An anal fistula is a new opening or a small tunnel that develops between the end of the bowel and the skin near the anus, usually with 2 openings – one inside the rectum and one outside.
They’re usually the result of an infection near the anus causing a collection of pus (perianal abscess) in the nearby tissue.
An anal fistula usually results after improper healing of an anal abscess following pus drainage.
It occurs most often in adults around the age of 40 but may occur in younger people too.
More common in males as compared to females
Most common Signs & Symptoms of anal fistula
- An opening or a hole on the skin around the anus
- A red, inflamed area around the tunnel opening
- A foul-smelling oozing of pus, fluid, blood or faeces
- Frequent anal abscesses
- Pain in the rectum and anus, especially when sitting, walking or passing stool
- The pain could vary in nature from throbbing, pulsating, sharp and tearing, to a stitching
- There may be fever, chill and tenderness around the opening of fistula.
- Burning and irritation or itching in the perianal area.
- A feeling of weakness
Most common causes and risk factors for anal fistula.
- An anal fistula arises from a clogged anal gland, followed by an infection in anal gland.
- An infection or trauma to anal region
- A surgery near the anus
- IBD or inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis.
- Inflammation in gastrointestinal tract, diverticulitis, tuberculosis and certain sexually transmitted infections like HIV or syphilis
- Radiation treatment of anal cancer
Further complications Of Anal Fistula if mistreated or left untreated.
- Recurrence of abscess is possible and more chances of developing a complex fistula.
- Surgical treatment may result in faecal incontinence that is inability to hold stool.
- Cellulitis or the skin infection.
Prevention and helpful tips to avoid further deterioration.
- Never Dry or suppress Fistulas!
- Avoid all refined carbohydrates, processed foods and sugar
- High-fat Dairy products as they are harder to digest and can cause stomach ailments.
- Fast, Fried, Salty and Spicy foods specially with chilli powder.
- Red meat.
- Alcohol and Caffeinated beverages.
- Good anal hygiene: Gently clean the anal area with mild, unscented soap and water after bowel movements. Avoid using rough or scented toilet paper.
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