Question 1

Hi doctors, i went under mri scan 3 month ago it said i have a perianal sinus tract 8cm length and today i went under a new one and it said it is 1.6 cm fistula how is that evin possible? i mean this is a bunch of difference?

Accepted Answer

All imaging results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, 3 months is long enough for the body to have reacted to the lesion and altered the dimensions and layout of the lesion. Wish you good health!

Question 2

Does sinus fistula drain into gums?

Accepted Answer

See a dentist and have an examination to find out where the source of your infection is.  It could be a tooth, it could be sinus, but whatever it is you need to treat this infection.

Question 3

Hello,
i believe i have either a pilonidal sinus or a anal fistula. could you please help me determine which one it could be?

Accepted Answer

Both require surgical attention

Question 4

I have a cyst in my right frontal sinus& issues with my sinuses etc. since august. the cyst will be removed. i'm wondering how these cysts are removed. i've been reading that fistula can be formed it not treated fast enough. when is fast enough?

Accepted Answer

The procedure will be done with endoscopic technique through your nose. Cyst is usually a slow growth lesion so you should patiently wait. You have been evaluated by an ENT doctor, problem has been identified, the surgeon knows best if it is an urgent matter or not.

Question 5

Mrisays small low lying sinus track predominantly in peri anal subcutaneous tissue of7mm anddr physical examination doesn't tell something clear and he asked me to wait for4weeks to watch if heals itself but i listen that fistula doesn't heal itself?

Accepted Answer

No harm in that. sometimes they do heal by themselves. You can always have surgery specially if  symptoms not bad- avoid constipation, try Sitz baths 3x a day and keep area clean. Good luck

Question 6

Chronic dental fistula for 1yr caused by tooth extraction, hole in sinus closed now, no sinus symptoms. 2 failed ops. still pus draining. any ideas?

Accepted Answer

Neutrophils or certain white blood cells are the first line of defense against infection.  This makes up most of the pus you see.  You most likely still have infection present.  Whether it is from dying bone or residual tooth root, or a consistent draining from the sinus.  I wouldn't be able to tell with out an x-ray.  If you have pus draining it could be from another tooth.

Question 7

Fistula, #14 (upper left molar), noticed 4 days ago, but have had sinus issues. dentist said go to endo "in case", but i feel it is an ent issue?

Accepted Answer

I would agree with your dentist who thinks your problem is tooth related and suggested endodontic evaluation.  I am assuming a clinical exam was performed with the appropriate x-rays to visualize the entire tooth.  Pain originating from a maxillary molar can be referred to the maxillary sinus and vice versa.  Another way to diagnose the origin is for your dentist to track the path of the fistula.

Question 8

Son 15 has pots and syncope low sa node and one son 14 bradycardia and coronary fistula to pulmonary artery.could they be wrong and it be sick sinus?

Accepted Answer

There is growing recognition of this condition.

Pots is a situation where there is an inappropriate heart rate increase to low blood pressure, but typically dont see more than just a sinus tachycardia.

Sick sinus syndrome tends to have more abnormal findings on ecg.

I am sure you have a cardiac specialist to whom these questions should be addressed.

Question 9

Hi i had my perianal abscess surgery 2 month ago and yesterday i went through mri scan for fistula , and the result says i have sinus tract between interal and external and it is 8 cm, is it fistula? i can't visit my doctor util saturday?

Accepted Answer

A "sinus tract" and a fistula are synonymous with respect to the MRI results reported after "perianal abscess" surgery.  Consult your surgeon who performed the surgery for guidance.

Question 10

Hi, i had my perianal abscess surgery and after that i went through mri turn out i have complex perianal sinus tract 8cm, is it the same with fistula? is laser good treatment for my sinus tract? and will it just like fistula keep coming back?

Accepted Answer

"Perianal sinus tract" and "fistula" are synonymous, and are difficult to treat surgically, with poor healing usually the cause given the location.  Best is to see a colorectal surgeon for his/her treatment options.

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Difference between sinus and fistula

Hi doctors, i went under mri scan 3 month ago it said i have a perianal sinus tract 8cm length and today i went under a new one and it said it is 1.6 cm fistula how is that evin possible? i mean this is a bunch of difference?

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Ask U.S. doctors your own question and get educational, text answers — it's anonymous and free!

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Does sinus fistula drain into gums?

Hello, i believe i have either a pilonidal sinus or a anal fistula. could you please help me determine which one it could be?

I have a cyst in my right frontal sinus& issues with my sinuses etc. since august. the cyst will be removed. i'm wondering how these cysts are removed. i've been reading that fistula can be formed it not treated fast enough. when is fast enough?

Mrisays small low lying sinus track predominantly in peri anal subcutaneous tissue of7mm anddr physical examination doesn't tell something clear and he asked me to wait for4weeks to watch if heals itself but i listen that fistula doesn't heal itself?

Chronic dental fistula for 1yr caused by tooth extraction, hole in sinus closed now, no sinus symptoms. 2 failed ops. still pus draining. any ideas?

Fistula, #14 (upper left molar), noticed 4 days ago, but have had sinus issues. dentist said go to endo "in case", but i feel it is an ent issue?

Son 15 has pots and syncope low sa node and one son 14 bradycardia and coronary fistula to pulmonary artery.could they be wrong and it be sick sinus?

Hi i had my perianal abscess surgery 2 month ago and yesterday i went through mri scan for fistula , and the result says i have sinus tract between interal and external and it is 8 cm, is it fistula? i can't visit my doctor util saturday?

Hi, i had my perianal abscess surgery and after that i went through mri turn out i have complex perianal sinus tract 8cm, is it the same with fistula? is laser good treatment for my sinus tract? and will it just like fistula keep coming back?

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