Anal fistula : Causes-Symptoms-Diagnosis-Treatment


 What is an anal fistula?

Anal fistula is the medical term for an infected tunnel that develops between the skin and also the muscular gap at the top of the GI tract (anus).

Most associate fistulas square measure the results of associate infection that starts in an anal organ. This infection ends up in an associated symptom that drains ad libitum or is drained surgically through the skin next to the arsehole. The fistula then forms a tunnel beneath the skin and connects with the infected organ.

What is an anal fistula?
anal fistula

Fistulas are surgical anastomosis that join two parts of the body," explains Dr Paul Harnsberger chair of plastic surgery at the University of Texas MD Anderson Cancer Center in Houston A fistula is basically a small tunnel connecting two different cavities or hollow spaces -- usually between your bladder and your vagina (or rectum) as well as other organs like your bladder and bowel Fistulas can be congenital or acquired later in life due to infection or injury A congenital fistula results from improper closure of tissue during embryonic development of the fetus leading to abnormal openings in an adult that.

  1. Integumentary system

Medical terms

  • An anal fistula is an abnormal connection between the anal canal and the skin surrounding the anus or rectum. The fistula typically develops when a tear or ulcer in the anal canal becomes infected, resulting in inflammation and pus pockets. Anal fistulas are classified by their location and can be external, internal, or mixed. The majority of fistulas, however, are believed to be mixed.

  • An anal fistula is an infected, inflamed passageway that develops from the anal opening and travels to other areas of the body. It is caused by an infection in the anal glands, which is often the result of a blocked anal gland. Anal fistulas can be painful and cause itching and pain in the area. In addition, they can lead to other serious complications, such as fecal incontinence or abscesses.

  • An anal fistula is a tunnel-like structure that develops in the rectal area as a result of inflammation and infection. This fistula can be caused by a variety of factors such as an abscess, Crohn’s disease, trauma, or complications from surgery. In most cases, an anal fistula is an uncomfortable and often embarrassing condition to have. It can cause pain, bleeding, and the discharge of pus from the rectal area.

  • An associate fistula may be a tiny tunnel that connects an symptom, associate infected cavity within the orifice, to a gap on the skin round the orifice.

  • The orifice is that the external gap through that feces is expelled from the body. simply within the orifice are a variety of tiny glands that create secretion. Often, these glands get clogged and may become infected, resulting in associated symptoms. concerning half these abscesses might turn out to be a fistula.

  • home treatment You must have heard about Anal fistula It is a condition that produces pain swelling and discharge from the anal area This is a very common problem in people over 40 years of age but recently it has been seen more in younger people as well The main cause of this problem is stress or constipation that leads to tissue damage around the rectum and anus Anal fistulas are common among women than men because of the anatomical differences between them They tend to be more common in those suffering from Crohn’s disease ulcerative colitis or other bowel conditions like hemorrhoids which are caused by

  • You could have an anal fistula if you experience chronic pain discomfort or drainage around your anus Anal fistulas sometimes develop in the rectum and may be accompanied by internal irritation seepage of pus or mucus through the bowel wall which can cause a foul odor and inflammation

Causes anal fistula

Just within your orifice area unit many glands that create fluid. Sometimes, they get blocked or clogged. Once that happens, a bacterium buildup will produce a swollen pocket of infected tissue and liquid. Doctors decide this associate degree symptom.

If you don’t treat the symptom, it’ll grow. Eventually, it’ll create its thanks to the skin and punch a hole within the skin somewhere close to your orifice that the gook within it will drain. The fistula is the tunnel that connects the secretor to the gap.

Most of the time, associate degree symptoms cause a fistula. It’s rare, however they'll conjointly return from conditions like infectious disease, sexually transmitted diseases, or associate degree current unhealthiness that affects your bowels, like Crohn’s unwellness or colitis.

The leading causes of an anal fistula are clogged anal glands and anal abscesses. Other, much less common, conditions that can cause an anal fistula include:

  • Crohn’s disease (an inflammatory disease of the intestine)

  • Radiation (treatment for cancer)

  • Trauma

  • Sexually transmitted diseases

  • Tuberculosis

  • Diverticulitis (a disease in which small pouches form in the large intestine and become inflamed)

  • Cancer

Symptoms anal fistula

The signs and symptoms of an anal fistula include:

  • Frequent anal abscesses

  • Pain and swelling around the anus

  • Bloody or foul-smelling drainage (pus) from an opening around the anus. The pain may decrease after the fistula drains.

