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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Was Wrongly Treated With Canasa Suppositories, Steroids. Had Emergency Colonrrectal Surgery. Prognosis?

83-year old felmale. Had emergency colonrectal surgery--rectal stump left--in December 2012. Flex Sig examination for cause of drainage for past 6 mos from rectum showed small hole into abdominal cavity . CT Scan showed abscess; culture shows Streptococcus Anginosus. Abscess drained, drain left in place, and infusing self with Zosyn 4.5 grams every 8 hrs. Because doctors did not recognize problem, I was treated for mos with canasa suppositories, protofoam HC, and steroid suppositories. What is the prognosis with my current treatment and possible complications.
Fri, 28 Jun 2013
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Internal Medicine Specialist 's  Response
Hi,
Welcome to healthcare Magic!
The local suppositories of steroid and anti-inflammatory drugs can cause local ulceration if used in excess or due to wrong insertion.
The bacterial growth indicates local infection and so it should be treated with the antibiotics, Zosyn is a good choice but should never be taken under self prescription.
If you can observe safety precautions and carry out treatment in a close supervision of a local physician the prognosis would be satisfactory.
I hope the advise would be informative and useful for you.
Take Care!
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Was Wrongly Treated With Canasa Suppositories, Steroids. Had Emergency Colonrrectal Surgery. Prognosis?

Hi, Welcome to healthcare Magic! The local suppositories of steroid and anti-inflammatory drugs can cause local ulceration if used in excess or due to wrong insertion. The bacterial growth indicates local infection and so it should be treated with the antibiotics, Zosyn is a good choice but should never be taken under self prescription. If you can observe safety precautions and carry out treatment in a close supervision of a local physician the prognosis would be satisfactory. I hope the advise would be informative and useful for you. Take Care!