A fistula is an abnormal, tube-like connection, a passage or hole that forms between two organs or an organ in your body and your skin. There are various types of fistulas that can develop in different parts of your body but the most common types are-

1. Obstetric Fistulas: This is the name given to a hole between the vagina and rectum or bladder. A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula and one that opens into the rectum is called a rectovaginal fistula. 

A woman with obstructed labour or labour that is not attended by a doctor or a midwife, can suffer labour pain for up to six or seven days. And as the labour produces contractions that push the baby s head against the mother s pelvic, the soft tissues between the baby s head and the pelvic bone are compressed and do not receive adequate blood flow between the mother s bladder and vagina and/or between the rectum and vagina.
This means that a hole forms on the vaginal wall between the urinary tract and her rectum. The urine and faeces thus start to leak from the vaginal opening causing soiling and foul smell.

Apart from labour, hysterectomies that damage the vaginal wall can also cause such types of fistulas.

Enterovaginal   A woman may have gas and foul smelling fluids leaking out of her vagina due to an enterovaginal fistula which is a hole between the vagina and the digestive tract. It s usually caused due to inflammatory bowel disease or IBD and ulcerative colitis.

2. Anal fistula

These are fistulas that form between the end of the bowel and skin near the anus.

An anal fistula usually develops due to a previous or current anal abscess. An anal abscess is an infected cavity filled with pus found near the anus due to an acute infection in the internal glands of the anus.

Common symptoms are:

Pain in the anorectal area
Swelling
Redness
Fever
Rectal bleeding
Urinary symptoms, such as trouble initiating urination or painful urination
Causes:

Inflammatory bowel disease   a chronic condition of the GI track which causes inflammation
Diverticulitis   An infection in the large intestine
Tuberculosis, HIV
Surgery near the anus
Anal abscess and likewise anal fistula are treated by surgical drainage in which an incision is made in the skin near the anus to drain the infection causing an anal abscess. Hospitalization may be required for patients who have impaired immunity like diabetics.

Anal fistula though has no medical treatment and surgery is almost always necessary to cure it.

If the fistula is straightforward which means one that involves minimal sphincter muscle, a fistulotomy may be performed. This involves cutting open the whole length of the fistula so it heals.
Seton is another procedure in which a surgical thread called a seton is placed in the fistula and left there to help it heal.

Different Types of Fistula and Treatments!

Mind your headaches (All about headaches)

Headaches and migraines are one of the most common types of pains that patients can face. There are many types of headaches that may afflict people and there are a number of reasons that can be attributed as their cause.

Let's look at some of the types of headaches and their causes:

Facial headaches

This is an ache, which is usually centered on the face, the crown, and the forehead. In this headache, movements of the head and face may also cause problems.

Causes: The main cause for facial headaches tends to be sinusitis, a condition in which the cavities in the skull get blocked. Sinusitis may also happen due to a cold as this has often been accompanied by a runny nose as well.

Treatments: The best treatment for this issue would be to treat the underlying condition, i.e. the cold or the blockages. Using the prescribed variety of decongestants and inhalers can vastly improve the situation.

Migraines

This is an intense pain on one side of the head that can last for a few hours to a few days. Most of the pain is sometimes centered behind the eye, and many people report extreme sensitivity to light as well as sound. It can be debilitating to some people who suffer from a severe form of it.

Causes: Migraines are one of the most complicated problems to diagnose and there can be a variety of reasons for it. Triggers may include food or lack of it and also be caused by other underlying physiological reasons.

Treatments: Although there are certain painkillers, which are available, it is best to consult a doctor to know the root cause and thus, avoid the triggers or take appropriate medicines if necessary.

Tension Headaches

These headaches are induced by periods of stress, anxiety, anger and other mental distresses.

Causes: These headaches are a result of stress, which may result in the decrease of the blood flow to the brain due to the stiffening of the head and neck muscles.

Treatments: Over the counter drugs such as paracetamol or ibuprofen can help improve them, but it is better to consult a physician before undertaking self-medication.

Cluster Headaches

These are the most potent form of headaches that can be very painful. They usually originate as a piercing pain in the head with pressure on the eye and can even lead eye inflammation, and watery and droopy eyes.

