Fistula

Expert Care for Anal Fistula

An anal fistula is an abnormal tunnel that develops between the inside of the anus or rectum and the skin around the anus. Proper diagnosis and timely treatment can help manage symptoms and prevent complications or recurrence.

What is Fistula?

An anal fistula is an abnormal passage or tunnel that connects the anal canal or rectum to the skin near the anus. It commonly develops following an infection or abscess around the anus and may cause persistent discharge, irritation or discomfort.

Symptoms

  • Pain or discomfort around the anus
  • Persistent or recurring pus-like discharge
  • Skin irritation or redness around the anus
  • Swelling or tenderness near the anal region
  • A small opening or lump near the anus
  • Recurring anal abscesses
  • Fever or feeling unwell in case of infection

Causes

An anal fistula most commonly develops after an infection causes an abscess near the anus. When an abscess does not heal completely, an abnormal tract may form between the infected area and the skin. Other conditions affecting the anal or intestinal region may also contribute to fistula formation.

Risk Factors

Previous anal abscess
Recurring anal infections
Inflammatory bowel conditions
Previous surgery or injury around the anal region

How is it Diagnosed?

Diagnosis usually involves a detailed medical history and physical examination of the anal region. Depending on the location and complexity of the fistula, your doctor may recommend additional examinations or imaging tests to identify the fistula tract and plan appropriate treatment.

When Should You See a Doctor?

Consult a doctor if you experience persistent pain, swelling, pus or blood-like discharge around the anus, a recurring lump, or repeated anal abscesses. Early evaluation can help determine the extent of the fistula and allow timely treatment.

Treatment Options

Treatment depends on the location, complexity and severity of the fistula. Depending on the condition, your doctor may recommend drainage of an abscess, minimally invasive procedures or surgical treatment to address the fistula tract and reduce the risk of recurrence.

Abscess Drainage

If an abscess or active infection is present, drainage may be required to control the infection and relieve pressure.

Medications

Medicines may be prescribed to manage infection, inflammation, pain and other associated symptoms.

Minimally Invasive Procedures

Suitable minimally invasive procedures may be considered depending on the fistula's location and complexity.

Surgical Treatment

Surgery may be recommended to treat the fistula tract and help achieve long-term healing while protecting normal anal function.