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Doctor insights on: Fistula Disease

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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 have Crohn's disease. How can I tell the difference between an anal fistula (had one surgically removed 10 years ago) and a hemorrhoid?

You can not but: Your doctor can , due to training and experience . When crohn's disease involves anorectal area , recurrent fistulas , infections , pain , drainage , local infections are common , make the diagnosis difficult , tissue biopsy ( pathology ) is the only way to distinguish from other conditions. ...Read more

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Dr. Le Wang Dr. Wang
2 doctors agreed:
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Hemoglobin test in urine came out positive. Should I be concerned? I do have Crohn's Disease that causes vaginal fistulas, but it is not active.

Dr. Le Wang Dr. Wang
2 doctors agreed:
Hemoglobin test in urine came out positive. Should I be concerned?  I do have Crohn's Disease that causes vaginal fistulas, but it is not active.

Yes: Assuming you have true hemoglobinuria. You should see a doctor to determine the true cause of hemoglobin in urine. Blood transfusion and stenous excercise can cause transient hemoglobin in urine. Hemolysis,PNH, or infection (malaria),or kidney disease, or tumor can also cause hemoglobin in urine. In addition, high level hemoglobin in kidney itself can also damage kidney. ...Read more

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What is result of CBC if hav Crohn's disease? My hemoglobin and hematocrit is normal. I have CT scan & no found. Now, i have anal fistula. not relate?

What is result of CBC if hav Crohn's disease? My hemoglobin and hematocrit is normal.
I have CT scan & no found. Now, i have anal fistula. not relate?

IBD and blood tests: Crohn's and other IBD can give variable CBC results. Although anemia is common due to blood loss and inflammation, severity of dz can vary and results may be normal. CT is less sensitive for IBD than endoscopy in mild or early cases. Anal fistula may be related to Crohns, but certainly not always. A good gastroenterologist exam may be helpful to be sure you have right diagnosis. ...Read more

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What sort of disorder is a fistula?

What sort of disorder is a fistula?

Abnormal connection: A fistula is when two tubes are connected that should not be. A fistula can be located almost anywhere in the body, but most commonly in the GI system. ...Read more

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How can a fistula heal?

Usually they don't : A fistula occurs when there is a serious infection, usually and abscess, between two internal organs or an internal organ and the skin overlying it. The infection destroys part of the tissues of both, and the body heals while leaving a hole connecting the two structures. Fistulas rarely close without intervention. Usually the connection needs to be removed so that the tissues can heal separately. ...Read more

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Where do fistulas form?

Depends: There are many kinds of fistulas. By definition a fistula is an abnormal communication from one organ to another. Anal fistulas arise from the anal crypts internally. Enterocutaneous fistulas connect the bowel to the skin, fistulas can develop from almost any organ and most often indicate some underlying disease process. ...Read more

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Are av fistulas permanent?

Don't have to be: It takes a surgical procedure to connect the end if a vein to the side of an artery (create an av fistula). Once created, it will take another surgical procedure to shut the fistula down if need be. Most often they are kept in place even if not used as a back-up system for dialysis access. ...Read more

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