Abscess, Now What?

[up2itt2003]

Abscess, Now What?

I am a early ( 3rd Week ) into a cycle of Test E 500ml ( ***** ) and D-BOL. This is my second cycle the first I used ****.

I am shooting Quads only because it seems easier to accomplish.

I have an abscess in my right quad that required it to be lanced, drained and irrigated this past Sunday. It has continued to drain a lot of nasty she-ot ( Puss, Blood and other Stinky Fluids ) over the last 2 days but it has finally dried up. Antibiotics for the next 7 days should eliminate the remaining infection.

My injection regime is Monday’s and Thursday’s. I skipped yesterday because of the drainage and pain. This leads me to my concern and questions.

Is it more likely that I made an error in my pre-injection than procedures or could there be a problem with the ****** gear?

Should I dare try a Delt injection considering both of my Quads were sore a mothers not to mention the swelling or should I just move somewhere else on the Quad?

If I didn’t get the pin deep enough, could that contribute to the likely hood of this abscess?

Thanks in advance for your help!

[muskel]

It is recommended not to shoot at the same site more than once a week.

If you inject into the infected quad some of the Test may come out with the puss. Since its dried up by now you should leave it alone for atleast a week and shoot elsewhere (deltoids, glutes etc.). Yes you can inject those sites yourself too.
Dont know about Stealth

[Maldorf]

Keep a close eye on that abcess. I had an abcess in my glute that wouldnt clear up and had to have surgery to remove the dead tissue. Now I have a small crater in my ass. THose infections dont always clear up with antibiotics. I battled mine for about 2 months on antibiotics, different kinds too, and nothing worked.

[Bigmax]

Bro...if thats a UGL name remove at once!!!!!Length of needle not likely to cause abcess bro...how big are they anyway??...absolutely under no circumstances should you lance that area.Go to the glute or shoulders...

[LatinoPR]

Abscess can be for diferent reasons,poor protocol,frecuenr injection on the same site,contaminated gear ect...i can tell you that not many ppl wash there's hands first,...You dont know how many problem you can avoid with this simple step.

[italianplayboy09]

yes that is true, first thing you should do before you start is wash your hands. then be sure to wipe the top of the vial with an alcohol swab. two things that seem to be overlooked

[Samson7]

Leave the abcessed quad alone...inject the glute. It is easier, and more painless IMO. Just whatever you do make sure not to go back to the bad quad for a month or so!

[up2itt2003]

Thanks!

Big Max I did not name a UGL. ***** is a line carried by a UGL. The pin is 1 inch 25 ga. The abcess was lanced in the ER by a DR.

LatinoPR and ItalianPlayboy09 I can not swear that I did was my hands. I know i used alcahol on cotton but cant remember the hand washing.

[up2itt2003]

Samson, Thanks

[jerol]

The treatment of an abscess is drainage -- not antibiotics. If you have an adequate surgical drainage, no antibiotics are required -- it will heal.

Antibiotics are used if you have surrounding cellulitis (skin/soft tissue infection). In this case there is red warm skin without pus (one "s" btw, the other word "puss" is short for pussy or wimp ).

Most abscesses are due to a break in sterile technique in which skin bacteria are brought in along with the needle. A contaminated AAS preparation is also possible, but you would have had issues with the other injections as well I would think.

As for wound care, take a shower with the wound open and let soap and water run through the wound. When you come out of the shower, pack it with gauze and apply a dressing. Repeat this ritual 2x/day and it will heal quickly. Keeping the bacterial count low in the wound is the secret to getting it to heal quickly.

Good luck to you,

Jerol (surgeon, btw...)

[up2itt2003]

Thanks Jerol and I dont consider you to be " a pussy or a wimp "!

[italianplayboy09]

Thanks Jerol and I dont consider you to be " a pussy or a wimp "!

.
thats great advice if i must say

[Maldorf]

The treatment of an abscess is drainage -- not antibiotics. If you have an adequate surgical drainage, no antibiotics are required -- it will heal.

Antibiotics are used if you have surrounding cellulitis (skin/soft tissue infection). In this case there is red warm skin without pus (one "s" btw, the other word "puss" is short for pussy or wimp ).

Most abscesses are due to a break in sterile technique in which skin bacteria are brought in along with the needle. A contaminated AAS preparation is also possible, but you would have had issues with the other injections as well I would think.

As for wound care, take a shower with the wound open and let soap and water run through the wound. When you come out of the shower, pack it with gauze and apply a dressing. Repeat this ritual 2x/day and it will heal quickly. Keeping the bacterial count low in the wound is the secret to getting it to heal quickly.