Causes: Certain neural functions originating from the hypothalamus can cause this issue and this type of headache may be triggered by alcohol, smoking or other forms of strong smells.

Treatments: Generic painkillers may not be able to correct the issue quickly enough and this may require the administering of special injections or nasal sprays.



All You Need To Know About Headaches

Cold sores are also known as fever blisters. They are surely not something a person would want to have. These sores occur on the face of the person or even inside his or her mouth. They are lesions which appear like blisters. There is a lot of pain which is caused by cold sores. Eventually, they end by bursting and then crusting over. But, what really causes cold sores to form?

The condition of cold sores is something that is attributable to the HSV, or the Herpes Simplex Virus. The type 1 variety of this virus is said to cause cold sores in the region around the mouth. The cause of contracting this form of the virus is that a person may have shared utensils with a person who has this strain or even shared towels.

Learning about the HSV
That being said, there is a possibility that cold sores could also be caused by the HSV Type 2 virus. This would be the case if the person with cold sores has had oral sex with a person who has been infected with genital herpes.

When it comes to the Herpes Simplex Virus, it can be said that managing the consequent issue that cold sores present is something which is quite challenging. This is because of the fact that a person may not even be aware that he or she has been infected by the virus on account of it lying dormant. 

In some people, an outbreak may occur once a year while in others it may occur with a much greater frequency. The point is that the occurrence of the outbreak may vary from person to person and a generalisation cannot be made. 

One of the things that have been noticed is that the likelihood of an outbreak is increased if a person is under sustained stress.
Sadness or an injury to the area can also worsen the prospects of a person who is hoping to go for as long a period without being plagued by cold sores.
In order to manage the outbreak of cold sores, advice from a person who is a qualified medical professional is something that is required. On their own, cold sores usually do not take more than 10 days to clear out. In order to reduce the likelihood of another attack, it is important to minimise an excessive exposure to sunlight and to be very careful at the times of seasonal changes. When it comes to the contagiousness of cold sores, the threat is the most when the cold sores are oozing.

Cold Sores - What Causes Them?

Food is a very important part of your life as it provides all the necessary nutrients required by your body and is essentially, the fuel for all things to function within. However, many people may have aversion to certain kinds of food as it causes adverse reactions within their body. Let s look at some of the common food allergies that people commonly report and how to identify them.

Allergies v/s Intolerances: It is important to note here that there is a significant difference between food sensitivities or intolerances and allergies. Sensitivities or intolerances cause adverse effects on your body inevitably when you consume certain types of foods. One such example is diarrhea, caused by ingesting cheese or milk by lactose intolerant people. However, allergies are caused when the immune system within your body mistakes harmless food as something that might harm you and thus tries to protect you from its effects. This results in reactions within your body which may be very painful and problematic.

Common foods that trigger allergies
Some of the common foods that trigger allergies are:
1. Peanuts
2. Shellfish
3. Other forms of tree nuts such as almonds, walnuts etc.
4. Gluten rich grains such as wheat, rye barley, oats
5. Certain types of fish
6. Eggs
7. Soy products
8. Milk (allergic reactions mostly occur within children)

Some other foods which have been known to cause allergies in rare cases are:
1. Meats such as pork, chicken, beef, mutton
2. Corn and corn products
3. Gelatin
4. Certain spices such as mustard, garlic and coriander among others
5. Certain seeds such as poppy, sunflower, or sesame

Symptoms of allergies
In certain cases, the allergies might manifest immediately, almost in a matter of minutes, within the body. However, in many cases, it may take a few hours for it to show up. The symptoms may range from mild to quite severe. Mild symptoms will make it quite hard to actually diagnose it as a food allergy.

