perform immediate fistula surgery. Cash only. I watched your video. Went to another doctor and it was just an abscess which he drained. Cannot thank you enough!!!!
Keep making more vids Chief!!!! You are educating us!
Will do!
you have symuch a soothing voice that reduce my stress, i wish to find surgeon like you
Thank you so much for your valuable information. I was so much in stress after watching your video I feel better. We dont have honest Doctor like you. God bless you.
the pain is so bad but hearing his voice makes it feel like ima be all good🙏🏼
I’m going to Urgent Care tomorrow. I can’t take the build up again. Life long abscess survivor.
Thank you Dr Chung, we are all so lucky to have you sharing information with us! So helpful
Good to hear from you!
Doc poydi po bang makabili kahit walang risita sa abcsyt
This is super important information
Thank you for your video. I have a surgeon appointment to see if this is actually I have ,, I’m so glad I ran into your channel .
Thank you so much for this - it's really helpful. I had a perirectal abscess which was treated by experts in North Carolina. It was big by the time surgery was needed (4 cm x 3 cm), but I came back home and it healed, so I was lucky. I did need a drain, though, and surgeons used a Penrose drain, which worked really well. I was very grateful for their care, and I have subscribed to your channel, because what you are telling people is practical, sensible and reassuring.
What post op stuff did u do to heal?
who is your to doctor maam?
Mine burst I my sleep the night before surgery was scheduled after that nights ER visit..
They wanted to drain all even after it burst..I felt was healing on its own...
Just the grape shell of skin was left hanging dry of pain and fluid
@@angt5000 Did it heal without further treatment?
Excellent video Dr. thanks you for your time.
this what I waiting for, thank you dr.chung
I love your videos! You are at 22,200 subscribers. Yeah!
Thank you Doctor you explain everything very well and very informative
Thank you so much Dr Chung nice one 👍
What a great attitude. Im sure a great Dr.
Thanks, very useful information 🙏
Thank you Dr. Chung, I’m so scared.
Thank you dr chung . Your video is very informative and helpful for thousands of sufferers me included!!😊. I was able to navigate out of this entire bottom mess with the help of the information u provided within a month . I think am now completely healed though am still careful of what i eat and following best practices to keep the fissures away for atleast another 6 months. So thank u once again
Is that work for 6 month eat carefully ?
@lijwo are you healed now? Did you have fistula which got cured?
I drink lots of water and avoid spicy and sour food . Moderate amount of fibre all in all i say a balanced diet
I had fissure
@@lijwo good to hear that you're healed. I have been suffering from fissure since last November and now have developed a boil near the area which oozes pus and blood so very scared 😰
Thanks Doc! You solved most of my concerns... I've never had surgery of any kind. Here in Hemet CA. I don't trust doctors, being the service my mom has received.
Hi Dr Chung, I'm so grateful for your channel. I've recently been diagnosed with an anal fissure and anemia that I think has been caused by bleeding from the fissure. I just tried my first iron supplement and it gave me terrible cramps and diarrhea. I understand longer term it is likely to cause constipation. This will of course not be helpful for healing of my fissure, and may easily cause more bleeding, making the anemia worse. I imagine I'm not alone, perhaps you could do a video on anemia complications with hemorrhoids and fissures and how you might manage it. All the best.
Anemia due to hemorrhoids is rare. I would suggest seeing your medical doctor to evaluate sources of anemia which are many.
@@yourfriendlyproctologist Thanks for the advice, I will do. Perhaps it's diet. I was bleeding a lot last year, but you're right, I'm jumping to conclusions. On the examination when he diagnosed a fissure he inspected me with the proctoscope and it was perhaps the most painful thing I've ever experienced. On another channel they said if you can see a fissure from a visual inspection you shouldn't use a scope as it will cause so much pain and potentially make the fissure worse. The pain was so bad I can't help but agree with them, so I'm not sure whether I trust the surgeon any more.
