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Suggest Treatment For Anal Abscess

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Posted on Tue, 10 Feb 2015
Question: Hi I suffer with ibs and have developed an anal abscess. I have been prescribed flucloxacillin. I am really worried about the diarrhoea side effect how bad is mild is it like having gastric flu? What can I do to limit the chances of having diarrhoea?

Many thanks
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
Probiotic will minimize the possibility of diarrhea.

Detailed Answer:
Hello!

Thank you for the query.

Was the abscess incised and drained? Are you able to attach a picture of it?

Antibiotics (most of them) give diarrhea only in case of specific environment in the intestines. Please note that the intestines are all covered with good bacteria. The presence of this bacteria in sufficient amount prevents bad bacteria from growing (is like with free seats in a bus - if you leave few free seats, bad bacteria will sit there, if all seats will be taken by a good bacteria, no bad bacteria will seat). Now antibiotic kills many good bacteria. That is why when taking antibiotic, probiotic should be given as well. This in most cases gives additional bacteria for good protection. And lack of bad bacteria will give no diarrhea.
So please start probiotic intake and diarrhea should not appear.

The other thing is if you really need the antibiotic. If the abscess has been incised and well drained, antibiotic is not necessary.
If the abscess has not been drained, and antibiotic was given, its a serious mistake. Antibiotics do not penetrate to the pus (it contains no blood vessels inside and blood vessel supplies antibiotics).
I suggest you to consult proctologist with this issue and choose correct treatment.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Grzegorz Stanko (9 hours later)
hi many thanks for your reply. the doctor id not drain the abcess at all but I have noticed that last night a red pimple had occurred and that it looked like it was coming to a head. this morning the head has gone and the pain has decreased by 99% there is still a small lump. I am thinking of holding of the antibiotics for a day and see if it goes on its own. I have attached a photo.
doctor
Answered by Dr. Grzegorz Stanko (9 hours later)
Brief Answer:
You should consult proctologist anyways.

Detailed Answer:
So the abscess has drained by itself. This is good. I do not think there is much role the antibiotic has played in this process. You may hold the antibiotic for as long as you have been prescribed.
I suggest you to consult proctologist anyways. There is a possibility of fistula between the abscess and the rectum. In such case, the abscess can be a symptom of fistula and it may reappear in short time.

Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Grzegorz Stanko (13 minutes later)
thanks for the reply my only concern is that i have read I could get septicemia and die if it does not clear out! is this true?
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
In healthy person, sepsis is hardly possible.

Detailed Answer:
Hi,

Septicemia or better Sepsis are rather hardly possible at your case. It can appear only if you have weak immune system due to chronic diseases like diabetes, AIDS, steroids intake.
In healthy person, sepsis is usually very rare condition. However such possibility makes the need to incise and drain every abscess.

So answering your question, its not true, you can not get sepsis from anal abscess. As you can see, it gets drained by itself rather than cause any complication.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5797 Questions

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Suggest Treatment For Anal Abscess

Brief Answer: Probiotic will minimize the possibility of diarrhea. Detailed Answer: Hello! Thank you for the query. Was the abscess incised and drained? Are you able to attach a picture of it? Antibiotics (most of them) give diarrhea only in case of specific environment in the intestines. Please note that the intestines are all covered with good bacteria. The presence of this bacteria in sufficient amount prevents bad bacteria from growing (is like with free seats in a bus - if you leave few free seats, bad bacteria will sit there, if all seats will be taken by a good bacteria, no bad bacteria will seat). Now antibiotic kills many good bacteria. That is why when taking antibiotic, probiotic should be given as well. This in most cases gives additional bacteria for good protection. And lack of bad bacteria will give no diarrhea. So please start probiotic intake and diarrhea should not appear. The other thing is if you really need the antibiotic. If the abscess has been incised and well drained, antibiotic is not necessary. If the abscess has not been drained, and antibiotic was given, its a serious mistake. Antibiotics do not penetrate to the pus (it contains no blood vessels inside and blood vessel supplies antibiotics). I suggest you to consult proctologist with this issue and choose correct treatment. Hope this will help. Feel free to ask further questions. Regards.