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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Internal Abscess

My husband had an ileocolectomy 4/4/10 and nine weeks after that he had an internal abscess that needed to be aspirated. A couple weeks after that he was in the hospital for an infection, but no abscess was seen at time. A couple weeks after that, he had an abscess that surface by where the incision was and had to be cut and drained. That was in the beginning of June and he periodically has to open it to drain and still drains quiet a lot. The surgeons nurse practioner has been seeing him and says it could take month to heal. Does that sound right to you?

                                                                 
Thu, 29 Jan 2015
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. Abscess, usually affects and damages large areas, which usually take longer to heal.
2. As the skin closure areas is completely lost, healing from the top, along with formation of granulation tissue (healing tissue) will take time.
3. Improvement with good protein intake, vit C supplements along with avoiding reinfection and controlling of any chronic diseases like diabetes mellitus is necessary.
4. Get it regularly drained, otherwise abscess can penetrate deep. Watch out for chills and rigors to look for blood spread. I assume, he must already be on oral antibiotics, continue the course and get wound dressing done at regular intervals..
Hope it helps.
Any further queries, happy to help again.
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Suggest Treatment For Internal Abscess

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. Abscess, usually affects and damages large areas, which usually take longer to heal. 2. As the skin closure areas is completely lost, healing from the top, along with formation of granulation tissue (healing tissue) will take time. 3. Improvement with good protein intake, vit C supplements along with avoiding reinfection and controlling of any chronic diseases like diabetes mellitus is necessary. 4. Get it regularly drained, otherwise abscess can penetrate deep. Watch out for chills and rigors to look for blood spread. I assume, he must already be on oral antibiotics, continue the course and get wound dressing done at regular intervals.. Hope it helps. Any further queries, happy to help again.