Wow dude I got the same problem right now. I’m in immense pain looking desperately for help
@@asmrgamer3266 Sitting on ice was the only thing that really helped me. A peri bottle to wash your ass after you go is much better than wiping too. And faith that it would get less bad at some point. I'm really sorry. I almost wanted to die, but it's not affecting my life much at all now. It will get better. Now sit one some ice. Good luck.
I need help
Great Best Professional Doctor.&.❤❤❤.&.Respect Love Dr Chang.
I love the intro banjo picking music you have for your introduction.
wow, nearly 40K subs, many congratulations to you Dr.Chung
Thank you so much Dr. Chung for all the information you provided. Thank you so much. I had a surgery last year May to drain the abscess. The challenge is I had been getting this nasty yellowish discharge every 2 to 3 days since then. I sometimes change my underwear 3 to 4 times a day sometimes and sometimes I could go 3 to 4 day without any discharge and then I feel this tightness and go through the same cycle.
Thank you for the information
My story, because I'm beginning to suspect I have a fistula.
Late June, about 6 weeks ago, I thought I had a hemorrhoid. This progressed over the course of a week or so. After treating with Preparation H and no relief, I decided to seek medical attention.
July 3rd - Went to urgent care. Diagnosed with abscess. Started on antibiotic. Instructed to follow up with GI doc.
July 5th - Followed up with GI doc. He said "it's huge", informed me I had a surgical condition and referred me to surgeon. Earliest would have been over a week. He instructed me to go to the ER to start an IV antibiotic if it got worse.
July 6th - Spent majority of day in ER. Received CT scan to judge depth. Residents performed surgical procedure in ER room, cutting into and draining abscess. It was SUPER painful. They packed wound, and instructed me not to remove until 24 hours, after which time to re-insert packing and continue to do daily for a week.
July 7th - My sister (a CMA) assisted with packing change. Super painful, but getting a bit better.
July 9th - Packing wouldn't go in, but swelling had gone from between baseball/softball size to fifty cent piece. Doctor said shouldn't be of concern, don't worry about packing.
July 12th - Had first follow-up. Pain down, swelling down, seemed to be trending in right direction.
July 12th - 24th - Seemed to be healing, began doing light activity. Walking on slight incline, and very light weightlifting. Still getting overnight drainage.
July 26th - Felt like I was almost out of the woods, and did almost half my pre-procedure workout. Felt a little bit of pain, but wasn't concerned.
July 27th - Woke up to blood and significant drainage. Dialed back activity to VERY light walking.
July 30th - Aside from overnight drainage, seemed the setback was fine. Still limiting physical activity.
Aug 1st - Pain feels like it did a month ago. No additional drainage this morning, but most pain I've had since before the procedure.
I've been keeping the wound covered with either bandaids or gauze and tape, and changing twice daily on average.
I have a followup with GI doc Aug 3rd, and with the residents that performed procedure Aug 9th.
For context on pre-procedure workout. I'm very active, with 6-7 days of 30-60 minute moderate to intense cardio, and 5 days of weightlifting on average per week. Obviously I haven't been doing that over the past month or so. I'm very nervous that between the continued drainage, especially overnight, more than 3 weeks out, and how hard and painful the site feels today that either they didn't fully drain the abscess or I have a fistula. Would love to hear your thoughts and opinions, as well as any advice on post-procedure activity and healing?
I have a lump inside hole but it is painless I dont feel pain at all but i will surely go to doctor i dont know how that lump formed on its own previous month i had intense itching and i was stupid i used to scratch with big and dirty nails it totally damaged the skin. I need to worry now😅
@@ryuzaki9693 Further update. Lots of blood, swelling, and drainage 8/1 and 8/2. Saw GI doc 8/3, and day before was able go schedule appointment with surgeon/specialist for this coming Tuesday, 8/8. GI doc, per thelr recommendation started me on another round of antibiotics. 10 days of clindamyacin. I'm crossing my fingers hoping maybe the residents, not being specialist, didnt get everything out, and I need another incision and drainage, and that combined with the antibiotics will take care of this. Today was day 4 of antibiotics, and pain and swelling is down, but still getting significant drainage, throughout day, but mostly at night. Been taking it pretty easy, aside from a couple walks that seem to increase drainage. Idk if that's good or not, but I'm getting sick of taking it easy, and even sicker of my ass leaking.
