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The current medical treatment for perianal abscess (which often results in a fistula) involves oral drug antibiotics and manual drainage of infection from the abscess. However, many doctors wish there was an alternative treatment, since it is so hard to get antibiotics to the actual infection site. Oral antibiotics are processed via the GI system, so very dilute amounts end up reaching the rectal area. The good news is: We DO have an alternative treatment that delivers a very powerful natural antibiotic directly to the abscess site.

Perianal Abscess
Anorectal Abscess
As to how effective it is, we can’t say anything definitive until a large number of sufferers have tested this protocol and then reported their results. A number of my consultation clients have been trying out this new protocol for me and most have had good results so far. So I wanted to post the protocol here and if you try it, please post your comments to let us know how it worked, whether you changed or adapted it, etc.
UPDATE: One of my readers has improved upon this protocol by using an infrared laser to cause the wild oregano to penetrate more deeply and also to speed healing. So be sure and read this article as well before beginning treatment.

Perianal Abscess / Fistula Treatment Protocol

If you have a perianal abscess that is still enclosed, or walled-off, then the first step is to try applying wild oregano oil topically to the infected area. Start at a 10:1 dilution with olive oil, and then increase strength to get it as close to full strength as you can tolerate – only use the brands I recommend at: www.HolisticHealthShoppe.com

Apply topically five times per day and also begin Jini’s Wild Oregano Oil Protocol (on page 152 of Listen To Your Gut) orally.

If this doesn’t work sufficiently to reduce infection after two weeks, then you may want to have your gastroenterologist drain the abscess. If he/she performs this procedure, your GI will want to follow it with oral drug antibiotics.

However, you do have the option of having the abscess drained and then NOT following it with antibiotics. You don’t even need to tell your GI this – just take the prescription and don’t fill it.

If you decide to have it drained, then (if possible) during the procedure, have the GI syringe it with full strength wild oregano (as much as will go in) after drainage.

Then, (regardless of whether he’ll do that, or not) try to get him to leave a drainage tube in place. This will make it very easy for you to syringe it yourself with wild oregano and thereby avoid having to take any prescription antibiotics.

Even if he won’t leave a drainage tube in place, you can still syringe it (syringes available at local pharmacy) through the hole – it’s just more difficult and uncomfortable.

Wild Oregano Syringing Protocol:

- syringe with as close to full strength wild oregano oil as you can tolerate. Try to elevate bum so that oregano oil stays in the abscess cavity and doesn’t drain back out immediately. Try plugging drainage hole with an earplug, or something, to block it closed for 20 minutes after syringing, then remove and let it drain.

- syringe every 2 hours for the first 24 hours (when you’re asleep at night, let it go 4 hours).

- then every 4 hours for the next 24 hours.

- then 4 times per day thereafter until infection is completely resolved / gone.

- then 2 times per day for 10 days (yes, this is AFTER there is no infection left).

- then allow hole to close and continue applying topically for a month, 3x/day.

Throughout this whole regimen, continue with the oral wild oregano and probiotics, as per Jini’s Wild Oregano Oil Protocol

* A big thank-you to my brother, Millan Patel MD, MSc, who helped me develop the syringing part of this protocol.

If anyone has tried this treatment, or has had any success healing fistulas or abscesses using this or any other treatments (natural, surgery, or combination), please let us know how and leave your story/comments below. The more we can pool our knowledge, the closer we can come to a reliable protocol that works for most people. – Thanks!

UPDATE: One of my readers has improved upon this protocol by using an infrared laser to cause the wild oregano to penetrate more deeply and also to speed healing. So be sure and read this article as well before beginning treatment.

  1. Roland Lemus Said,

    My name is Roland Lemus, and I have posted a note that was sent to an audience for a seminar about Ulcerative Colitis and J pouch relief. I received a J pouch, and never thought in a million years that I would do that, but I did, and I feel better for it. If anyone has questions, please ask, there doesn’t seem to be many U.C. resources to bounce questions and meds and other concerns, I see more Chrones resources which is nice, but U.C. sufferers need more folks sharing the good and the bad. Knowledge is power and that knowledge can lead to relief.

    Best of luck – Roland

    June 12, 2008

    Audience:
    I hope this email gets to you in time. My name is Roland Lemus. I had a severe condition of ulcerative colitis. I noticed bleeding on going to the bathroom in February 2000. Ironically, my first operation to correct my condition was in February 2008. Eight long years later. My condition was so bad last year that I was strategically finding the bathrooms to any store or restaurant to ensure I would make it in time. I had become steroid dependant and my appearance was puffy and round which are the common side affects to prednisone. I would be in a fetal position some weekends, feeling weak and sleeping. As my doctor, Dr. Tuvlin stated to me, I had really forgotten how to feel good. Even though I was working, getting into armour on some weekends and fighting full speed. My performance was lack luster to say the least. On my last colostomy, they found a benign growth, but it was too much for me to take a chance on, since my wife had passed away in 2002 from stage 4 breast cancer. I couldn’t put my now 14 year old daughter through another, “well, everything is going to be ok, and we will check in another year to see if things are ok” That was not an option, and while Remicade may have worked, I needed a result and more severe action to get further away from anything remotely called cancer. I now looked at this whole process as a mission, a mission that I would win, and I knew I had to be patient, but that is not my strong suite.

