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Breast Abcess


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#1 Seapatrol

Posted 15 February 2018 - 10:50 AM

I am just wanting to know if anyone has ever had a breast abcess how long did it take to go away, did you have surgery. I have had a open skin lesion on my breast for a while like 6 months it has been swabbed, I have taken antibiotics, seen a dermotoligist and breast surgeon followed everything that was said and it still has not gotten better I have been going back to dr every 2 weeks, having another ultrasound tomorrow gp has said they may even talk to me about a masectomy due to it constantly reaccurring amd not clearing up, I have even had several biopsys and they were all negative

#2 redchick

Posted 15 February 2018 - 11:06 AM

Hi Seapatrol, I had a breast abscess following really really bad mastitis (3 days in hospital for IV ABs) when my boys were newborns. Apparently it was a sterile abscess and they drained it twice (not inpatient just in surgoens consulting rooms) in a week and then it went away. I was on ABs the whole time due to the mastitis.

So sorry to hear that you have been dealing with yours for so long - I guess the point of my story is that it made me realise how complicated your situation is.

I hope you and Drs come up with a good solution soon,

All the best

RC

#3 Seapatrol

Posted 15 February 2018 - 11:12 AM

Thank you for replying Ian's sorry to hear about your one I don't wish this on anyone it is quite sore and painful

#4 redchick

Posted 15 February 2018 - 11:33 AM

Just another thought, you mentioned that it has been swabbed- is there an underlying infection? Even if the results came back negative it may be worth seeing an infectious diseases specialist as they may find aninfection that has been untreated. I’m not about the skills sets of dermatologists/breast surgeon but would a plastic surgeon be an option? Maybe they deal with wounds that don’t heal?

I only had to deal with mine for a few weeks and it was so painful every time I bumped it- can’t imagine it being like that for months! You never realise how much boobs can get in the way until there is something wrong with them!

#5 Seapatrol

Posted 15 February 2018 - 12:11 PM

Thanks for the idea I will mention it to the gp but they have done the swabs when they have made the incisions for the biopsy

#6 Not Escapin Xmas

Posted 15 February 2018 - 02:49 PM

Geez, that is terrible! I agree withs seeing an infectious diseases specialist. There is definitely something going on, even if your GP hasn't been able to get to the bottom of it.

#7 Soontobegran

Posted 15 February 2018 - 03:13 PM

I totally agree with PP ^

You need to see an Infectious diseases specialist. The bugs causing the abscess that were shown on the swabs may not be the same as those causing the chronic infection......you may need so fairly intense IV antibiotic therapy.

Lots of good luck.

#8 beccaj

Posted 15 February 2018 - 03:47 PM

I had an abcess following mastitis feeding my 2nd, a week of antibiotics, 48hrs in hospital on IV antibiotics followed by 2 weeks more of oral antibiotics.
Abcess remained until lanced by a new surgeon I was scheduled for surgery the end of that week but the lancing allowed it to drain, I also had to give up feeding. He also prescribed 2 different antibiotics.

Most painful time of my life - hope you can get it sorted soon.

#9 coolbreeze

Posted 15 February 2018 - 03:57 PM

Yes I an only reiterate pp.
I would be asking for a referral to an infectious diseases specialist.  
You may have a multi resistive infection that needs ID approved long term intensive intravenous antibiotics to clear up.
CB

#10 Seapatrol

Posted 15 February 2018 - 06:30 PM

Thanks I rang and the gp practice and as gp was waiting for his next patient to come he actually spoke to me on the phone, I mentioned to him about the infectious disease specalist and he said I was actually seen by one already who concurred with the dermotologist that to go ahead and prescribe what she was it was a combination of creams and 2 antibiotics, he has said he has re spoken to both dermotoligist, infectious disease and breast surgeon and a decision will be made on what to do next once I have had the ultrasound it is not looking promising, and considering I have had 2 biopsys and they were lanced both times I feel it is getting to the point I might loose my breast

#11 Soontobegran

Posted 15 February 2018 - 06:44 PM

View PostSeapatrol, on 15 February 2018 - 06:30 PM, said:

Thanks I rang and the gp practice and as gp was waiting for his next patient to come he actually spoke to me on the phone, I mentioned to him about the infectious disease specalist and he said I was actually seen by one already who concurred with the dermotologist that to go ahead and prescribe what she was it was a combination of creams and 2 antibiotics, he has said he has re spoken to both dermotoligist, infectious disease and breast surgeon and a decision will be made on what to do next once I have had the ultrasound it is not looking promising, and considering I have had 2 biopsys and they were lanced both times I feel it is getting to the point I might loose my breast

