Ordinarily, increasing tenderness and firmness would indicate an abscess needs draining. However, since yours is already draining I can think of only two possibilities. One is that there just is local inflammation going on. The other is that you have a second abscess that was not previously detected. I’d check in with your doc (or whoever is covering over the holiday). If you have a significant fever, you’ll have to go to the ER if your doc’s office is not answering.

Jan

Thanks Jan.  No fevers or other abscess symptoms like I had with my previous abscesses.  My jpouch puts out similar output from time-to-time, which I was told would be normal at this point. 

If the draininage comes from the seton hole that was made in November, could there be another abscess inside that same area?  Not sure I understand all this (as usual )

I will be in contact with my surgeon or her PA.

There it is again, medical professionals saying something is "normal" when it seems far from it.  As Jan said any change that is beyond "normal" might indicate another problem. I hope your j-pouch clears up soon.

Thanks TE Marie.  I've been reading up on this issue, and one of the suggestions was to try to empty the pouch of its mucous on a daily basis.  Since my abscess/fistula communications with the pouch, the theory is there wouldn't be much left for the abscess to drain.  I tried it a couple times, and it seems to help - no more big "accidents" from the abscess or elsewhere.  Hope it holds true for long term, we will see.