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Doctor insights on: Anal Fistula

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Dr. Creighton Wright
4 doctors shared insights

Anal Fistula (Overview)

An anal fistula is an abnormal connection or tract that connects the inside lining of the colon or rectum with the outside skin. It intermittently drains pus and can cause discomfort, pain, itching, and other symptoms. It most commonly occurs as a consequence of an abscess in the same area. This may require outpatient surgery to treat the problem.


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Can I exercise with an anal fistula?

Can I exercise with an anal fistula?

Sure: Exercise is unlikely to change the course of an anal fistula. If you have an anal fistula, you should have it corrected by a board certified colorectal surgeon, but exercising is not likely to make your situation any worse (though the fistula may make the exercise uncomfortable). ...Read more

Dr. Creighton Wright
4 doctors shared insights

Anal Fistula (Overview)

An anal fistula is an abnormal connection or tract that connects the inside lining of the colon or rectum with the outside skin. It intermittently drains pus and can cause discomfort, pain, itching, and other symptoms. It most commonly occurs as a consequence of an abscess in the same area. This may require outpatient surgery to treat the problem.


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How much a lasser cirugy an anal fistula?

How much a lasser cirugy an anal fistula?

Hmmm: If you are asking what the cost of laser surgery to treat an anal fistula might be, I can't help you. But I can tell you that treating an anal fistula with laser surgery would be rather unorthodox. ...Read more

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What happens if an anal fistula is untreated?

What happens if an anal fistula is untreated?

It continues: An anal fistula will continue to fester, leaking pus and blood every few days, until it is fixed. The fix depends on the course of the fistula through the anal sphincter.
There is a small risk of cancer if a fistula is left for many years. ...Read more

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What happens if an anal fistula is not treated?

Drainage, Abscess: Failure to correct an anal fistula generally leads to persistent drainage, recurrent peri rectal abscesses and gradual fibrosis of the anal sphincter. Correction of anal fistulas is generally indicated. See a board certified colorectal surgeon. Some fistulas are simple, but some are very complex. ...Read more

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Can you please tell me what causes an anal fistula?

Can you please tell me what causes an anal fistula?

Infected anal gland: The most common cause if an infected gland near the anus typically due to obstruction of the gland. Thus results in a small abscess. The abscess needs to drain to prevent you from becoming sick. It does this by finding a path to release the puss. The pathway is typically to the adjacent skin near the anus. In rare circumstance fistulas can be the result of Crohnes or cancer. ...Read more

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What is the definition or description of: anal fistula?

What is the definition or description of: anal fistula?

Anal Fistula Tract: An anal fistula is an abnormal connection or tract that connects the inside lining of the colon or rectum with the outside skin. It intermittently drains pus and can cause discomfort, pain, itching, and other symptoms.

It most commonly occurs as a consequence of an abscess in the same area. This may require outpatient surgery to treat the problem. ...Read more

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What happens if an anal fistula goes untreated for a year?

Abscess: An anal fistula is a connection from the inside of the anorectal area to the outside. This will cause soiling and infection. If left untreated it will lead to perirectal abscess formation and sepsis. ...Read more

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Is there any possible complications for untreated anal fistula?

Yes: An untreated anal fistula can make you prone to have recurrent perianal abscesses and very rarely, become into a cancer (extremely rare). ...Read more

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Is it okay to leave an anal fistula untreated for a year, or will it get bigger?

Is it okay to leave an anal fistula untreated for a year, or will it get bigger?

Unsafe: It won't get bigger, but may branch and make fixing it (surgery) much more complicated! It also might plug up and cause a very painful abscess, thus making you regret getting it taken care of promptly! ...Read more

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If I had an anal fistula what would be the exact symptoms and would they become more obvious after I had just been to the toilet?

If I had an anal fistula what would be the exact symptoms and would they become more obvious after I had just been to the toilet?

Before treatment...: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as an outward bulging. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. Evaluation is recommended to distinguish serious versus less concerning reasons for your problem before treatment. ...Read more

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I have a flat, firm and painful area around the external opening of my anal fistula. When I press on the area it hurts? What could it be?

I have a flat, firm and painful area around the external opening of my anal fistula. When I press on the area it hurts? What could it be?

Anal abscess.: You need to see a colo-rectal surgeon or your GI MD.
Yo may need a CT abd/pelvis with rectal contrast...you may have a perianal abscess. Sometimes a simple incision/drainage + antibiotics may solve the issue rapidly. ...Read more

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How to prevent recurrence of anal fistula?

Depends: On the cause of the fistula in the first place. Maintain a consistent bowel pattern and avoiding constipation or diarrhea is the best you can do. If the fistula is relate to crohn's disease, keeping your disease in remission by taking your maintenance meds without fail, is the best you can do. ...Read more

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How long will I be out of work after surgery for an anal fistula?

