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Anal Fistula

Anal Fistula may occur due to various causes like chronic inflammatory bowel disease or Anal abscess - collection of pus or Tuberculosis bacterial infection or injury to the anal region or tumors in the anus or insertion of a foreign object into the anus or congenital anomalies.

Symptoms of anal fistulas include:

  • Pain or discomfort around the anus
  • Drainage of pus or blood from the anus
  • Swelling or redness in the anus area
  • Formation of skin tags near the anus
  • Recurrent anal abscesses
  • Bowel incontinence
  • Pain during bowel movements
  • Foul-smelling discharge from the anus

Importance of seeking medical attention for proper diagnosis and treatment for Fistula:

  • Accurate diagnosis - A doctor can accurately diagnose a fistula through a physical examination, imaging tests, and sometimes a biopsy.
  • Monitoring - Regular follow-up appointments with a doctor can help monitor the fistula and ensure that it is healing properly. If any issues arise, a healthcare provider can adjust the treatment plan as needed.
  • Prevention - By seeking medical attention for a fistula, a person can reduce their risk of developing complications and prevent the fistula from becoming worse.

Treatments for Anal Fissure:

Ayurvedic Treatment:

Ayurvedic treatment offers several herbal remedies for the treating of anal fistula including Sitz baths, Guggulu, Triphala, Neem, turmeric, Hot compresses, etc..

These remedies are not scientifically proven to be effective for the treatment of anal fistula and there is limited scientific evidence to support their use. If you are considering using herbal remedies for anal fistula it is important to speak with an Ayurvedic practitioner to ensure that it is safe and appropriate for your individual case.

Surgical Treatment for Anal Fistula:

  • Fistulotomy common type of surgery to treat Anal fistulas
  • Seton placement - a seton is a surgical thread that is left in place for a period of time to help drain the fistula and promote healing.
  • Fistula plug procedure - this procedure involves using a biodegradable plug to fill the fistula and promote healing.
  • Ligation of the intersphincteric fistula tract (LIFT) procedure - this procedure involves sealing off the internal opening of the fistula and promoting healing from the inside out.

There are minimally invasive procedures available for treating anal fistula

  • Laser Treatment
  • Radiofrequency therapy
Answered by our Specialists

Frequently Asked Questions


An anal fistula is a small channel that forms between the anus and the skin, usually as a result of an infected anal gland.

An anal fistula is typically diagnosed through a physical examination, anoscopy, MRI or CT scan, and sometimes a biopsy.

Treatment options for an anal fistula include medical therapy with antibiotics, surgical intervention such as fistulotomy or seton placement, minimally invasive procedures, and herbal remedies in some cases.

It is not always possible to prevent anal fistulas, but taking steps to maintain good hygiene and seeking prompt treatment for anal abscesses can reduce the risk of fistula formation.

An anal fistula can cause discomfort and pain, and in some cases, can lead to serious complications such as bowel incontinence. However, with prompt and appropriate treatment, most people are able to manage their condition effectively.

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