  • Irritation of the skin around the anus from drainage

  • Pain with bowel movements

  • Bleeding

  • Fever, chills and a general feeling of fatigue

You should see your doctor if you notice any of these symptoms.

Risk Anal fistula

If you develop Associate in Nursing anal symptoms, you've got a five hundredth likelihood of developing Associate in Nursing anal fistula. Though your symptom drains on its own, you've got a constant risk for a fistula.

Certain conditions that have an effect on your lower gastrointestinal tract or anal space might also increase your risk. These include: 

  • Colitis

  • Crohn's disease

  • Chronic diarrhea

  • Radiation treatment for rectal cancer

How serious is a fistula?

Douching with a chemical solution may help stop bleeding but it can also increase the risk of infection and damage tissue Bleeding that doesn’t stop soon can lead to permanent scarring or a fistula — an abnormal connection between organs or body structures — which can cause pain and infections Some people who are at high risk for developing anal fistulas according to the Mayo Clinic include women who have had previous surgeries on their rectum or anus men who have had prostate surgery and people who have inflammatory bowel disease such as Crohn’s disease and ulcerative colitis Statistics show that .

Can fistula be cured without surgery?

Fistula can be cured with homeopathic medicines These remedies are made from natural substances and have no side-effects The medicines work in a very delicate manner to restore the balance of vital forces in a person who has been exposed to unhealthy conditions or aggravating factors." You will not only get rid of the fistula but also prevent recurrence. Fistulas are least painful, easy to cure and relatively cheap for homeopathy treatment.

How can I permanently cure my fistula at home?

Fistulas break in the skin that usually develop into a sore and may become infected An anal fistula is a small tunnel-like hole between an area just inside of your anus to tissue beneath the skin around your anus It can cause pain itching and discharge from the affected area.

"Fistulas are surgical anastomosis that join two parts of the body," explains Dr Paul Harnsberger chair of plastic surgery at the University of Texas MD Anderson Cancer Center in Houston A fistula is basically a small tunnel connecting two different cavities or hollow spaces -- usually between your bladder and your vagina (or rectum) as well as other organs like your bladder and bowel Fistulas can be congenital or acquired later in life due to infection or injury A congenital fistula results from improper closure of tissue during embryonic development of the fetus leading to abnormal openings in an adult that.

How can I stop pus formation in my fistula?

Drinking Water: Hydration helps prevent tissue infections and also aids the body in communicating that something is wrong Drink plenty of water to help flush out bacteria toxins and other irritants Special Showering Routine: To reduce the risk of infection and discomfort during a fistula shower wash yourself with a soft cloth instead of a loofah sponge Gently pat your skin dry after bathing; rubbing your skin aggressively can cause open sores or irritation for people with CF Avoid hot showers as they may burn already damaged skin cells but taking lukewarm baths will soothe sore muscles from radiation treatments It.

Diagnosis Anal fistula

If the doctor thinks you have got an associate degree anal fistula, they're going to raise your anamnesis and provide you with a physical test.

Some fistulas are unit straightforward to identify. Others aren’t. generally they shut on their own, then open duplicates. Your doctor can search for signs of oozing fluid or hemorrhage. The doctor would possibly stick a finger into your orifice throughout the test.

The doctor can in all probability send you to a specialist in colon and body part issues for additional exams or imaging tests like X-rays or a CT scan. you may even like an endoscopy. For this take a look at, the doctor can place a tube with a camera on the tip into your orifice to see the inside of your bowels. You’ll be asleep once this happens.

Your doctor will sometimes diagnose associate degree anal fistula by examining the world round the orifice. He or she is going to search for a gap (the fistula tract) on the skin. The doctor can then attempt to verify however deep the tract is, and therefore the direction during which it's going. In several cases, there'll be emptying from the external gap.

Some fistulas might not be visible on the skin's surface. during this case, your medico may have to perform extra tests:

  • An anoscopy is a procedure in which a special instrument is used to see inside your anus and rectum.

  • Your physician may also order an ultrasound or MRI of the anal area to get a better view of the fistula tract.

  • Sometimes your surgeon will need to examine you in the operating room (called an exam under anesthesia) to diagnose the fistula.

If a fistula is found, your physician may also want to do further tests to see if the condition is related to Crohn's disease, an inflammatory disease of the intestine. About 25% of people with Crohn's disease develop fistulas. Among these studies are blood tests, X-rays and colonoscopy. A colonoscopy is a procedure in which a flexible, lighted instrument is inserted into the colon via the anus. It is performed under conscious sedation, a type of light anesthetic.