Really depends: Erika — there are several surgeries for anal fistula. Your recovery really depends on not only what exact procedure you have, but also your tolerance for pain, and how important it is for you to be back at work.

I've seen a range from the same afternoon to three to four weeks. ...Read more

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How much time will it take for the cure of anal fistula with abscess formation?

How much time will it take for the cure of anal fistula with abscess formation?

Variable: It is hard to say how long it will take to heal. Without knowing how bad the fistula and the abscess is, I cannot answer your question accurately. ...Read more

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Is surgery for an anal fistula more painful than just leaving the fistula alone?

Is surgery for an anal fistula more painful than just leaving the fistula alone?

No: Typically, a fistula is a chronic inflammatory "tunnel" between the anus and the skin. There are many types, many treatments, and the most common surgery involves literally "filetting" open the tract to allow it to heal by itself, and thus obliterate the tunnel. This is somewhat painful, but offers the advantage of removing the chronic, longstanding focus of inflammation and pain, and so is usual. ...Read more

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My husband has had surgery 4 xs for an anal fistula and will need a 5th, is this common?

Not common: But not rare. Depends on if the fistulas are in the exact same place and how they were treated surgically, how complex the fistulas were and whether the correct surgery was performed. Fistulas can recur if incompletely treated at the time of surgery. See a colorectal surgeon for more complex fistulas as your husband has. Also consider whether he has been tested for crohn's disease. ...Read more

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I undergone for anal fistula operation before two days. Now for how many days I have to go for dressing to the docor?

SImple Care: The good news is that area has fantastic blood supply and so healing will occur rapidly. Inflammation (red, hot, tender swelling) is the body increasing the blood flow to the injury to bring healing factors to the area and also the veins expand to carry bad stuff away. Dressings and ointments are of no value there. Avoid further trauma to the area and let nature take it's course. ...Read more

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I had two surgeries from anal fistula and has been cured. It hurts when i sitting down on bike or exercise. What I do?

It depends ...: Fistula surgery can be simple to complex. Postop course depends on the extent and complexity of the surgery. Pain can be a part of recovery depending on when was the surgery. Healing can take 8-12 weeks. With the history of 2 fistulas, check with your surgeon to make sure that you are not developing another disease. Scar tissue can also cause discomfort specially after sitting on hard surfaces. ...Read more

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How is safe and what are the risk in having a fistulotomy? And what are the risk in not having an anal fistula removed?

Safer with experienc: The Biggest risk is incontinence-very low incidence in experienced hands, many options available to lessen risk. Discuss with an experienced surgeon! Risks are higher if you don't fix it, as multiple infections will surely damage sphincter more, making repair even harder, riskier the longer you wait. Most fistulae are easily fixed with minimal risk, so don't delay for fear of consequences. ...Read more

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What treatment for anal fistula?

An infection: In the perianal region, usually derived from the anal glands inside the rectum. A fistula is an abnormal communication between two organs, in this case the rectum and the skin outside the anus. Both require evaluation and often surgery to permanently resolve and prevent recurrences or complications. ...Read more

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What are the best treatment for an anal fistula?

Avoid Constipation: Non-surgical treatment includes warm water soaks 2 – 3 times a day, increasing fiber intake, drink lots of water, and taking stool softeners or laxatives. Witch hazel (tucks (witch hazel) pads) can help. Some relief in a day or two usually. It may take several weeks for the fissure to heal completely. Sometimes fissures heal without treatment. May require surgery. ...Read more

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Is there a non-surgical procedure for anal fistula?

Not really: There are some fistula plugs that can be used, and while it is technically "surgery", it can be way less invasive because the fistula tract is scraped, then the plug inserted. There's also something called a Seton that can be used for a while, that helps in some situations. See a colorectal surgeon for a proper evaluation and ask about these things. Hope this helps! ...Read more

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What the difference between anal fissure and anal fistula?

What the difference between anal fissure and anal fistula?

Tear / tract: A fissure is s a tear in the anal mucosa. A fistula is a tunnel deeper in the tissues with one opening on the outside and another opening on the inside of the anal canal or lower rectum. ...Read more

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Could a hard fall cause an anorectal abscess and anal fistula?

Yes: Trauma is a known and common cause of infections resulting in abscess and fistula. Consult with a surgeon for further evaluation. ...Read more

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Can you explain the difference between anal fissure and anal fistula?

Tear vs. Tunnel: An anal fissure is a tear in the lining of the anal canal, just inside the opening, and typically causes pain and bleeding. An anal fistula is an abnormal communication (tunnel) from inside the anal canal out to the perianal skin, usually the result of a prior perirectal abscess. It may cause drainage, swelling, discomfort and recurrent abscesses. Both are treatable conditions. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


Anus (Definition)

The anus is the opening of the rectum, through which stool and flatus are passed. The anal canal is about an inch in length, and is ...Read more