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Doctor insights on: Anal Fistula Painful Alone

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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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Dr. Mark Ingerman
4 doctors shared insights

Anal Fistula (Definition)

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 ...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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I have an anal fistula. What medical treatment should I follow until i get operated in one month? It is painful at the moment!

I have an anal fistula. What medical treatment should I follow until i get operated in one month? It is painful at the moment!

Recurrence of absces: If the external opening closes the discharge will accumulate and cause a recurrent abscess. Take sitz baths and the external openining might have to be opened up again. ...Read more

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Hello I have a multiple opening Anal fistula for 3 years but I am to much afraid to do the surgery because of the pain how painful is the post surgery?

Hello I have a multiple opening Anal fistula for 3 years but I am to much afraid to do the surgery because of the pain how painful is the post surgery?

Truth be told: many many patients of mine have commented that the post operative fistula removal period is a good deal LESS than the ongoing pain when the fistula is "full" Hope this is helpful Dr Z ...Read more

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Is packing required after an anal fistulotomy.My docter said I have an anal fistula after my abscess healed.With the abscess, packing was very painful?

Is packing required after an anal fistulotomy.My docter said I have an anal fistula after my abscess healed.With the abscess, packing was very painful?

Sometimes: Packing is necessary to "clean out" the area and allow for draiinage after healing begins! NOT TO WORRY ...sounds "normal" for this procedure! Hope this is helpul! Dr Z ...Read more

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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

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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 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 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?

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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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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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

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