I would not accept that as an option if it is given to you without a second opinion.
If your GP will not provide you with a referral to another infectious diseases doctor I would walk from the clinic and not return.
Infectious diseases doctors are specialists, you see them in their rooms like any other specialist. I am alive because I was under the care of one, if I'd had the body parts that were chronically infected removed I'd be a bit light on organs and limbs...........please get another opinion. :(

#12 Not Escapin Xmas

Posted 15 February 2018 - 06:57 PM

So in summary, your GP has let this go on for 6 months. And now is suggesting you have a breast removed. Words fail me. As STBG said, YOU need to see the specialist, not your GP has a chat and decides that it’s all too hard and you should have a breast lopped off. I am so angry on your behalf.

#13 Seapatrol

Posted 15 February 2018 - 09:26 PM

No the gp has not let this go on for six months when I first presented he put me on a 2 week course of antibiotics, went back to see him prescribed another course but different ones plus a ultrasound to check to see if any cancer could be found it came back saying nothing could be seen, was sent to a breast surgeon who did a biopsy and prescribed a special course antibiotic due to it coming back saying there was a dermitis present sent to dermatologist who made several incisions did more biopsys, blood tests, swans prescribed special body wash and special creams plus antibiotics the dermatologist I went to is a husband and wife team the second time I went back to see dermatologist her husband came in for part of the consultation she prescribed a different cream and he prescribed 3 antibiotics I had to take together, it was at this time they said to me if it continues the abcess will have to be removed but due to the size I could end up loosing my breast, I had to have a follow up with gp as they are away on holidays for 3 weeks so that is another reason gp has sent me for another ultrasound and why the gp and my self had the conversation about the fact I could possibly be facing a mastectomy due to this issue

#14 Franny and Zooey

Posted 15 February 2018 - 09:40 PM

I agree with the others, I would be getting a  second opinion from another infectious deseases specialist.  I wouldn’t be comfortable with one who has just popped in for five minutes to peek over his wife’s shoulder.  I would want a proper evaluation done by one.  I feel it is an avenue worth going down before having your breast removed.

#15 Boticelli

Posted 15 February 2018 - 11:14 PM

Is everything else with your health okay ? Blood sugar , thyroid , are you run down ? Eat tonnes of protein . I worked with a plastic surgeon in another life   , he would get asked to see people in long-term hospital situations with pressure sores , elderly , and ulcers or wounds around trauma injuries or non healing chronic things like yours  , often young.

He refused to touch them until they were in 100% perfect health otherwise , he would sort of use the other doctors desire and desperation for him to operate as leverage to sort of force them to review everything and eliminate ANY other health issue , and he would insist the dietitian see them and supplement with a high protein diet . The ulcer /wound would very very often improve dramatically .

Be sure there is nothing stopping your body doing all it can . Make them check your general health , blood sugar ,thyroid,  iron . And start taking protein supplement , multivitamin and maybe high dose b&c vit

Who is doing the ultrasounds, insist on a radiology doctor not a radiology technician /radiographer before you agree to have your breast removed . A radiographer is trained and skilled but not as much as a radiologist and they can't have a frank conversation with you . You have to wait for the pictures to be reported after the fact by a radiologist (doctor).

If there is an isolated /persistent chamber of pus or fluid within the area it will NEVER heal.

Don't agree to loosing your breast unless an MRI is performed . In fact insist on an mri now , it will definitively tell you if there is any residual fluid trapped or any lesion /tumour.

This is getting too serious to accept anything less than 100% and if ever a problem needed a second opinion this is it . Your GP is just accepting what the ' grown ups ' in the 'big hospital' are saying. GP should be advocating for you

#16 *Melstar*

Posted 16 February 2018 - 07:11 AM

Another one who agrees with new/second opinion time. It's too serious now for "wait and follow one track of advice". Not sure where you are situated but there are GPs and then there are GPs who specialise in women's health - who have completed significant study in the field of breast feeding and associated problems. There's radiographers who take scans and then there are women's health specialist radiologists. They are just so much more specialised. I'd be finding people like this near you. If you're in Bris, I can share details of places, just PM.