Good luck to you,

Jerol (surgeon, btw...)

Wish that had worked for me, my doc did everything possible to heal my abcess up. I had cellulitis too, and thats what the antibiotic was there for. The abcess just wouldnt heal and he finally had to resort to debriding the dead tissue out after waiting for almost 2 months for it to heal up. The doctor I had was a specialist too, I was reffered to him by my family doctor. He had dealt with the situation many times. Wonder why some abcesses wont heal up on their own?

[jerol]

Wish that had worked for me, my doc did everything possible to heal my abcess up. I had cellulitis too, and thats what the antibiotic was there for. The abcess just wouldnt heal and he finally had to resort to debriding the dead tissue out after waiting for almost 2 months for it to heal up. The doctor I had was a specialist too, I was reffered to him by my family doctor. He had dealt with the situation many times. Wonder why some abcesses wont heal up on their own?

The usual reason for an abscess not healing "on its own" is due to an inadequate drainage procedure. Most non-surgeons try to get away with just a minimal procedure and don't open up the abscess enough. I confess that I have done this too -- especially in scar-sensitive areas. Sometimes I'll just lance or make a minimal incision, express the pus and treat with antibiotics and warm, moist compresses.

Sometimes, the pathogen responsible is a resistant strain (some forms of Staphylococcus -- the primary skin pathogen in most abscesses -- are highly resistant to standard antibiotics). In this case, the cellulitis might advance to a necrotic stage and dead tissue would have to be debrided. Usually, when an abscess is opened by a surgeon, the pus is sent for culture so that antibiotic resistant organisms can be identified and the treatment adjusted, if necessary.

So to summarize: A simple abscess without cellulitis (soft tissue infection) -- adequate drainage alone is sufficient. An abscess with cellulitis -- adequate drainage plus culture-directed antibiotics based on the organism that grows from the pus. Again, adequate drainage and proper wound care is the key.

Jerol

[Maldorf]

The usual reason for an abscess not healing "on its own" is due to an inadequate drainage procedure. Most non-surgeons try to get away with just a minimal procedure and don't open up the abscess enough. I confess that I have done this too -- especially in scar-sensitive areas. Sometimes I'll just lance or make a minimal incision, express the pus and treat with antibiotics and warm, moist compresses.

Sometimes, the pathogen responsible is a resistant strain (some forms of Staphylococcus -- the primary skin pathogen in most abscesses -- are highly resistant to standard antibiotics). In this case, the cellulitis might advance to a necrotic stage and dead tissue would have to be debrided. Usually, when an abscess is opened by a surgeon, the pus is sent for culture so that antibiotic resistant organisms can be identified and the treatment adjusted, if necessary.

So to summarize: A simple abscess without cellulitis (soft tissue infection) -- adequate drainage alone is sufficient. An abscess with cellulitis -- adequate drainage plus culture-directed antibiotics based on the organism that grows from the pus. Again, adequate drainage and proper wound care is the key.

Jerol

The surgeon was seeing me for almost 2 months, and he would help repack the gauze when I would go in to see him. He made a pretty good size incision to open it up and drain. It seemed like a thin layer of skin would heal over top of the abcess and then fluid would be trapped underneath. We would have to keep cutting that new skin open to allow everything to drain. I hope he did everything right, because it would really piss me off to know that the surgery could have been avoided. DUring the surgery he did take samples for the lab to test, but I never heard back from them so I assume it wasnt anything to be concerned about. Once the dead tissue was taking out in surgery that abcess healed up VERY fast. In less than a week it was feeling just fine. Only thing I have now to show for it is a faint scar and a divet in my ass where tissue was removed. I know it was both muscle and fat

Here is something strange. Its been about 4 years now since I had the surgery and that area where the stiches are still gets sore when I squat really heavy. It will hurt the next day, feels almost like I have stiches in there now. It goes away within a few days though. Is there an chance that I could somehow tear where it has healed up( where the stitches had been)? I would guess it is just as strong as the rest of the muscle? It almost seems like that is a weak spot though, since it gets sore. Is this normal??

[STEROIDZZ]

you will probably be advised to start your own thread

[Morpheaus]

Jerol, respect, you know your stuff.

[STEROIDZZ]

I would hope so he's a surgeon

[Maldorf]

you will probably be advised to start your own thread

Yeah, didnt mean to hijack a thread. Just hoping to get a little feedback from Jerol, seems he doesnt take PMs or cant for some reason. He really should be a good asset to this board with his background.

