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abscess

my son has had a abscess on the top of his bottom he has had 2 opps in the last year he has been tested for chrons dis tast ok BUT the wound WILL NOT heal and they dont know why he is on his 6th lot of antbott now and it is bringing him down so much and i am at my witts end my son is 20 years old
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351246 tn?1379685732
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Generally such wounds that do not heal are called non-healing ulcers in medical term. They could be non healing due to underlying infection, low supply of oxygen to the wound that is reducing the healing process, underlying diabetes, or due to underlying dermatitis. Wounds heal slower in smokers or alcoholics who have been drinking for a long time. So these have to be ruled out.
Also diabetes leads peripheral neuropathy, atherosclerosis etc which make wound healing troublesome. Your son will need a culture sensitivity of wound scraping to know what antibiotics will suit the infection. If there is underlying dermatitis, then this needs to be taken care of. If there is severe atherosclerosis preventing blood supply to wound, then this needs to be diagnosed by angiograms. It is better to get this treated at a wound clinic. Wound debridement (cleaning of wound, removing slough, etc) would be required proper dressing at a wound clinic.Take care!

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