Fistula

Understanding Anal Fistulas

Causes, Symptoms, Treatment

An anal fistula is an abnormal tunnel or tract that develops between the anal canal and the skin near the anus. It usually results from an infection or abscess in the anal glands. Anal fistulas can cause pain, discomfort, and recurrent infections. In this article, we will explore the causes, symptoms, diagnosis, and treatment options for anal fistulas. We combine ancient Ayurvedic wisdom with modern medical techniques to provide comprehensive care for anal fistulas. Our expert team of doctors and state-of-the-art facilities ensure that you receive the highest standard of treatment with minimal discomfort and quick recovery.

Causes of Anal Fistulas

Anal fistulas typically develop due to:

Anal Abscesses: Infections in the anal glands that form pus-filled abscesses can create a fistula.
Inflammatory Bowel Diseases: Conditions like Crohn’s disease and ulcerative colitis increase the risk of fistula formation.
Infections: Tuberculosis, sexually transmitted infections, and other infections can lead to fistulas.
Trauma or Surgery: Injury or surgical procedures in the anal region may cause fistulas.
Cancer: Rarely, tumors in the rectal or anal area can cause fistulas.

Symptoms of Anal Fistulas

The symptoms of anal fistulas include:

Pain and Swelling

Around the anus, which may worsen with sitting or bowel movements.

Discharge

Pus or blood from an opening near the anus.

Recurrent Abscesses

Persistent or recurring infections and abscesses.

Foul Odor

Due to the discharge.

Irritation

Skin irritation and itching around the anus.

Fever and Malaise

In cases of severe infection.

Diagnosis of Anal Fistulas

Diagnosing an anal fistula involves a thorough examination by a healthcare professional. Diagnostic procedures may include:

Physical Examination: A visual and manual inspection of the anal area.
Anoscopy: A small, tube-like instrument to view the inside of the anal canal.
Imaging Tests: MRI, CT scans, or fistulograms to map the fistula tract.
Endoanal Ultrasound: To provide detailed images of the anal canal and surrounding tissues.

Treatment Options for Anal Fistulas

There are several treatment options available for anal fistulas, ranging from conservative measures to advanced surgical procedures:

Non-Surgical Treatments

Antibiotics: To treat or prevent infections. Fibrin Glue: Injected into the fistula tract to seal and promote healing.

Surgical Options

Fistulotomy: The most common procedure where the fistula tract is surgically opened and allowed to heal from the inside out. Seton Placement: A surgical thread is placed in the fistula tract to keep it open and allow it to drain, promoting gradual healing. Advancement Flap Procedure: Involves covering the internal opening of the fistula with a flap of tissue from the rectal wall. LIFT Procedure (Ligation of Intersphincteric Fistula Tract): The fistula tract is tied off and removed, minimizing the risk of incontinence. Ksharasutra Therapy: An Ayurvedic technique using medicated threads to treat and heal the fistula, particularly effective for complex or recurrent cases.

We offer Ayurvedic Treatments based on the Ashta Vaidya Tradition from Kerala, India.

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