[jerol]

Yeah, didnt mean to hijack a thread. Just hoping to get a little feedback from Jerol, seems he doesnt take PMs or cant for some reason. He really should be a good asset to this board with his background.

Thanks, Mal

I'm here to learn too...

I don't think I can do the PM thing since my account is so new... not sure, but I'll look into it.

Regarding an abscess that doesn't heal where skin bridges form and need to be reopened: while I can't say for sure without having cared for you personally, it sounds to me like inadequate drainage. If the abscess is opened enough and packed open firmly, it should heal from the inside out and not form a skin bridge. It sounds like your surgeon was trying to get away with a minimal drainage (perhaps for cosmetic reasons, perhaps because a bigger procedure couldn't be done in the office... I'm not sure).

The process of changing the dressing is meant to debride the abscess cavity of dead tissue and leave it clean for healing. Once it begins healing, you get a bed of pink "granulation" tissue that heals from inside out and eventually forms a small scar when it's completely closed. I always advise folks that I'm caring for with an open wound to get into the shower after they remove the dry dressing from the wound, let soap and water run through the wound (this really cleans it out nicely) and then get out of the shower and put a moist pack firmly into the wound with a clean dressing. If this is done properly it should heal just fine.

In your case it sounds like you needed a bit more debridement and opening of the wound than could be done in the office. Once it was properly opened, it healed like it was supposed to.

I hope you don't have to go through that again... truthfully, its a big fear of mine as well... and I haven't done any gear yet!

Good luck to you,

Jerol

[Maldorf]

Thanks, Mal

I'm here to learn too...

I don't think I can do the PM thing since my account is so new... not sure, but I'll look into it.

Regarding an abscess that doesn't heal where skin bridges form and need to be reopened: while I can't say for sure without having cared for you personally, it sounds to me like inadequate drainage. If the abscess is opened enough and packed open firmly, it should heal from the inside out and not form a skin bridge. It sounds like your surgeon was trying to get away with a minimal drainage (perhaps for cosmetic reasons, perhaps because a bigger procedure couldn't be done in the office... I'm not sure).

The process of changing the dressing is meant to debride the abscess cavity of dead tissue and leave it clean for healing. Once it begins healing, you get a bed of pink "granulation" tissue that heals from inside out and eventually forms a small scar when it's completely closed. I always advise folks that I'm caring for with an open wound to get into the shower after they remove the dry dressing from the wound, let soap and water run through the wound (this really cleans it out nicely) and then get out of the shower and put a moist pack firmly into the wound with a clean dressing. If this is done properly it should heal just fine.

In your case it sounds like you needed a bit more debridement and opening of the wound than could be done in the office. Once it was properly opened, it healed like it was supposed to.

I hope you don't have to go through that again... truthfully, its a big fear of mine as well... and I haven't done any gear yet!

Good luck to you,

Jerol

thanks for the lowdown. I have somewhat of a background in medicine, as I was a premed major but never went to med school. I ended up teaching high school chem and bio. Did some graduate work in exercise phys, and took gross anatomy with the medical school.
I was foolish when I first started using AAS, and made some mistakes that I think caused that infection. Now I dont take any chances, but still get a scare every now and then when the injection site gets more inflamed than normal. It can be a scary business. No measure of making things sterile is too much.
That abcess I had was bad enough that it got into my blood stream I think. i had a high fever and the doc said he was close to sending me to the hospital. I had several antibiotic shots and oral that cleared up the fever rather fast. I do think the infection attacked my myocardium, as about 6 months later I was diagnosed with primary cardiomyopathy. Time healed that and my heart is perfectly normal now, as the ultrasound shows. It was quite a scare though. I hope that those reading this take heed, and be careful about their injections. It can be a dangerous business.

[bor]

props to jerol

[jim-bol]

i once mixed winstrol with parabolon in my younger years and got a nasty abcess that had to be lanced and drained,my vietnamese doctor packed the hole the abcess left with melaluca honey,this particular honey will not allow bacteria to breed so basically the wound can not go bad which means your body can quickly heal itself.he did have to pack the whole everyday with this honey and gauzes to kep it in but after two weks this massive hole started to close with no stitches.

[Kale]

Dude I would seriously filter your juice before I used it again just to be safe. As long as you used alchaol wipes and you didnt touch the neede its unlikely that that casued the infection.

[DIESELPWR]

ive heard also that it can be from shooting it too fast.. i had this happen to me during my last cycle and had to cut it a week short.. i couldnt do anything and ended up with a 105 fever.. i had to have it lanced and filled and boy i dont want that to happen again!