Further update. Saw surgeon/specialist yesterday. He believes I have a fistula, but can't quite confirm it until MRI, which will likely be in next week or two. After which, apparently they wait until 8 weeks after initial incision and drainage of abscess before operating, because if the fistula isn't mature, there is higher risk of complications, including fecal incontinence. In a slight bit of good news, because I'm taking any I can get at this point, he said there are no restrictions on exercise, weight lifting, etc. as they wouldn't affect it one way or the other. I explained that the one day I did do some light weightlifting, he said that's simply because there was stuff in there that wanted to come out, and wasn't a cause for concern. Slightly terrified at what happens next, but at least I have some clarity and answers now.
I’ve noticed the fistula reappearing after I eat spicy foods.
@mike692975 I'm not a doctor, but I wouldn't think spicy food makes the fistula return, but rather it's still there, perhaps never fully healed and you can feel it when you eat the spicy food.
Thank you , Dr a lot !!! I would like to know where your clinic is and what states ? I need your help.
I had this kind of abscess in 1990. I went to the er 3 times and was told it was hemorrhoids. The infection got so bad I almost died. I finally went to a doctor I knew. Got to the hospital had to go straight to surgery. I'm still having problems to this day.
this is awesome information
Thank you doc. You are honest
GOD BLESS you for this information. I'm 42yrs old & never had experience this. Just got an abscess in July. The hospital in High Point NC told me to let it drain then come back after it pops. So I did in August the doctor only put his finger up my butt then told me to go to my primary care doctor after I told him I didn't have one. Now it's Nov took a pic cause I noticed pus on my underwear. I have a hole. Want lie now I'm scared. You helped me to ease my mind & now I will have to go back to the hospital. Just moved to New Ellenton SC still no health insurance but want give up. GOD BLESS YOU ALL & YOUR HEALING
Just had my GI visits, thank you Dr Chung. Your advice helped me tell my GI that I wanted someone experienced on rectal exams. The whole “separate butt cheeks” thing is real, have had 2 docs do that to me and makes sense why they think my anus is healthy. Just want to thank you, because it’s a real thing.
Separate you butt cheeks? Please explain
Hey Dr. great info as always, however, I'm not in the lucky group.
I have watched several videos regarding anal abscesses, this is the best one yet. subscribed,
Thank u dr for the more info
The best doctor i have this and get multiple surgeries I have seton. And get infection
Hello Dr. Chung (@yourfriendlyproctologist) - You are doing amazing work here! Your videos are so informative, provides great guidance on what are the right/not-so-right paths to follow and make complex subjects simple.
How common is it for the pus in the perianal abscess to retrun only3-4 days after draining/surgery? I underwent the surgery in the ER 5 days back after experiencing lot of pain in the back and after a few days now I notice that the area near the operated spot is starting to swell again.
Is there any laparoscopy option here?
Better info then I got from the VA .. thank you
Don't rely on general surgery at the va. Get a community care referral for a colorectal surgeon.
