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An anal fistula is a small tunnel that forms between an abscess, or infected cavity, in the anus and an opening on the skin near the anus. The anus is the external opening through which feces are expelled from the body. Inside the anus, there are small glands that produce mucus. Occasionally, these glands can become blocked, leading to an infection in the anal region, which can result in an abscess and eventually a fistula.
The primary cause of an anal fistula is blocked anal glands, which can lead to anal abscesses. However, there are several other factors that can contribute to the development of an anal fistula, including:
Common symptoms of an anal fistula include:
If you notice any of these symptoms, it is crucial to seek medical attention immediately.
Anal fistulas are typically diagnosed through a physical examination of the area around the anus. Doctors will inspect the fistula tract, the opening on the skin, and try to determine the depth and direction of the tract. In most cases, drainage is observed from the external opening.
If the fistula does not show any visible signs on the skin, additional tests may be required, such as:
Most fistulas can be treated with over-the-counter medications. However, in some cases, minor surgery may be necessary. This can often be performed in local clinics, eliminating the need for a hospital visit.
Upon detecting a fistula, doctors may perform additional tests to rule out underlying conditions, such as Crohn’s disease. According to a study by WebMd, approximately 30% of people with Crohn’s disease develop fistulas. In some cases, a colonoscopy may be performed to further assess internal damage.
Most fistulas respond well to medication and surgery. Post-surgery, patients may be advised to soak the affected area in a warm bath, known as a Sitz Bath, to soften the stool. Stool softeners and laxatives may also be recommended for a week following the surgery.
To manage post-surgery pain, physicians may administer local anesthesia such as lidocaine and prescribe short-term painkillers. Medication is continued until the fistula has fully healed and there is no residual pain.
Depending on the location of the fistula, doctors may need to cut the sphincter muscle responsible for opening and closing the anus. While care is taken to avoid damaging the skin, bowel control may be temporarily affected post-procedure. However, with proper treatment and medication, this can be managed effectively.
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