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Doctor insights on: Fistula Anus

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What is anus fistula and what are its causes?

What is anus fistula and what are its causes?

Tract: A fistula involving the anus or rectum is a pathologic communication, tract or conduit between two anatomic structures or organs caused by infection or inflammation. The tract can drain pus if it leads to an abscess. Crohn's disease is a common cause of ano-rectal fistulae. ...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


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I'm having fistula starting from anus but it has not connected yet to anal & rectum and I have to wait a month should I consult eurologist or MS surgen?

I'm having fistula starting from anus but it has not connected yet to anal & rectum and I have to wait a month should I consult eurologist or MS surgen?

Anal fistula: Is a surgical problem best addressed by a surgeon. It can be treated, but not when it is abscessed. You should see this doctor while infection is under control. ...Read more

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Is a fissure fistula at the bottom of the anus?

Is a fissure fistula at the bottom of the anus?

Yes: Anal fissure and perianal fistula are two different problems, but both can be found in or around the anus. A fissure is a "cut" or break in the anal mucosa that is painful and bleeds. A fistula is a communication between two structures - usually the rectum, bowel or abscess and the skin in or around the anus. Good luck! ...Read more

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After surgery of fistula I found sticky cream color mucus leaking from anus all the time. The surgery took place before 6 months. What is solution.

? infection: If this drainage is pus rather than clear mucus, an infection may be present that requires treatment. The rectal surgeon should evaluate, treat and followup on this. In the meantime try warm wet applications and then keep the area clean and dry except for an antibiotic ointment on some gauze until you see your surgeon. ...Read more

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Is smelling like poop and pain at the bottom of the anus, common symptoms of a fissure fistula

Is smelling like poop and pain at the bottom of the anus, common symptoms of a fissure fistula

Anal fistuka: Your symptoms are certainly worrisome for an anal fistula. A fissure presents as painful bleeding. A fistula presents with external pain, drainage with a foul odor, and generally involves a previous anal procedure, but not always. Consult a surgeon, as surgery is effective treatment for both. ...Read more

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I have what's white stuff almost looks like snot/discharge coming out of my anus? Its a little on the thick side? I have Crohn/IBS + fissure + Fistula

I have what's white stuff almost looks like snot/discharge coming out of my anus? Its a little on the thick side? I have Crohn/IBS + fissure + Fistula

White anal discharge: Call follow up with your gastroenterologist today may be mucus meaning a flare or may be due to infection since you have fistulas ...Read more

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I have a boil about 1 inch from my anus. It is at the site of a former fistula surgery. Should I wait for it to come to a head or seek immediate attention. If so, family doc or colorectal doc to lance?

Colorectal doc: A "boil" at the site of a previous fistula surgery suggests that the fistula has returned. It will probably drain itself easily with hot soaks or baths but the track will persist. Recurrent fistulas can be difficult so a colorectal specialist would be your best option. ...Read more

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After getting a perianal abscess drained out there is itching in the anus while passing stool. Is it a fistula? My doc said for check up after a month

After getting a perianal abscess drained out there is itching in the anus while passing stool. Is it a fistula? My doc said for check up after a month

Possible: If there is not ongoing drainage from the incision site, then it is possible. If drainage continues, may be from that. Either way, hard to check on your own (!) so better to call dr & get sooner re-check due to concerning symptoms. ...Read more

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Had small painful "bump" inch above anus 3 months ago. Opened up and bled when wiping. Now it is healed and flat but whitish purple color. Crs says not fistual. Cancer?

Had small painful "bump" inch above anus 3 months ago. Opened up and bled when wiping. Now it is healed and flat but whitish purple color. Crs says not fistual. Cancer?

Inflammation: Painful bumps above the rectum that bleed and then heal over leaving a scar are generally boils (infection in the skin, usually staph that after draining heal). Some people are more prone to such boils if they eat a lot of chocolate or eat a lot of sweets. Cancer is very unlikely. ...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?

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?

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?

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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Are anal fistulas minor annoyances or serious medical problems?

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

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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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Are there several different procedures for treating anal fistulas?

Anal Fistulas: 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

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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?

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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Fistula surgery 5.6.17 fistula healed from top to the anal hole there's a small hole left else is closed up and looking good how long to fully heal?

Fistula surgery 5.6.17 fistula healed from top to the anal hole there's a small hole left else is closed up and looking good how long to fully heal?

Check With Doctor: The surgeon (or a nurse in the office) should be able to answer this. Generally, the doctor will want to see you for follow-up after most any surgery anyway. The surgeon knows what s/he had to do to correct the fistula and can best judge how long it should be until full healing occurs. ...Read more

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What is exactly is an anal abscess/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

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