Anyone with a sinus tract have worsening sacral or coccygeal pain? I’ve had a persistent tract since takedown, a couple of sinusotomies so far and awaiting a third but not for another couple of months. I’m having worsening pain with sitting, emptying, any pressure on my pelvis. Was already treated for osteomyelitis last year. Wondering if the sh*t is hitting the fan. No fever, still working/eating so not septic or anything.
Anyone’s sinus tract turn into a real problem?
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I didn't know sinus had anything to do with a J pouch. I have reoccurring sinus infections. Sitting on the toilet for long period of times is giving me pain in lhat area. The bidet really helps with emptying out. I can overdue.
Tf,
A sinus tract is a leak off of the pouch, kind of like a fistula but with a blind end. Is this what you have or do you mean the sinuses in your head? If the latter than unlikely related to your pouch. I noted in one of your other posts that you have tailbone pain. That was a sign of a sinus tract (leak off the pouch) for me but I’m sure there and be other causes of pain as well.
Wow. Another thing that can go wrong with J-Pouches. There are so many. Was the bone infection related to the sinus tract formation? Why do sinus tracts form? Did the doc say?
You learn something new all the time here. That's what I love about this site. I never heard of this sinus issue. Thx!
Sara Marie,
Most sinus tracts are at the anastomosis where the pouch is stapled/sewn to the anal canal, though you can get them at other suture lines. Mine was discovered almost immediately after takedown as I had serial imaging to monitor unrelated pelvic abscesses that occurred after stage 2. Yes, the sinus tract was the cause of the bone infection. My surgeon did the usual pouchogram with contrast prior to takedown to make sure there were no leaks but that study didn’t catch it. I was very sick at takedown so maybe poor healing at the staple line. Who knows. As you say, so much can go wrong with these pouches and some of us just seem to collect complications like stamps.
I hear that. I never really know what's going on with the pouch. Maybe one day I'll get a pouchoscopy if I find a doctor in my area that specializes in J-pouches. I don't want some beginner poking around in there.