    While I was in the hospital, I asked Dr. Tuvlin and other doctors of what my options were, and they gave me some good advice. One of those options was surgery, and I decided to go through with it. I was scared to some extent, but my past experiences with
    The hospital encouraged me to choose this course. Since this was a two step operation, I will let DR. Tuvlin explain the details on this process. I am writing to you, a fellow sufferer that if your condition is to the point of being steroid dependant and you are fed up with being tired, I strongly recommend going through with this two pronged process. It has been a bumpy road whenever anyone gets this type of operation. Also, anything can happen, but I choose a better quality of life, and I believe I am on that road now.

    I am a month and a half out of the last operation. I thought I would never use an Illiostomy bag for 2 months, but I did. I give all the credit of support and love during this process to my lady Beth. She learned how to change the bag every so often, since I was a big baby about it. She put up with a lot of howling from the hairs being pulled on my stomach. Not really a big deal unless it’s your hairs being pulled.

    I ate almost everything, and Dr. Jordan may not like to hear that but I am doing much better and I actually FEEL good. I am working on getting my strength back so I can get back into armour, but I don’t have the same fear of a bad colonoscopy. Is this for everyone? You will have to ask your doctor, but if you are a good candidate for this process to relieve your ulcerative colitis, then I would do it all over again. Dr. Tuvlin KNOWS I don’t say that lightly. I don’t feel weak anymore and I eat relatively what is on my list of things I can eat, but believe me, I am not going without by any means. Also, the best part of this outcome is that I am off prednisone, which has made my face and my body feel better. SINCE the operation, I can now attend other FAMILY related events, which is why I am not there personally; I send my apologies to you out there who may have had some questions that I didn’t address here. I thank all of the wonder staff of Dr.’s Tuvlin and Jordan that has helped me through this journey. It’s not over, but I can tell you it was worth it. Beth has been a trooper and incredible. It helps to have someone who can help you around. Best of luck to anyone who is hearing this and trying to make a decision.

    Sincerely,

    Roland Lemus

  2. s.gaur Said,

    Hi Jini,
    I dont know what exactly cured it. In doing preparation for a sigmoidoscopy, I did about 5 enema’s. That and the fast for one day might have helped it heal. The tech at the hospital said that they go away after 2 to 4 months.

  3. JINI Said,

    SORRY Roland and Mike – I accidentally deleted this comment, but thank goodness I still had it on my notification email. So here it is:

    Roland … Hi there! This is Mike Rosenberg your old buddy from MCI/WorldCom. How’s everything going? I am SO SO sorry to hear about Maura’s passing. May she rest in peace and may you and your daughter live a bright and vibrant life!!! I sent you a message on Facebook and I hope you’ll respond!!! I remember you haveing some kind of gall bladder problems – (gall stones?) when we worked at MIC together. I hope you are doing well both physically and mentally … Please don’t hesitate to call me or email me some time. I can be reached at mrosenberg003@nc.rr.com.

    Take Care,

    Sincerely,

    Mike Rosenberg

  4. JINI Said,

    Hi Roland,

    It’s early days for you and hopefully you don’t experience any infection in your J-pouch. Unfortunately, this is a common occurrence for many (pouchitis).

    But there are some things you can do to prevent and also treat this if it occurs:

    1. Take therapeutic probiotics. I prefer Natren brand.

    2. Use L-Glutamine.

    3. In extreme or chronic infection, follow Jini’s Wild Oregano Oil Protocol and if necessary, syringe wild oregano up your rectum.

    all the best and thanks for sharing,
    Jini

  5. Susan Said,

    Has anyone looked into or tried hyperbaric oxygen treatments (HBOT) for treating fistulas?

  6. Paul Said,

    It may be my imagination but I noticed that when I stopped eating pork my perianal abscess seemed to dry up (trial and error)..maybe others could try this and see if they get the same results.