Man doc I wish I had seen you from the start. I was so traumatized from the wrong diagnosis to many hurtful and harmful procedures I stopped telling doctors about it. Now I have tracking, inflammation, and chronic continuous abscesses. I'm scared I'll never have it fixed. I've given up on it.
hello doc !
by watching ur video i feel like there is a hope .. i live in dallas texas and had an perianal abscess back in june .. went to see a doctor and she made a lil cut and let the pus out and ask me to follow up in 2 weeks .. after 2 weeks which was on august 5th i went and she said its still needs to be open and she insert something and open it again and that time i was traveling back home and she said i m good fr traveling.... i traveled to my country by the time blood and puss was still coming out from that area i went to see surgeon over there and he said i needed a surgery so i went through the surgery under GA for my abscess...and it was on august 21st ..
i came back to 🇺🇸 on sep 12 .... and had some blood spots coming out from that surgery.. went to ER and they said wound looks good and closed still they did CT scan which came out clear .... ( my infection was 4.5 cm deep ) on the surgery time )
again i had blood coming out so i went to see the same doc again and she said it looks like delay healing so she told me to follow up in next 6 weeks and she mentioned that there is high chances of fistula :(( i never had fever in this whole process...
my only question is that blood coming from wound is it normal fir this long time of the period:(
i really want to visit ur office even though its far coz every time i go to this doc she only talks about fistulas:((
just worried about my bleeding plz reply me and suggest whatever is best for me
or what i can do about my bleeding
doc please reply and can u please tell that what are the symptoms for fistula
Thanks the information can you tell where we can find your office
Thank you very much for your information doctor. I just had perianal abccess surgery and your information is important to me to see another specialist to follow up my situation. Hope I am the lucky 50% of people.
How are you now??
@@sagartripti All good now. Thank god I am the lucky 50%.
@@danielwang4518 was it just the perianal abscess for you which didn't convert to fistula? What were your initial symptoms if you don't mind sharing? I'm seeing a doctor next week but I'm pretty sure it's fistula and I'm so scared of the surgery 😔😔😔😭
@@sagartripti yes I was only having perianal abcess which was not turning into fistula. The initial symptoms were feeling pain and discomfort near anal and you can feel it getting worse soon, just few days. Then you can feel a lump start growing. It’s not easy to just ignore it, then it’s time to go to hospital.
@@sagartripti but if you don’t deal with it. It has highly chance to be fistula. So don’t hesitate, just go to hospital. Of course surgery is the only option unfortunately. I am not gonna lie it’s painful for first few days, but you can feel way much better after that. Hope you are feeling better soon
Doc you are the best.
Few questions
1-Is proctitis and hemrroids same?
2-Is the treatment of both same?
3-Can I use PDE5 inhibitors while suffering from hemmroids or proctitis
They are not the same and also not treated the same. A careful diagnosis needs to be made.
Hi Dr Chung, I was told by 2 doctors, one GUM clinic and one gastroenterologist that I have a perianal abscess, it was enough to bruise and swell the skin, even turning into an ulcer which healed very slowly with Fucibet cream, but now has receded to like a painful marble under skin in the buttock. Defecation is extremely painful.
The Gastroenterologist ordered an MRI which was done. No follow up to the MRI still months later for that. Then Routine app with GYNE to be told there is no peri abscess, but I have a vaginal cyst?! Was told I have rectoceile, bladder prolapse and vaginal prolapse but none are bad enough to need surgery?!
I’m so confused as to how the MRI missed this??
This is the NHS in UK
I have elevated infection and inflammation blood work for a few years now, and no antibiotic is working, and I’m getting weaker by the month.
My GP surgery still isn’t doing face to face apps due to Covid, (yes still)
Please could you possibly point me in the correct direction, ANY help from you would be greatly appreciated, I’m really at my wits end!
Thankyou kindly in advance!
4 doctors misdiagnosed, they think I have bowel cancer, haemorrhoid etc finally I found very smart Chinese colorectal doctor he said immediately I have high complex fistula, I have 7 surgeries, 2 seton, 2 clips take me 3,5 years to heal
Wow! incredible story.
Hi Dr. Chung, do you need to do an mri to to be sure if you have fistula? Please let me know. Thanks!
MRI should be done at the discretion of your surgeon.
