Doctor insights on:
Are Anal Fistulas Minor Annoyances Or Serious Medical Problems
Great question: It is RARE for it to heal without surgery but also it is rare for a fistula to threaten one's health. Very rarely we see the infection get into blood stream and make patient very sick and even infect heart valve or infection can get out of control. It is up to the patient as to how much of a bother the symptoms represent. To help decide a patient really should discuss with Colorectal Surgeon ...Read more
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
Could be especially: If it drains yellowish thick purulent material. Could also be a small hemorrhoidor your everyday "zit" ...Read more
I have an anal fistula. What medical treatment should I follow until I get operated in one month? It is painful at the moment!
Can an anal fistula have little or no pain? Pus collects around rectum when I sit, but the small hole bleeds after bm. No bm pain during, little after
Yes: It can simply drain without pain. You should definitely have this treated, however. There are some very well respected colon and rectal surgeons in your region that can provide you very good care. ...Read more
Iam suffering from anal fistula for 3 years now. Five times I had big pus in my anal side. Three times I removed it my a small surgery and two times i?
See colorectal surg:
You need a formal fistulectomy not just a fistulotomy.
Excise the whole tract and surrounding tissue. ...Read more
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
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
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
Yes. Fistula are treated by evaluation under anesthesia,
anoscopy, digital exam and proctoscopy. The first step is to determine the locations of the internal and external openings of the fistula, the amount of sphincter involved, the number of tracts, the association with the urethra or vagina, and drainage of any abscesses. Ttreatements include fistulotomy, advancement flap, and fistula plug. ...Read more
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
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?
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: 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
Fistula surgery: By a qualified, well trained colon and rectal surgeon ...Read more
See your doctor: Anal fistulas can be caussed from the cysts forming abscesses. May be assocaited with various bowel diseases such as crohn's colitis or diverticulitis. Other causes - rectal/anal trauma, suppressed immune system from a variety of conditions, infections, std's, and even cancer. See you doctor for a proper evaluation. ...Read more
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
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
NO: There is no known medical treatment for anal fistulas. This should be treated by a colon and rectal surgeon. ...Read more
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
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
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