  7. Dave H Said,

    Hi Jini / Nicole,
    Please could you help me with a couple of questions concerning the elemental diet which I am going to dive into.
    I am trying to heal up a fistula and have been reading in LTYG that I should get rid of any infection before going onto the elemental diet. It says this in several places in the book ( concerning fistula) so really want to be sure before I start the diet as dont want to seal any infection in like. I have been proceeding with the oregano oil protocol orally and via syringe and taking natren probiotics.
    Could you tell me if this is rightr and also whether I need to take the probiotics during the elemental diet also.
    How will I know when the infection is cleared up enough to start the diet… The docs dont seem so capable over here in the uk to give me this kind of info.
    Cheers
    Dave H

  8. JINI Said,

    Hi Dave,

    If you’ve been on Jini’s Wild Oregano Oil Protocol, syringing as described in this post and also taking probiotics for at least 2 months, then you can go ahead and start the IBD Remission Diet.

    However, you should continue doing all of the above therapies (as needed) the whole time you are on the Diet and also following (if needed).

    Don’t worry, your body won’t close the fistula hole until you have the infection under control because you’re not applying a wound healer (like comfrey) to the fistula.

    As everyone’s body responds differently, there’s no cut and dried timetable for any of this. It’s more an issue of listening/watching your body and following its cues.

    If you need more help, please post on my Forum, where we can back and forth:

    http://www.jinipatelthompson.com

    take care,
    Jini

  9. Dave Said,

    Thanks Jini,
    I have only been on the probiotics and the oregano oil for one month now and still get some discharge which I guess means I still have an infection present.
    I am also on the reduce diarhia diet and will experiment with raw milk.
    Is there a clear way of knowing when there is no more infection.
    Thanks for your help
    Dave

  10. Lilly Said,

    Hi Jini,
    My name is Lilly and i have had chrons for the past 13 yrs and had a right hemiocolectomy at the age of 13.
    I have been on the scd diet for nearly two months now and i have had a perianal fistula for 6 years.I had a seton put in last year.I have been applying oil of oregano topically 5x a day for 3 weeks and the opening around my skin has healed a little bit.Iam thinking of taking the seton out and then syringing the opening as required.Would it be wise for me to do that?I would love to hear back from you soon.Many thanks Lilly

  11. JINI Said,

    Hi Lilly,

    Can you not just syringe the wild oregano oil up the seton?

    Jini

  12. Lilly Said,

    Hi Jini,
    Thank you for replying to my post,i can try to syringe the wild oregano up the seton.I was thinking i might not be able to get enough of the wild oregano through the fistula track as the seton is blocking the internal and external opening.Many thanks Lilly

  13. JINI Said,

    Hi Lilly,

    I can’t advise you on whether to remove the seton or not – that’s beyond my capability – so you’ll have to follow your own gut and make your own decision.

    However, you might want to follow this thread on my forum, where the person is dealing with something similar and you can post here, or it might give you some ideas:

    http://www.jinipatelthompson.com/phpBB3/topic1791.html

  14. Lilly Said,

    Hi Jini,
    My gut instinct tells me to take the seton out as i have had it for a year now and my doctor told me it has done no improvements for me.I will definatly take the seton out and syringe the area with oil of oregano,i know i need to try different things in order to find out whats working for me.I desperatly want to heal the natraul way because taking antibiotics just makes matters worse for me.
    I have a very positive feeling about wild oil of oregano as it has healed the most of the external opening of the fistula.Since i have been on the scd diet i have noticed great improvements in the amount of pus coming also the pus filled pocket has completly reduced.I will let you know of any other improvments i have with this soon.I apprieciate your comments and advice and thank you for your help.Lilly

  15. Beth Said,

    Hi Jini,

    Just wanted to let you know your protocol – the portion of it we’ve been able to use with my 11 year old son – has been working really well! He developed a large abscess on the perineum in December which hasn’t yet healed, then a second one right on the anus last month.

    My boy has suspected IBD, though few signs of it. He was really trashed by the antibiotics given for the first abscess – runny diarrhea for a month after those, then constipation when he went overboard with too much fiber cereal.

    Enter your protocol: we’ve been doing oregano oil capsules and probiotics for about two weeks, and the anal abscess has almost disappeared. We didn’t syringe, as he just couldn’t tolerate that. Glad it turned out not to be necessary! Now I will focus on the long-unhealed primary abscess with the topical treatment. Since it is “open” and draining, I hope some of the 10:1 olive oil dilution I’m using will get in there and heal things up.

    Bless you for putting together the protocol and this site! The pediatrician we’d seen the day I found it wanted to put my son on antibiotics for a month straight, and I just didn’t want to do that to him.

    All the best, and thank you, thank you, thank you!

    Beth

  16. JINI Said,

    Hi Beth,

    Try reducing the dilution to 7:1 or even 6:1 – many have been finding that fine and the increased strength should heal it faster.

    Also, a reader posted this on my forum: put 2 cups of epsom salts in a HOT bath and stay there for an hour or longer. This completely drained her abscess and it never came back.

    If you do the two together – it may work very well. Let us know….