Thank you for this video!❤ I had my anal absec cut open 3 times, cause it keept closing before all of the pus was out. This time it feels like it is empty, at least the skin around it feels soft again. But today the doctor found a fistula in an ultrasound exam. He wants so treat in with suton. Do you think I should wait and see if the abses is gone this time? Can I live ok with an untreated fistula?
What would you suggest for someone that doesn’t have health insurance? I’ve had this for almost 2 years it’s painful & uncomfortable, but I don’t know a cost efficient way to have it removed. The last time I went to the dr before my insurance ended, she told me it would go away & to take sitz baths. A year later it’s still there & bigger. I got it from underwear rubbing against my butt crack & it caused a boil. It’s also very embarrassing. Please help
Hello Dr. Chung. I’ve enjoyed watching your videos and it’s been very good information for me. Thank you! I did have one question. There were two different times in your video you made a statement that I’m having a hard time reconciling in my mind. . . at 6:33 you said “You tell the Dr. ‘We don’t know if I have a fistula right now, 50% of the people don’t.’” and then at 13:20 you say something like, “All you need to tell if you have an anal fistula is a physical exam. I can tell you 100% or not whether you have an anal fistula” So are you saying that you (and other proctologists for that matter) can or cannot tell, through physical examination, if you have a fistula?
I am watching this video as I am researching my present medical condition. A large painful abscess next to my anus has developed during the past week. I think it's time to book an appointment with the doctor. At least now, I have a good idea what to expect. Thank you.
Thanks for the videos. I've gone from having no idea such a condition existed to becoming an expert. Not by choice!
I had an abcess that drained on its own. So far all is good. Is it still a good idea to see a proctologist or should I not worry about it unless a problem develops?
LOL! It's hard for me to say since I can't see you.
When you said they use the drainage tube right off the rip that made my heart sink. I had my first one 2 years ago, dude lanced it and put a drainage tube in and I’ve been having troubles since. Recently got with another dr and they got me on antibiotics and said to go back if an abscess returns, which it has. Hate to know my only option to be rid of these is surgery, but if that’s what it takes 🙃
How long can these things drain for? Is there any procedure that can resolve this drainage?
What is the best and fasted way to get it to pop? I’ve had surgery once and it seems like it’s reoccurring at least once a year,it’s the most pain I’ve ever been in in my life.😞
Have you been checked for adult cystic acne ?
@@yourmatelucas9448 no
@@yourmatelucas9448or possibly Hidradenitis Suppurativa
Where do I go to get the abcess drained? What type of doctor should I go seek help from? My primary care?
Thank you doctor what about the open wounds that are kept open and sitz bath is recommended 3 times a day with Epsom salt how much time will it take to heal and not turn to fistula
Thank you for this info. I had no idea where to go or what to do. I have had abscesses that Popped. Now I have one that is huge and have a fever. Trying to get a doctor to help.
Be careful as you may end up with sepsis especially as you have a fever. That is a warning sign.
Thank u doctor heared this very cool
Hi Dr. How do you feel about packing or not packing the wound? I have been doing some reading and it says there is no real difference in recovery except for the pain factor in packing. I would like to know your thoughts on this or if anyone has experience in this.
Thank you
Both my dad and brother had pilonidal sinuses. They had to go into hospital to have them drained and treated. I had to treat a lot of pilots for this problem, in the military.
