Find numerous Internal Medicine Specialists in India from the comfort of your home on Lybrate.com. You will find Internal Medicine Specialists with more than 33 years of experience on Lybrate.com. Find the best Internal Medicine Specialists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Mohit Arora
Treatment of Headaches
Treatment of Fever
Treatment of Stomach Pain
Treatment of Body Weakness
Prevention & Treatment of Diabetes
Treatment of Cold Cough
Treatment of Acidity
Treatment of Bronchiectasis
Treatment of Chest Pain
Treatment of Thyroid Disorders
Treatment of Asthma
Treatment of Diarrhoea
Treatment of Dengue
Treatment of Nausea
Treatment of Sexual Weakness
Treatment of Penis Pain
Treatment of Alcohol Addiction Disorder
Treatment of Malaria
Treatment of Chickenpox
Treatment of Typhoid
Submit a review for Dr. Mohit AroraYour feedback matters!
Doctor, When I use any hair colour, I suffer from cold, running nose, itching in head, eyes gets red. So, what can I do now ?Which HairColour should I use ?Thanks
Hiv negative after 5 months by test it was (0.13)Is that possible to turn positive after 1 year or 2 year?
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.
- 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
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.
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.
In case you have a concern or query you can always consult an expert & get answers to your questions!