Top
30
Doctor insights on: Fistula Draining Seton

Share
1

1
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?

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

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


2

2
Does sinus fistula drain into gums?

Does sinus fistula drain into gums?

Need examination: See a dentist and have an examination to find out where the source of your infection is. It could be a tooth, it could be sinus, but whatever it is you need to treat this infection. ...Read more

3

3
How bad is it to leave a perianal fistula alone for? Mine has been draining for 5 months

How bad is it to leave a perianal fistula alone for? Mine has been draining for 5 months

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

4

4
Could you tell me if this consistently draining anal abscess isn't painful could it still be a fistula?

Could you tell me if this consistently draining anal abscess isn't painful could it still be a fistula?

Yes: You need an exam by a surgeon. Sometimes you may need an exam under anesthesia to correctly diagnose it and treat it at the same time. It could very well be an abscess which hasn't been treated properly. ...Read more

5

5
If my pus filled gum fistula drains by itself does this present a larger problem than one that does not?

If my pus filled gum fistula drains by itself does this present a larger problem than one that does not?

Good if drains: Hippocrates said ' where ever pus let it out ' Yes it is good if pus drains out, see your doctor and follow instructions ...Read more

6

6
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?

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

7

7
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?

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

8

8
Feeling scared cuz of perianal fistula and the recurring access that bleeds every couple of days, cuz of the amount of bleeding and draining?

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

9

9
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

Yes: Absolutely.

This happens. As a fissure is healing, it can form a small subcutaneous sinus that becomes a fistula.

I have seen that several times. It heals very well because it usually involves no sphincter muscle and is readily treated with a simple fistulotomy. ...Read more

10

10
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?

Anal fistula: Anal fistula still draining need professional surgical evaluation go to your surgeon or a colorectal surgeon now and you will find a possible solution no blog can solve your problem you need to examined. ...Read more

12

12
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?

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

13

13
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

14

14
I am 8 wks pregnant and have had a colorectal fistula for a few months. It drains regularly and occasionally bleeds. How might this impact delivery?

High bacterial loads: Anytime there is a fistula involving the colon, bacterial loads are increased in the vaginal area. UTI"S become more common and your OB MD will be more vigilant about monitoring your pregnancy and quickly treating any infections that arise. ...Read more

15

15
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

16

16
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?

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

17

17
What is the recovery time for surgery (with a seton) on an anorectal abscess & fistula?

What is the recovery time for surgery (with a seton) on an anorectal abscess & fistula?

Seton takes time: To cut through, may take 8 Wks or little more, is very good technique, less chance of recurrence, and flatus incontinence ...Read more

18

18
WHAT IS RECOVERY TIME AND CARE AFTER SETON DRAIN?

WHAT IS RECOVERY TIME AND CARE AFTER SETON DRAIN?

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

19

19
What happens if I have a fistula?

See your doctor: See a colon and rectal surgeon and have it removed surgically. There are different kinds of treatment available. ...Read more

20

20
What is rudi and pai in regards to av fistulas?

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

21

21
Is another name for fistula shunt?

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

22

22
Medicine for fistula bleeding in ano?

Medicine for fistula bleeding in ano?

BLEEDING fistula: Anal fistula needs operation to correct it and stop bleeding. ...Read more

23

23
How do you fix a uterovaginal fistula?

Surgery: Surgery is required to fix this problem. The surgical technique is beyond the scope of this forum. ...Read more

24

24
What are symptoms of a vaginal fistula?

What are symptoms of a vaginal fistula?

Depends: On where the fistula originates but if it is from the rectum/colon, will have feculant discharge from the vagina, may pass gas thru the vagina, frequent enteric vaginal bacterial infections. A thorough office exam should be able to confirm the diagnosis. ...Read more

25

25
What does a dialysis fistula actually do?

What does a dialysis fistula actually do?

"short circuit": 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

27

27
What's the symptoms of fistula or fissure?

What's the symptoms of fistula or fissure?

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

28

28
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

29

29
What is a vaginal fistula? How do you get it?

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

30

30
Are there any risks involved in fistula surgery?

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