Lybrate.com has a number of highly qualified Proctologists in India. You will find Proctologists with more than 43 years of experience on Lybrate.com. You can find Proctologists online in Kalol and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Ravi Patel
Submit a review for Dr. Ravi PatelYour feedback matters!
Nice and systemetic work
I am suffering from thyroid. And weight is too much so can I reduce my weight and which medicine can give me a slim body.
I have been having blood in stool since June this year. It occurred thrice between June till yesterday. It again started bleeding since morning. What should I do?
I have 3 questions My thyroid hormone has increased from normal limit. Doctors say to have a tablet for whole life. Pl suggest me Ayurveda treatment for this. treatment for high cholesterol Treatment for Good Eye sight.
I am suffering from hyper Thyroid. My T3 is 343, T4 is 17 and TSH is less than 0.01.l have not yet started any medicine. My throat has a swelling in low intensity since last 7 months. I have also gas problem. Please advice me what medicine I will take and any restrictions in my diet. I am 42 year old from Bhubaneswar. I was 65 kg in jan 17, now I am 56 kg.
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!