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What is Fistula?

An abscess that develops near the anal mucosal tissues can gradually expand and worsen over time. If left untreated, it may eventually break through the skin, forming an infected tunnel between the skin and the anus, leading to an anal fistula.
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Identifying the Signs

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Discharge of pus or blood from an opening near the anus

Pus or blood discharge near the anus indicates an anal fistula, caused by an infected anal gland forming an abscess that drains, creating a tunnel.

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Recurrent infections or abscesses in the same area

Recurrent abscesses indicate an anal fistula, causing pus buildup, swelling, pain, and persistent discomfort

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Low-grade fever and general malaise

Low-grade fever, malaise, fatigue, and weakness indicate an anal abscess or fistula, resulting from infection, systemic inflammation, and the body’s immune response.

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Pain or discomfort while sitting, painful bowel movements, and possible bleeding

Pain, bleeding, and discomfort while sitting or during bowel movements indicate anal issues

 

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Persistent pain around the anus and skin irritation

Persistent anal pain and irritation may signal fissures, fistula, hemorrhoids, or abscesses from infection or inflammation

 

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Swelling, redness, and tenderness near the anus

Swelling, redness, and tenderness near the anus indicate an anal abscess or fistula, causing pain, discomfort, and inflammation, especially during sitting or bowel movements

Types

Anal Fistulas

  • Anal Fistula – Forms between the anal canal and skin near the anus, causing discharge.

  • Rectovaginal Fistula – Connects the rectum or anus to the vagina, leading to infections.

  • Colovaginal Fistula – Develops between the colon and vagina, causing discomfort and leakage.

Intestinal Fistulas

  • Enteroenteric Fistula – Forms between two intestinal segments, disrupting normal digestion.

  • Enterocutaneous Fistula – Links the intestine to the skin, causing leakage.

  • Colocutaneous Fistula – Connects the colon to the skin, leading to discharge and infections.

Urinary Tract Fistulas

  • Vesicovaginal Fistula – Links the bladder and vagina, causing continuous urine leakage.

  • Urethrovaginal Fistula – Forms between the urethra and vagina, leading to urine passage through the vagina.

  • Vesicouterine Fistula – A rare connection between the bladder and uterus, sometimes causing urine leakage.

Miscellaneous

  • Enterovesical Fistula – Links the intestine to the bladder, causing UTIs and gas or fecal matter in urine.

  • Gastrocolic Fistula – Forms between the stomach and colon, leading to diarrhea and malnutrition.

  • Bronchoesophageal Fistula – Connects the esophagus and bronchi, causing coughing while eating and lung infections.

Causes

Crohn's disease or other inflammatory bowel diseases

Fistulas form abnormal organ connections, strictures narrow intestines, abscesses cause infection, malnutrition affects absorption, and inflammation raises colon cancer risk.

Infections in the Anal Area from Sexually Transmitted Diseases (STDs)

Protection reduces risk, screening ensures early detection, and treatment manages infections.

Surgery or Radiation Treatment for Anal Cancer

Anal cancer treatment includes radiation, chemotherapy, and sometimes surgery. Local resection removes small tumors, preserving anal function in early stages.

Previously Drained Anal Abscesses

An anal abscess is a painful pus-filled infection near the anus, often caused by blocked glands or bacteria. If untreated, it can lead to complications like anal fistulas, recurring infections, swelling, fever, and discomfort during bowel movements, requiring medical attention.

Trauma or Continuous Pressure on the Anal Area

Haemorrhoids: Swollen anal veins. Anal Fissures: Painful tears. Abscesses & Fistulas: Infections with pus. Pelvic Floor Dysfunction: Weak muscles affect bowel control.

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