I had a horseshoe abscess in June of 2021, and sadly, I didn't know what was going on. (Because initial symptoms were a fever and chills, my first instinct was to rule out covid). I thought then that I had a fissure and some bug and that the two were unrelated. I waited a week, not even being sure that they'd take me seriously in the hospital. What a mistake this was (on my part). But because I have a stubborn streak, I was reluctant to check myself into a hospital. When the symptoms didn't improve, and I had a 103-degree fever, I finally decided to drive myself to the E.R. Thankfully, they DID take me seriously, and they ordered blood work and a CAT scan. It turned out not to be covid at all. I had the early stages of sepsis! I was placed on IV antibiotics, got shots of morphine, Tylenol, and Toradol, had the abscess lanced, and went home after a 2 night stay in the hospital. Sadly, I was in the unfortunate group. Because the drainage didn't stop after 4 months, the proctologist ordered an MRI. The abscess had indeed turned into a high transsphincteric fistula. He then decided to perform a two stage seton fistulotomy. However, he stated that a lay open fistulotomy was also a possibility. He simply wouldn't know which technique would be most suitable until after I was examined under anesthesia. The seton was left in place for 7 weeks, and then he pulled it through. A year elapsed, and sadly, my trusted surgeon passed away. But some drainage persisted! I found a new specialist an hour away (a female proctologist) who ordered a second MRI. It was revealed that a blind ending intersphincteric fistula remained, which she treated with a standard, lay open fistulotomy. I'm devoutly hoping that this is finally the end of it all. But I'm not sure. My follow-up is on December 30th, 2022, and I'm nervous. (Today is the 21st). Having pelvic floor disorder is what caused this whole mess. I also know a little more about these conditions than I want to. 😥
Thanks for your story. Fingers crossed for you!
@@yourfriendlyproctologist Maybe, I got carried away. I realize this was a rather lengthy story.
@@tenderpawsm473 any update???
What is the needed antibiotics dise, duration, if abscess drained/popped out on its own?
I have watched several videos regarding anal abcess, this is the best one yet. subscribed,
Thankyou doc, I faced this situation last year june and I move for the surgery. Then this year April , i suffer again. After paining , within 5days i moved for surgery so my wound is not larger its small.. but personally this is really uncomfortable and facing lots of trouble in daily activates. Though its heal quickly as im still passing my teen age. Its suffer me lot through mentally also.
I’m sorry to hear this man. Did you have an abscess before hand? I noticed a fisture but never had pain in the past or anything to even let me know it was there
Thank you, I am a patient with this disease and would like to benefit from your video, but unfortunately I am deaf i can't hear your video and does not have any substitute.
Hi Doc, I had a hemorrhoidectomy almost 2years ago and now there are huge scars around my anus and they're very sensitive to touch, I feel like it's just a thin layer of skin that may damage any time. And my bum is soooo itchy until now. Do you have any idea what this is because it is not healing at all? I hope you see this
Hello doctor can this be treated first with antibiotics? My husband was actually advised to take antibiotics first before going thru surgery.
Hello Dr! Thank you so much for your support and guidance! I would like to ask is there a possibility for an abscess to be treated using antibiotics only, with no drainage?
He did say unfortunately antibiotics alone won't get rid of it.
I was able to get rid of an abcess on my arm with antibiotics and warm compresses. But this may be more complicated.
I was treated with antibiotics only (for abscess, not fistula!) but I think it doesn’t always work.
Is MRI a must to determine fistula? and help with surgery
Thank you Doctor ❤️
I have my surgery in the morning and I’m so nervous. I was seeking out information and kept getting answers that didn’t tell me anything. I’m only into this about a month and in crippling pain. Thank you!
How are you feeling your post was 3 months ago I was wondering how things were going for you now I am having surgery for hemorrhoids on September 8th and I've been suffering for three years trying to figure out what in the world is wrong with my rear end the hemorrhoids had not shown themselves but one of them looks like a boil so we'll see what happens when she takes a good look anyway like you I'm nervous but I want to feel better I am going to feel better I want my life back
Doctor Chung I want to see you so bad but I'm on Medi-Cal and I don't know if you take that type of insurance
Hi Dr. Chung! I have many questions on this topic!
1. Can an abscess drain out the rectum?
2. If an abscess does drain out the rectum is that automatically a fistula?
3. If an abscess is draining inside the rectum, would a surgery drain it from the same hole (inside) or do they try to drain it externally?
4. If a patient is prone to sepsis (I've had it 5 times) and other infections (like MRSA), should they be on precautionary antibiotics?
5. If you do recommend precautionary antibiotics to your patients, at what stages would that be i.e.: prior to draining? Post draining? For how long?
