An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

Pain- Constant pain which gets worse when sitting down
Irritation around the anus, like swelling, redness and tenderness
Discharge of blood or pus
Constipation or pain while evacuation
Fever
Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.
Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

Fistula-in-Ano or Anal Fistula - How It Can Be Treated?

There are glands inside the anus that secrete fluids. Sometimes these glands can get clogged. Pus builds up in the blocked clogs, which get infected. This is called an abscess. Unless the abscess is treated right away, it will keep growing. It eventually punches a hole through the skin near your anus to drain the infected tissues and pus. This tunnel that leads from the gland to the hole is called a fistula.

Usually, it is an abscess that causes a fistula. But sometimes a fistula can be caused by tuberculosis, a bowel illness or sexually transmitted diseases.

What are the symptoms of anal fistula?

The symptoms of anal fistula are-

  Pain while sitting down
  Soreness around the anus
  Swelling and redness
  Bleeding
  Painful defecation
  Fever
  Foul secretion from a hole near your anus

How is fistula diagnosed?

If you complain of any of the above symptoms, a doctor will perform a physical examination on you.

Sometimes a physical examination does not reveal a fistula because the fistula can close for a while and then open up again. So then your doctor might ask you to get the following tests done-

  A blue dye test
  Computerized tomography (CT Scan)
  Anorectal ultrasound
  Colonoscopy.

Treatment for anal fistula

Unfortunately, there are no medicines that can treat fistula. If you are diagnosed with fistula, you will require surgery. However, it is a minimally invasive surgery with no risks involved.

The surgery is performed under general anaesthesia. A fistula surgery can be done in the following ways-

  If the fistula is located beneath the sphincter muscles, the surgeon cuts the fistula open so that it can heal and new healthy tissues can develop there.
  If the fistula passes through the upper part of the sphincter muscles, then the surgeon runs a special stitch through the fistula (seton stitch) so that the fistula can drain properly and heal. It takes 6 weeks for the pus to drain and the wound to heal
  Sometimes, a doctor will simply plug the fistula so it does not seep pus.

General and specific complications of a fistula surgery

Though it is a safe surgery, some complications may arise, but rarely. These may be general or specific.

General complications-

  Bleeding and pain
  Scarring around the region of the surgery

Specific complications-

  Pain while urinating
  The involuntary passing of wind or lose faeces

An anal fistula is a painful condition that refuses to go away and the only way to cure it is surgery.

Can Medication Treat Anal Fistula? Find Out!

The urinary tract starts from the kidneys to the urethra where urine is passed out. Given the rich concentration of minerals and toxic wastes, it is highly prone to multiple infections. UTI, as urinary tract infections are often referred to, is one of the most common infections. In women, especially, every 1 in 2 women is affected by an UTI. Whichever part of the tract is affected, the symptoms and treatment are mostly the same. Read on to know some of the most common symptoms and treatment options for these.

Symptoms

A burning sensation with urination
Pain with urination
Burning sensation or pain in the urethra or vagina
Frequent urge to urinate, though not much urine is passed out
Sense of incomplete emptying of the bladder
Pain in the lower back on the sides of the spine
Change in the urine characteristics color, smell, or appearance
Fever or chills, maybe associated with shivering, nausea and vomiting
Causes

Most urinary tract infections are bacterial in nature, and these could find their way into the body through multiple ways.

The most common is through the urethra, which could happen due to unclean toilet habits.
Women especially are advised to wipe the urethra after each toilet visit. The bacteria from the feces can also enter the urethra due to close proximity
Use of unclean public toilets is another reason for UTIs
Tests

Though most often UTI does not require specific testing, the following are useful in confirming the diagnosis.

Culture and sensitivity: The urine is sent for a culture to identify the exact organism that has caused the infection. It also helps identify the right antibiotic which will help bring the infection under control.
Treatment:

UTIs are very common infections and though there is nothing to worry, it should be cleared completely.

Antibiotic course to get rid of the infection. Though you begin to feel better, the complete course should be completed to clear the infection.
Following culture testing to ensure the infection is cleared
Improve water intake to get rid of the toxins
Fever and pain to be controlled with medications
Healthy hygiene habits to ensure clearing of infection
Prevention:

Recurrent UTIs is a common problem, and the following can help prevent.

Ensure complete emptying of the bladder
Drink adequate water
Safe toilet habits, including before and after sex
Comfortable and clean underwear to prevent infection

Urinary Tract Infection - 8 Signs You Are Suffering From It!

Research has shown that nail paint contains chemical substances that can be harmful to the body. These chemicals can enter the body through the pores of the nails. The health eradication is applicable for people who are applying on their nails and salon workers who apply nail art to their clients, day in and day out. Here is one must know before applying the beautiful shades of color on the nails:

What are the harmful agent present in nail paint?
There are three dangerous industrial chemicals that are mixed with nail paint that is dibutyl phthalate, toluene, and formaldehyde. Owing to their notorious health implications, these chemicals are known as toxic-trio. Toluene is used as a solvent in nail polish that aids smoother finish and holds the pigment together from separating inside the bottle. It, however, affects the reproductive system and the central nervous system. Similarly, dibutyl phthalate and formaldehyde can cause a problem in breathing, internal hemorrhage etc.