  1. X-ray

  2. (computed tomography) scans(CT)

  3. magnetic resonance imaging (MRI)

  4. Ultrasound examinations

Treatment Anal fistula

Surgery is nearly perpetually necessary to cure Associate in Nursing anal fistula. The surgery is performed by a colon and body part sawbones. The goal of the surgery could be a balance between obtaining obviate the fistula whereas protecting the sphincter muscle muscles, that might cause incontinence if broken.

Fistulas during which there's no or very little sphincter concerned square measure treated with a fistulotomy. During this procedure, the skin Associate in Nursing muscle over the tunnel square measure cut receptive convert it from a tunnel to an open groove. This enables the fistula tract to heal from rock bottom up.

In the case of an additional complicated fistula, the sawbones would have to be compelled to place a special drain known as an Elizabeth Seton, that remains in situ for a minimum of half-dozen weeks. once a Elizabeth Seton is placed, a second operation is nearly perpetually performed:

  • A fistulotomy, or

  • An advancement flap procedure (the fistula is covered with a flap, or piece of tissue, taken from the rectum, like a trap door), or

  • A lift procedure (the skin above the fistula is opened up, the sphincter muscles are spread, and the fistula is tied off).

A new treatment for Crohn’s malady fistulas is to inject stem cells into the fistula. Your body part sawbones can discuss all of your choices before the surgery.

Fistula surgery is typically done on an associate patient basis, which implies the patient will go back the same day. Patients WHO have terribly giant or deep fistula tunnels might get to keep within the hospital for a brief time once the surgery. Some fistulas might need many operations to induce elimination of the fistula.

Is any follow-up treatment necessary for an anal fistula?

Most fistulas respond well to surgery. Once the surgery, your MD might suggest that you simply soak the affected space in an exceedingly heat bathtub, called a tub, which you're taking stool softeners or laxatives for per week.

Since you will even have some pain or discomfort within the space once surgery, your doctor can sometimes inject topical anesthetic like Xylocaine to decrease your discomfort, and will order pain pills. If opioids are prescribed, they're sometimes used for an awfully short amount.

If the symptom and fistula area unit are treated properly and heal, they're going to most likely not return.

Complications Anal fistula

Complications embody a fistula that recurs when treatment associates degree an inability to manage viscus movements (fecal incontinence). This can be presumably if a number of the muscle around the anal gape, referred to as the sphincter, is removed.

  1. Colon and Rectal Surgery

When to call the healthcare provider

Call your tending supplier if you have got symptoms of Associate in Nursing anal fistula, particularly if you have got a history of a previous anal symptom. If you have got been treated for Associate in Nursing symptom or fistula, let your supplier recognize directly if you have got any of the following:

  1. Fever

  2. Chills

  3. Redness

  4. Swelling

  5. Bleeding

  6. Discharge

  7. Constipation

  8. Trouble controlling your bowel movements

  • Managing anal fistula

  • When ill from anal fistula treatment, ensure to require pain medication as directed by your Dr.. end all of your antibiotics. Don’t take any over-the-counter medicines while not initially reprimanding your supplier.
    Other necessary directions could include:

  1. Soaking in a warm bath 3 or 4 times a day

  2. Wearing a pad over your anal area until healing is complete

  3. Resuming normal activities only when you are cleared by your surgeon

  4. Eating a diet high in fiber and drinking plenty of fluids

  5. Using a stool softener or bulk laxative as needed

General summary

  1. Fistulas are not just uncomfortable and debilitating but also a social stigma A person with the condition is treated poorly by others because it is believed to be the result of immoral sexual activities Fistulas represent a huge emotional and physical challenge for women in developing countries—30% of whom suffer from obstetric fistula The majority of these women are from rural areas where medical treatment can be poor and difficult to obtain The best way to treat fistulas is surgical closure - either by using traditional techniques or modern methods like tissue adhesives that help create stronger safer repairs than before.

  2. An anal fistula is a small tunnel that forms between the end of the bowel and the skin near the anus. It can be caused by an infection in the area or a complication related to an abscess or surgery. Anal fistulas can be painful and can cause bleeding and discharge. If left untreated, an anal fistula can lead to serious infections and complications that can require medical intervention.

  3. An anal fistula is an unnatural passageway that forms between the anus and the skin surrounding it. This painful condition is caused by an infection or inflammation of the inner lining of the anus, which can create an abscess. The abscess forms a tunnel-like connection between the infected area and the external opening of the anus, known as a fistula. If not treated quickly and correctly, the infection can spread and cause further complications, such as sepsis or rectal abscesses.

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