Some of the milder symptoms could be:
1. Hives or eczema could form on your skin which may be very itchy. These would look like raised swollen areas that could be red, inflamed, and dry.
2. The inside of your mouth and ears may become itchy
3. You could suddenly develop a runny or a blocked nose and start sneezing or coughing.
4. Your eyes may become watery, red and itchy
5. You may develop a funny taste in your mouth
6. Others symptoms may include throwing up and even loose motions

Other severe forms of allergies can be caused mostly by shellfish and peanuts and other forms of nuts and fish. Symptoms in such cases would look like:
1. Uneven heartbeat
2. Difficulty in swallowing and breathing
3. Feeling of extreme weakness, confusion
4. Passing out or feeling light headed
5. The tongue, throat or lips may swell up
6. Chest pain

Common Foods that Can Trigger Allergy

Pelvic pain is most common in women, though sometimes it occurs in men as well. There is absolutely no reason why pelvic pain cannot be treated and therefore women need not panic. if they are experiencing such pain. The treatment of any pain can be done methodically after discovering its cause. Thus, before jotting down the treatments for pelvic pain, it is important to explore the reasons that cause pelvic pain in women.

Reasons for pelvic pain

Reproductive organs in women play an important part in causing pelvic pain. The reproductive organ is complex when it comes to women and many small or big problems there might end up leading to pelvic pain.
Any urinary infection or bladder irritation might also lead to pelvic pain.
The nerves and muscles of the abdomen may cause pain in the pelvis area as well. In fact, the nerves and muscles are very tender near the pelvis area and care should be taken so that one does not strain them or pull the ligaments. This can cause severe pain.
Another interesting point to be noted is that sometimes even after going through a lot of examinations, no causes of pelvic pain are found. In such cases, it is understood that the pelvic pain is a manifestation of the remains of a long-forgotten injury or accident.
It has been examined and found out that physical abuse can at times lead to chronic pelvic pain. Though this link has not yet been understood properly, it is seen to be true.
Treatments for pelvic pain

The most basic treatment is to apply a heating pad on the affected area. The heat helps in relaxing the muscles and nerves thereby, lessening the pain. However, this would reduce the pain, but cannot make it disappear in a day. Thus, it is a continuous process for a week or 10 days until the pain recedes.
Relaxation techniques like meditation, breathing exercises, yoga and even muscle exercises like jogging help in reducing the pain. However, this should be done under guidance. One wrong move can actually aggravate the pain instead of lessening it.
Then there are painkillers which are non-steroidal and help in lessening the pain. Painkillers have a correct dosage and must be taken only after consulting a doctor. Self-medication in such cases can prove disastrous.
At times, when all medications fail, surgery is the last resort.
Thus, these are some of the treatments that can be undertaken if and when you are experiencing pelvic pain. All these are connected to the root cause and must be followed only under medical supervision.

Pelvic Pain - 4 Ways It Can be Treated

Think you may be constipated? For somewhere in the range of, a bowel development each other day is totally ordinary (however, Ayurveda would at present prescribe a few methodologies to expand consistency). For others, only one day without a bowel development is a certain indication of clogging. Likewise with most things in Ayurveda, the setting of every person (and his or her experience of the circumstance) is significantly more critical than any one-size-fits-all meaning of what is healthy or typical.

The Ayurvedic Perspective
As indicated by Ayurveda, blockage happens when vata's cool and dry qualities irritate the colon, repressing its appropriate working. The remedy is to include warmth, oil, and hydration to the framework with a specific end goal to counter the overabundance vata. The accompanying procedures particularly counter vata's cool and dry qualities and can be exceptionally useful in supporting the arrival of ordinary bowel movements.

Drink Lots of Warm or Hot Water and Herbal Tea: Drink no less than 80 ounce of water or natural tea every day. Warm and hot liquids are best since they adjust vata's frosty quality. It's additionally imperative to drink the larger part of these liquids far from dinner, no less than 20 minutes prior, or 1 hour in the wake of eating.
Expand the Quantity of Organic Oils in Your Diet: Top notch oils grease up the tissues so that a fitting measure of oil or fat can stay in the stool. While most oils are for the most part steady, the best oils for vata are sesame oil, ghee and olive oil.
Eat Plenty of Fruit: Natural product is hydrating, sinewy and for the most part assuaging to vata. Particularly strong decisions incorporate ready bananas, peeled apples, drenched raisins, doused prunes, and peaches. Be certain to eat the organic product no less than one hour before or after different sustenance and bite them altogether to get the most extreme advantage.
Drink Some Fruit Juice: Pineapple squeeze and prune juice are especially viable at moving abundance vata in the colon. It is likewise fine to warm or weaken natural product juices with water.

Proper Bowel Movement - Easy Ayurvedic Remedies for it

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