Health Hazards: Regular to health care products-nail paint, in particular, can have a wide range of health implication. From skin irritation to an eye injury, allergic reaction to breathing problems once can face a lot of problems that are totally uncalled for. Research also indicate that regular exposure to nail paint crop up neurological problems, impair the process of body development, affect the reproductive system etc. Research conducted by the Cancer Prevention Institute, California showed that there is an increased risk of cancer for people who work at beauty care salon due to their increased exposure to beauty products.
Problems related to pregnancy: Frequent nail paint can lead to a premature pregnancy. Some other problems related to pregnancy include undersized babies, spontaneous birth of the baby and preterm delivery. There have been too many instances of failed pregnancies witnessed among beauty salon workers. Some other symptoms that are related to mail paint exposure that is seen during pregnancy include chronic headaches, very low appetite, lethargy etc.
Way forward: It is evident that nail paint can pose a serious threat to women in general. The best way to go forward is to choose a nail paint that has a low toxicity rating- preferably within 2. This can be a little challenging since most beauty products do not portray the toxicity rating. If the latter is not mentioned in the body of the product, go for a product, that states the absence of chemical product. Organic nail paints can be the best alternative to address the challenges of conventional nail paint.
However, the availability of organic nail paint is still a challenge. Not many companies sell it, the consumer base for these beauty products are thin as well.

Nail Paints - 3 Reasons You Must Stop Using Them!

We grow up thinking of our nails as dead cells and pay attention to them only to trim them once a week. If you re a woman, this might extend to painting them in different hues. However, the shape, texture and natural colour of your nails along with the rate at which they grow says a lot about your overall health.

Homeopathy is an effective way of treating nail disorders as it addresses the root cause of the problem. This form of treatment has negligible side effects and hence, can be used over a long period of time. However, homeopathy should never be used to self medicate. This is because a homeopathic prescription depends on the symptoms presented and the personality of the patient.

Here are a few changes in your nails that could be signs of health disturbances.

Horizontal ridges: White horizontal ridges across your nails are developed when there is a pause in the growth of the nail. They could be an indication of an injury or a symptom of a serious illness. These are also known as Beau s lines or Mee s lines. Beau s lines are developed due to psoriasis, diabetes, circulatory disease or a severe deficiency of zinc. Mee s lines can be a result of arsenic poisoning, malaria, leprosy, Hodgkin s disease or carbon monoxide poisoning.
Vertical ridges: This is a common sign of aging and is usually nothing to worry about. However, in some cases, it could be a sign of vitamin B12 or magnesium deficiencies.
Spoon nails: If the edges of your nails curve upwards and take on a spoon-like look, it could be a sign of anemia, excessive iron absorption, heart disease or hypothyroidism.
Pitted Nails: Dents or pits in your nails are usually a sign of psoriasis. It could also be a symptom of tissue disorders such as Reiter s syndrome or autoimmune diseases like alopecia areata.
Dark nails: If you notice dark,discoloured patches on your nails, consult a doctor immediately. This could be due to melanoma which is the most dangerous form of skin cancer.
Yellow Nails: Smoking and excessive use of acrylic nail polish are the two most common causes of yellow nails. However, if your nails are thinand crumbly along with being yellow, it could be a sign of a fungal infection. In rare cases, yellow nails could also be a sign of thyroid disorders, diabetes or psoriasis.
Clubbing: Nails that are enlarged and curved downwards are said to be clubbed. This is typically a sign of low levels of oxygen in the blood. It could also be symptom of lung disease, liver and kidney disorders, AIDS and inflammatory bowel disease.

Nails - Can They Indicate Any Illness?

If you are living with bipolar disorder then you will need a combination of skills to successfully combat each day of your life. Educating yourself about the disorder is the first step, however, there are certain tips that can come in handy on numerous occasions. 

Here are 5 tips that will really help you out:

Educate yourself about the disorder: The first thing you need to do is educate yourself about the details of bipolar disorder. Find out about the symptoms, read about the causes and the diagnosis procedure and ultimately find out everything about the treatment. Your doctor will provide you all the information and suggest you all the required treatment procedures. However, don t try to self-diagnose and self-treat your disorder without an expert opinion.
Stay connected with your friends and loved ones: Isolation is not the best way to handle bipolar disorder. The more you isolate yourself the higher the risk of mood swings. This lack of connection will lead to depression and that should be avoided at all cost. So try to be as connected to the world as possible. Talk to your family members, hangout with your friends, spend time with people around you; and you will feel a lot better.
Track the symptoms: Keep a daily log of your moods, thoughts and behaviors. This is a fantastic way to track the symptoms of the disorder. This will be revealing in the end, as when you present them before the doctor, he/she will be able to easily diagnose your condition. Try to keep track of particular incidents that may trigger any stress and change in behavior and log the mood episodes that you may have experienced pertaining to those triggers.
Employ coping mechanisms: It is not always possible to call on your doctor or counselor, so try to develop your own coping mechanism with the help of your doctor or counselor. Your mood episodes are going to be spontaneous so the coping mechanisms should be kept in mind. It can be anything that induces calmness in you such as staying connected, happy thoughts, music and any other healthy habits that captures your interest and engages you in something else.
Create a crisis plan: Create a contact list that will include the people, serially, who should be contacted in case of an emergency or a crisis attack. If you feel like you are experiencing any symptoms then contact them for help. When you are out of control, you will not have much time, so it is also advised to keep emergency numbers on speed dial to get yourself hospitalized without any time loss. Add your loved ones to the emergency contact list.


Suffering from Bipolar Disorder - 5 Things That Can Really Help!

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