6. What happens if someone has had an abscess for a long time, like around a whole year....because the doctors didn't notice it? What if they've even had it 2 years? Can one sort of hang around that long without intervention?
7. If a patient is diabetic, tell us about how an abscess plays into that. What comes first: the diabetes or the abscess (my blood sugar has been rising and rising over the last 2 years no matter what I do and I understand nutrition extremely well)?
8. Can you go over what might differentiate symptoms of anal cancer vs. abscess? For instance would both cause extreme fatigue, puss, etc?
9. Should an EUA be done to biopsy for cancer, look for abscess, etc...prior to an actual surgical procedure so the patient can plan and be aware of their up coming conditions?
10. Can an abscess cause urinary retention?
11. Can an abscess or cancer or both cause changes in stool?
12. Is surgery for an abscess riskier for incontinence if you've previously had a sphincterotomy?
13. At what point of chasing fistulas do you begin to talk to your patients about proctectomy?
I think that is all for now, I hope you grabbed your note book lol!
great questions! I'll look through this list! thanks for commenting!
@@yourfriendlyproctologist sir, please answer the first three questions mentioned above...
@@yourfriendlyproctologist kindly answer the first three questions.
@@abubakaralive5602 bro mujhe yeh btaon Mujhe anal abceses hai and doctor ne mujhe dawai di hai or cream or sitz bath lene ko kaha hai ointment ke sath toh Mujhe kya krna chaiye agar mera abceses phut gya toh kya mujhe fistula hojayega?
@@fardeengamer1217 Bro, I don't know that language kindly asnwer in English. I had the perianal abscess, It burst and healed on its own by use of antibiotics.
Dr Chung, the surgeon confirmed that I have a fistula. I’m scheduled for surgery next week. The plan is to probe and find the tract and then perform a fistulotimy or insert a Seton . He also said that I may need a LIFT surgery 3 months out if necessary. All of this was done without an MRI . Is that standard ? Would t an MRI at least help confirm everything ?
Hi I’m not apart of the lucky group. I have been having a reoccurring abscess for several years I’ll be having surgery in 30 days 🎉😊
How often does it reoccur????
Doctor what’s you location so I can make an appointment
A friens of mine has had this ongoing for 5 years and it has affected his life for those 5 years. He has had many surgerys with no luck it just continues. Any major dietary suggestions?
Thank you for the info, make videos with different titles and explain in detail separatly like simple anal abscess, recurring abscess etc. Its my 4th time but no fistula being found by uk doctor
Hey doc! Very informative! Quick question, if I may. Are the perianal abscesses always caused by anaerobic bacteria? Asking, as i was already operated from fistula twice and yet again i have an abscess. It pops on its own, so i was wandering if i should treat myself with the very same antibiotic.
Not necessarily. it's a mix.
This video is so so informative . I first went to the clinic which did put some camera inside and said i jave piles multiple fissure and fistula forming and askwd to take meds after which on follow up they checked and said fistula healed . And wrote anal fissure infected at 6 o clock healed . But then i had rectum pain and just for second opinion i went to another doc and he put this probe inside and kept asking me if it was paining and pushing it. Honestly my first digital exam was very smooth and this ine just wasnt that smooth though in this one no camera only a probe was used . Now thisbdjc has asked me to do a MRI and sonography. Its the first time i got it, it was really hard swollen skin between vaguna and anus which subsided with medicine in two days but rectum pain present which according to one doctor is internal piles and other doctor it is congestion. This video gave me a positive perspective that a surgery is not to be opted blindly in case of fistula as the intwrnwt is full of all doctors saying how surgery is the only option .
Do you do CT scans after surgery to see if the abcess has disappeared? My surgeon has ordered a CT scan two weeks after surgery. I have no more pain.
I do not order CT scans. I would speak to your surgeon and have a thoughtful discussion.
