An anal fistula is an abnormal channel that develops between the skin near the anus and the inside of the anal canal. It usually forms as a result of an infection that starts in an anal gland, which then spreads to surrounding tissue and creates a tunnel or tract that may fill with pus or other fluid.
Some common causes of anal gland infections that can lead to fistulas include:
- Crohn’s disease – a chronic inflammatory bowel disease that can affect the digestive tract and other parts of the body, including the anus.
- Constipation or diarrhea – these conditions can put pressure on the anal glands and lead to inflammation and infection.
- Sexually transmitted infections (STIs) – infections such as gonorrhea or chlamydia can lead to anal gland infections.
- Trauma or injury to the anus – such as from anal sex, childbirth, or other physical trauma.
- Cancer or tumors in the anal area – these can sometimes cause inflammation or infection in the anal glands.
ANAL FISTULA SIGN
- Pain or discomfort around the anus, especially during bowel movements
- Swelling, redness, or tenderness around the anus
- Drainage of pus or other fluids from the anus or the skin around the anus
- Itching or irritation around the anus
- Fever or chills, if an infection is present
ANAL FISTULA CAN RESOLVE
Treatment options for an anal fistula may include:
- Fistulotomy – surgical removal of the fistula tract
- Seton placement – placement of a small rubber band or suture to keep the fistula open and allow it to drain
- Fibrin glue injection – an adhesive substance is injected into the fistula to seal it closed
- Ligation of the intersphincteric fistula tract (LIFT) – a procedure that involves cutting and removing the fistula tract
The specific treatment approach depends on the location, size, and complexity of the anal fistula, as well as the underlying cause. With appropriate treatment, many people are able to recover from an anal fistula and experience resolution of their symptoms. However, it is important to follow your healthcare provider’s recommendations for follow-up care to ensure that the fistula has healed completely.
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