    Jini

  17. shel Said,

    well i have had a perianal abscess for 8 months now..got drained 2x and now looking into Seton operation..kinda iffy on the subject..will it help heal the abscess and how long will it drain for til it finally heals so i can go on remicade

  18. traven Said,

    tried this and of course it didn’t work. why would it? just like taking oral antibiotics seldom works. doesn’t get to the root of the problem. post this comment snake oil lady. that stuff was expensive (and stung) and didn’t do anything.

  19. Beth Said,

    Traven, don’t dis the oregano – or Jini. Maybe you put it on in to low a dilution – we dilute with virgin olive oil. You have to be patient for the oregano to work, and it helps to take it orally as well as apply it. If your lesion is open and ragged, gentle it with something less intense. My son has had his two abscesses for more than a year, but we’re really getting somewhere now.

    We continue to use topical oregano oil, which made real headway with my 12-year-old’s abscesses. We alternated a 7:1 topical application with a cream containing Goldenseal and Myrrh, and got the abscesses into a non-inflamed, much shrunken state. The specialist MD recommends eventual surgery, but outcomes seem so dubious, we’re not going that route.

    Our Naturopath did some research and now has my son on an oral combination of oral Myrrh and Gotu Kola. Within a week, the smaller anal one burst and released a bunch of held pus, and the drainage on the original lesion has decreased. It tastes foul, but is working well from within. The research indicated this could be a helpful approach for people with fistulae, also.

    Don’t give up. We aren’t – I want my kid on his bike this summer!

  20. JINI Said,

    Hi Beth – one more thing some of the members over at JPT Wellness Circle have been experimenting with is combining this treatment with infrared laser treatment – and it’s been working really well. The infrared laser not only drives the remedy deeper into the tissue, but it also speeds the wound healing.

    Another thing we’ve been experimenting with, is combining the wild oregano with nanoparticle silver and DMSO – because again, both transport the remedies deeply into the tissue and have their own anti-infection properties as well.

    People have been getting some really good results from these two additions – one mother wrote an article for the JPT Wellness Circle Infoletter all about how she used the infrared laser treatment to effect complete healing when the wild oregano alone didn’t quite do the job and her son had the fistula/abscess for 2 years. It’s been 11 months now, and no recurrence.

    I’m glad you understood from my article here that these are experimental protocols and we are looking for everyone to pool their knowledge and results to hopefully come up with something solid.

  21. Beth Said,

    HI Jini, nice to hear from you. How does one obtain an infrared laser – or are you talking about something like a laser pointer? I’d like to hear some guidelines on exposure time, how long post application of topical treatment, etc.

    I assume you still have to be careful about the eyes with these things, too.

    If you are interested, I will ask our ND for his citations on the research he used to come up with the Myrrh/Gotu Kola combo, and I can post them. He’s evidence based, but very innovative.

    You’re a peach, Jini, thank you again for creating this resource for us all.

  22. JINI Said,

    Beth – you can now get the full info about infrared laser light treatment at:

    http://www.listen2yourgut.com/blog/gut/laser-therapy-for-peri-anal-abscess-or-fistula/

    And sure, post whatever you can about the Myrrh/Gotu Kola remedy – the more info we can share, the greater chance we have of coming up with really reliable, replicable protocols.

  23. Lilly Said,

    Hi Jini,
    i have been on the scd diet for a year now and i had a transsphincteric fistula for 6 years which healed within four months on the diet.I listened to my gut instinct and took the seton out which i initially had for a year.I took oil of oregano as well as syringe the area of the fistula track twice a day.I also rubbed oil of oregano in the external area of the fistula every couple of hours until it completely healed.
    i have done well so far on the scd diet but not 100% so i will be considering to take Natren’s probiotics as recommended.Thank you so much for your past replies Jini and you have been a great inspiration to me.Kind regards Lilly

  24. Shauna Walsh Said,

    Hi Jini,

    I have a query about using the Wild Oregano Oil. I’ve Crohn’s disease and a recto-vaginal fistuala. I have chronic diarrhea so that doesn’t help fistula. I am taking psyllium husks at the moment but I don’t think they are doing much good for me, so as soon as I get home (Ireland) I plan to start L-Glutamine, see how that works for me. I also want to start the above for treatment for my fistula.

    I know that taking the Wild Oregano Oil you need to take probiotics as well, I plan to order them all so that they are at home by the time I arrive. I was just wondering what order to take the products. In morning take the Wild Oregano Oil, wait 1/2 and hour then take the L-Glutamine, wait 1/2 an hour then take probiotics wait 1/2 an hour then have breakfast??

    Or could you suggest a better way of taking these?

    Thanking you

    Shauna

  25. JINI Said,

    Hi Shauna – I think you’ll find your question answered here:

    http://www.listen2yourgut.com/blog/gut/confusing-supplement-schedule/

    You can take L-Glutamine and Wild oregano at the same time. But wild oregano must be 2 hours away from probiotics.

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