#17 Soontobegran

Posted 16 February 2018 - 07:29 AM

View PostSeapatrol, on 15 February 2018 - 09:26 PM, said:

No the gp has not let this go on for six months when I first presented he put me on a 2 week course of antibiotics, went back to see him prescribed another course but different ones plus a ultrasound to check to see if any cancer could be found it came back saying nothing could be seen, was sent to a breast surgeon who did a biopsy and prescribed a special course antibiotic due to it coming back saying there was a dermitis present sent to dermatologist who made several incisions did more biopsys, blood tests, swans prescribed special body wash and special creams plus antibiotics the dermatologist I went to is a husband and wife team the second time I went back to see dermatologist her husband came in for part of the consultation she prescribed a different cream and he prescribed 3 antibiotics I had to take together, it was at this time they said to me if it continues the abcess will have to be removed but due to the size I could end up loosing my breast, I had to have a follow up with gp as they are away on holidays for 3 weeks so that is another reason gp has sent me for another ultrasound and why the gp and my self had the conversation about the fact I could possibly be facing a mastectomy due to this issue

A dermatologist is not a breast specialist...has the breast surgeon been consulted again ?
This is not something your GP should be dabbling in, it has gone past their scope of practice. You can clean your skin and add creams until the cows come home but it will not get rid of a deep seated abscess.
You may need an excision of the area of breast that is affected, you may just need some decent IV antibiotic therapy but what you do need is a specialist making these decisions for and with you.
A breast ultrasound has limited ability to tell your GP what is actually going on in there.

Good luck but please please step away from your current GP and get another opinion before allowing them to start anymore treatment.

#18 Seapatrol

Posted 16 February 2018 - 08:11 AM

Thanks for all of your opinions I am already taking vitamins, eating plenty of protein, all bloods have been done extensively by all dr involved they have even tested for things like lupus and other autoimmune disease, my sil is a dietitian and has looked over everything, I have had a ct scan a couple of weeks back as well and it was suggested I have a ultrasound in a couple of weeks to see the progress, I can not have a MRI and I have seen the breast surgeon and will be seeing him again next Thursday

#19 Soontobegran

Posted 16 February 2018 - 08:36 AM

View PostSeapatrol, on 16 February 2018 - 08:11 AM, said:

Thanks for all of your opinions I am already taking vitamins, eating plenty of protein, all bloods have been done extensively by all dr involved they have even tested for things like lupus and other autoimmune disease, my sil is a dietitian and has looked over everything, I have had a ct scan a couple of weeks back as well and it was suggested I have a ultrasound in a couple of weeks to see the progress, I can not have a MRI and I have seen the breast surgeon and will be seeing him again next Thursday

I am glad you are seeing the surgeon again...good luck.

#20 kirtyw

Posted 16 February 2018 - 08:58 AM

My sister had a horrible breast abscess. Her's developed post op from a lumpectomy and some radio treatment. The healing process took ages.

From memory, besides lots of antibiotics she had to pack the wound (quite deep) with gauze as it had to heal slowly from the inside out. The concern was if the outside healed over quickly the infection would still be trapped inside. She changed the dressings daily I think. And as the weeks went by the amount of gauze needed to fill the 'hole' reduced and reduced.


IN the end it healed well but it took ages.  I think months and months.

Originally the abscess had burst, and leaked out through the surgical cut.

#21 Seapatrol

Posted 16 February 2018 - 10:12 AM

How I am sorry to hear about your sister I hope she is fully recovered now

#22 redchick

Posted 16 February 2018 - 03:16 PM

Sending hugs Seapatrol.

#23 becstar101

Posted 21 February 2018 - 03:23 PM

I'm glad you see the breast surgeon again soon, hopefully that will give you a little more guidance on the next steps. Make sure you write down all the questions you have, and possibly take someone with you for support in case you need a second pair of ears.

I'm stunned that the idea of mastectomy has been mentioned at this point. I would expect that surgical drainage or excision and IV antibiotics requiring a hospital admission (or hospital in the home) to be attempted before any discussion of removing your entire breast would occur. I have seen complex wounds and ulcers treated with suction drainage, it may be worthwhile asking about something like that?

#24 coolbreeze

Posted 21 February 2018 - 07:31 PM

View Postbecstar101, on 21 February 2018 - 03:23 PM, said:

I'm glad you see the breast surgeon again soon, hopefully that will give you a little more guidance on the next steps. Make sure you write down all the questions you have, and possibly take someone with you for support in case you need a second pair of ears.

I'm stunned that the idea of mastectomy has been mentioned at this point. I would expect that surgical drainage or excision and IV antibiotics requiring a hospital admission (or hospital in the home) to be attempted before any discussion of removing your entire breast would occur. I have seen complex wounds and ulcers treated with suction drainage, it may be worthwhile asking about something like that?

Yes definitely this-mastectomy seems very extreme without attempting surgical drainage, iv antibiotics (long term) first.
Hope all is on the improve.
CB

#25 lucky 2

Posted 01 March 2018 - 03:49 PM

How are you Seapatrol?




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