Doctor insights on:
Fistula Draining Seton
I have fistulising crohns and have developed a large abscess close to an active fistula, its currently draining do I need to do anything else?
Further evaluation: The presence of an abscess near an active fistula indicates possible disease progression. If you are being treated for a flare of your Crohn's disease and are currently immunosuppressed then the abcess many represent a complication of your treatment. The abscess should be evaluated as soon as possible and treated. If the abscess remains untreated it may worsen significantly. ...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
Perianal fistula: It is generally good advice to treat a perianal fistula when present. Under certain circumstances, a fistula could develop an abscess or result in infection throughout the body, known as bacteremia or sepsis, all of which can be serious. You should have your fistula evaluated. I would recommend seeing your doctor as soon as you can. Good luck. ...Read more
Could you tell me if this consistently draining anal abscess isn't painful could it still be a fistula?
If my pus filled gum fistula drains by itself does this present a larger problem than one that does not?
I had anal fistula 2 month ago and it keeps draining. Last two days I have been feel sick. I squeez it and a lot of stuff drained out. What do I do?
See a surgeon: This may need to be opened up again or bigger than last time. Sometimes a simple treatment is not complete. Chances are this will not go away on it's own without proper treatment. ...Read more
Hi, I had a fistula on my gum and it drained by itself. The tooth does not hurt anymore and I feel fine. Should I be concerned?
Possible abscess: Usually a fistula indicates an infection that is draining. The infection can either be from around the tooth (periodontal) or from the inside of the tooth (endodontic). Is the tooth mobile? Is it broken or discolored? You should be concerned in that the tooth may need a root canal or be cracked or split or it could be due to periodontal disease or bone loss. You should see your dentist. ...Read more
Feeling scared cuz of perianal fistula and the recurring access that bleeds every couple of days, cuz of the amount of bleeding and draining?
See gastroenterology: Anal fistula in young man can be result of inflammatory bowel dz (Crohn's dz).It is very important to establish diagnosis (colonoscopy) to get prompt treatment. Dietary management also essential (consume daily Probiotic rich food- Yogurt, Kefir) avoid processed, fry food, ref meat.) You need to see Gastroenterologist ASAP. ...Read more
Is it possible to have an anal fistula that is only an inch long? Connects from top of healing fissure (no pain) & pus drains/collects nearby
I had a surgery for anal fistula november last year and some plastic threads was put inside of me to serve as drains. It still drains, what do I do?
Chronic dental fistula for 1yr caused by tooth extraction, hole in sinus closed now, no sinus symptoms. 2 failed ops. Still pus draining. Any ideas?
Infection present: Neutrophils or certain white blood cells are the first line of defense against infection. This makes up most of the pus you see. You most likely still have infection present. Whether it is from dying bone or residual tooth root, or a consistent draining from the sinus. I wouldn't be able to tell with out an x-ray. If you have pus draining it could be from another tooth. ...Read more
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
Had colostomy surgery for colon/bladder fistula. Have a super pubic catheter from previous. Since surgery the cath hasn't drained - bladder flush?
Call your surgeon: While it seems likely that flushing may resolve a suprapubic catheter that is not draining, it is critical that you contact your surgeon for advise. This it sounds like the surgery was fairly recent and because your repair may be adversely affected if the flush is done incorrectly (and if the flushing does not work, your surgeon will need to see you anyways), best to put him/her on alert. ...Read more
I have an anal fistula. It is currently not draining or infected. I am scheduled for surgery in 6 weeks. Can I go swimming in the ocean or pool?
Yes, maybe: If it is not draining or infected it is likely that the lining has formed and is not a problem currently. It should be okay to go swimming however going swimming in the ocean would risk having bacteria from the ocean infect it. I would also limit the amount of time you spend. ...Read more
Depends: This hopefully should have been discussed with you by your surgeon. A seton drain is used to drain an abscess. Depending on the type of abscess and the type of drain procedure used, the time from insertion to healing can be as long as 2 months, or more. You should have scheduled follow-up with your surgeon for wound evaluation and further care. ...Read more
Steal Syndrome Tx: These are both surgical treatments for a condition called, "steal syndrome": when blood preferentially goes back to the heart through the fistula rather than down the arm to the hand. It is more common in people who have blockages in the arteries of the arm/hand. Rudi (revision using distal inflow). Pai (proximalization of the arterial inflow). Both provide more pressure to forearm / hand. ...Read more
Shunts: Can also be arterio venous fistulas that have occurred naturally due to disease or trauma or surgeon made for vascular access for dyalysis. There are other types of shunts and fistulas. Need more specifics to help any further with an answer. ...Read more
A patient who is on dialysis needs the machine to clean toxins from the blood that the kidneys usually do. The patient's blood needs to get out of the body, through the machine, and back into the body.
A dialysis fistula is made by sewing a vein to an artery. This short-circuits the blood flow and the vein becomes dilated because it experiences arterial pressures. This can be used for access. ...Read more
Completely different: A fissure is a tear. They bleed, and can be very painful. A fistula is an abnormal connection from the bowel to another organ, viscus, or the skin. The common types are between the trachea and esophagus, the rectum and the vagina or bladder, or the colon and the skin. They are generally in the setting of either surgery and post operative care or infection, like diverticulitis. ...Read more
A fistula is a track: Fistula is a track between the vagina and another organ or to another surface. To treat a fistula one has to know where the track connects to. If the track is between the vagina and the rectum one needs to know how the track originated-after a delivery or surgery or inflammatory process such as crohns disease. ...Read more
Sure, it's surgery:
Any surgical procedure has inherent risks, including possible infection, bleeding, sedation/medication issues, possible damage to nearby tissues including nerves, etc.
Discuss the details with your surgeon. ...Read more