I saw Dr. Shen in April for some issues I've been having since my hospital stay in April and July of last year. I've been trying Cipro, Flagyl, VSL 3 and Xifaxin over the past year for pouchitis. Xifaxin was the only one to help for any length of time. While dealing with pouchitis, I've been having increasing discomfort while sitting. I go to work, come home, and lie on the couch with a heating pad until it's time to go to bed. I go to church on Sunday, and spend the rest of the day sleeping, recovering which gets me to work through the week. My gastroenterologist insisted that I head to Cleveland Clinic to see Dr. Shen, and I'm glad I did. He ran every blood and stool test possible. And,because of a recent perianal abscess, recommended an MRI of my pelvis.He had asked me to email him after the test so he could review it before my upper and lower endoscopes scheduled for two weeks later. Two minutes after I sent him the email, he responded with the MRI results. This showed three Fistulas and an internal abscess. He wanted to see me earlier than my scheduled scopes. I'm headed back up to CC on Wednesday for both scopes. Dr. Shen had mentioned that if the MRI showed an abscess, he would be able to inject medication into it while performing the scope. I don't believe he mentioned anything about treatment of Fistulas, however what I've googled (I have to remind myself to not view the images next time I google a medical issue) and read on this forum, I'm freaking out a little bit. What is the standard treatment for this, and have any of you seen Dr. Shen for this? Thanks in advance for your help!
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