Do you do online video consultation for examination of fistula
Good day Doc, I'm from Philippines. After having hemorrhoidectomy I'm having an abscess. It is very painful. Why is it I'm having an infection. Is it because of the wrong procedure they have done to me? Hoping for your response.
After hemorroidectomy have to use antibiotics and sitz bath..... how many days for your hemorroidectomy?
Can a small one heal on its own? I heard that soaking worm water on it helps.
Hey doc does it heal on its self? Or just surgery, cause mine doesn’t hurt that much,but it does have a pimple.
Any update pls
I just went through a surgery for this a few weeks ago. It felt like it was about the size of a fist. I showed it to the doctor and he told me that I was going in for surgery that day. I was put under general anesthesia and spent a couple of days in the hospital with constant IV fluids and antibiotics. I guess he packed it with 140 cm of packing at the end of surgery. I've been going through daily packing changes now for the least 3 weeks and it's almost completely healed up. Even with all of the morphine they injected me with, those first couple of packing changes were some of the most painful experiences of my life. Something tells me that morphine doesn't work on me.
Did you get a fistulotmy done ?
@@abehorton7224 No, just had the abscess drained and packed. I ended up having 4 weeks of daily dressing changes but it's all healed up now.
There are 2 non-invasive treatments for a Perianal Abscess that are not mentioned in this video and that are important to know if you want to avoid the problems with the old technique of Surgical incision and drainage such as a large open wound that often does not completely heal, narrowed anus, incontinence, plus a higher chance of a recurrence of the abscess and a fistula ! These are: 1) Aspiration (sucking out the pus with a needle) with Antibiotics 2) High energy laser treatment (a small fibre-optic probe will destroy the inside of the infectec cavity) The disadvantages old technique was freaking me out, so i am trying to help someone who is in the same situation.
Thank you this makes so much sense
What about for a Botox abscess?
Thanks a lot for the shared treatment option. What kind of the antibiotics can you recommend?
Thank you.
Any natural method? Hot compress or something 😢
better write out your will then@@josetapia8903
Very complex for western medicine but not for traditional Indian medicine Ayurvedic Kshar sutra that’s how I was healed . Western medicine doctor as well misdiagnosed me too they said it was a horseshoe shoe fistula but I did not . Another problem in western medicine is they can’t properly diagnose fistula with an MRI it doesn’t always show however in Indian they use a probe that’s an ultrasound that can see exactly when the fistula is. I was lucky I had a good CSR that put in a seton properly.
As well traditional Chinese medicine can cure this there’s a doctor in Mississauga ontario.
How long is too long? I started to notice a bump a week ago, I cant go and get treated till Tuesday because of important exams at schools will it be too late? From the past week it kinda got smaller but today the pain was really bad it isn’t as large as the last abscess I had and not as painful. I would appreciate your input.
It's tough for me to say without seeing you. I recommend you see a specialist.
How are you doing now?
How's your current situation ? Is it a fistula or not
@@kawaljeetkaur7130 it was a recurring perianal abscess.
Recently had a follow up with my doctor after a week of drainage he said my wound is healthy and that my cavity is nearly healed is that a good sign for me
I suspect I have an anal abscess, maybe a fistula. This video really prepared my for my visit to my proctologist! Thank you!
Mine popped today ohh the relief😊😊😊plz give me tips on how to cure it
Where are you based doc?
what can I do for pain in the meantime? I'm of course out of town for work for 4 days and I'm afraid to go to a walk in
Hello, has there been a video that focuses on intersphincteric abscesses?
Does sitz bath help with the drainage ?
Hi doctor , I already had a surgery but now it healing process by cleaning it everyday with the surgeon . But I really can’t stand with the cleaning process, as it painful so much. Is there any other way of the cleaning process that may reduce the pain ?
My abscess popped but and I got relief but I it seems like it’s coming back. My proctologist did an examination recently and said that I do have a fistula. Do you recommend that I got to surgery to have the abscess drained?