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Anal Fissure Health Feed

What Is Fistula In Ano?

Dr. Gaurav Bansal 91% (2227 ratings)
MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
What Is Fistula In Ano?


What is Fistula in Ano?

A fistula-in-ano is an abnormal tract with an external opening in the perianal area that is communicating with the rectum or anal canal by an identifiable internal opening. Most fistulas are thought to arise as a result of cryptoglandular infection with resultantperirectal abscess.

Treatment of anal fistulas depends on their location and complexity. When considering surgery, the ultimate goal is to protect the sphincter muscle and prevent recurrence of an anal fistula

LIFT (ligation of internal fistula tract) technique is yet another approach in treating a fistula-in-ano.

The Technique

LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach. The LIFT technique is often performed for complex or deep fistulas. The procedure allows surgeon to access the fistula between the sphincter muscles and avoid cutting them.

  1. Minimally invasive procedure for fistula in ano
  2. Very liitle risk of incontinence
  3. Very little risk of recurrence
  4. Safe and effective method of treatment
  5. No need of repeated dressing
  6. No scarring of tissue
  7. Early return to work
  8. Minimal pain

Advise me medication for fissure which filled by the usage of cilacar 10 along with telmisartan and atorvastatin.

Dr. S K Singh 95% (750 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
You should take Sitz bath (Hot water tub bath) followed by application of Sushruta ointment and Lekhan Powder in anal passage 2-4 times daily. Put 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel movement; you should take one tea spoon of Sushruta Churna with warm water in night. To get these medicines and for further support and appointment; you may call reception at Sushruta Ano Rectal Institute.
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I have fissure and got injection from Colorectal surgeon yesterday. Dr. Prescribed ofloxacin200 to which I am allergic. please suggest substitute for this antibiotic.

Dr. S K Singh 95% (750 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Injection (Sclerotherapy) is advised for 1st stage internal Piles not for Fissure. Regarding substitute for ofloxacin you should consult your treating doctor.
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Sir, I had anal fissure shall I use piles ointment I had bleeding and sharp pain doing passing stool.

Dr. Anuj Sharma 84% (466 ratings)
MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Sitz bath, soft diet, ointment like cremagel and plenty of fluids orally will help in acute fissure for chronic fissure you need surgery.
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I had anal fistula. I have operated the fistula. Its been 2.5 months the wounded area is 85-90% healed and some amount of pus is still coming. Is this normal?

Dr. Adnan Mattoo 92% (257 ratings)
MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy
General Surgeon, Srinagar
A fistula takes time to heal depending upon the extent of the problem and how extensive the surgery was. You can wait and watch for one more month. But if it persists then have a second opinion as perianal fistulas are notorious for recurrance. Regards.
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Common Anorectal Diseases - Know Their Symptoms And Treatment Options!

Dr. Prafull Arya 89% (434 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Common Anorectal Diseases - Know Their Symptoms And Treatment Options!

Anorectal diseases, affect the rectum or the muscles surrounding the analregion. Some of these conditions can be difficult to live with, as the symptoms interfere with everyday life. Here is a look at two of the most common anorectal diseases, their symptoms, and their treatment.

Anal fistula
Anal fistula is an unnatural tunnel formation between the anus and a portion of the surrounding skin. It is usually caused due to an infection or blockage in the anal cavity. Here are some common symptoms associated with anal fistulas-

If you have anal fistula, you need to seek immediate treatment. Here are some forms of treatment used to manage the condition-

  1. No medication is able to treat the condition and surgery is the only available option.
  2. If the fistula is not too close to the anus, doctors will simply cut open the tunnel formed inside and let the body heal on its own.
  3. A plug may be inserted to close off the tunnel
  4. In some cases, a tube like instrument is inserted into the fistula tunnel to drain out the waste material prior to the surgical procedure.

Anal fissure
A small tear or cut in the lining of the anus is known as an anal fissure. Often, such a tear causes discomfort and bleeding during bowel movement. Its symptoms include-

  1. A tear near the anus, which is visible to the naked eye
  2. Sharp pain during bowel movement
  3. Burning or itching sensation in the anal region
  4. Bright red stools.

Here is a look at the treatment options open to you, if you suffer from anal fissure-

  1. Laxatives and stool softeners
  2. Changing the diet to include more fibrous foods
  3. Submerge your anus and affected region in warm water. This is known as a sitz bath.
  4. Nitroglycerin ointment is applied to the tear to increase blood flow to the area.

Consult a surgeon immediately if you notice signs of either of these disorders near your anal region. The doctor will advise you regarding the treatment.

1904 people found this helpful

Sir I am suffering from annul fissure from 2 years at 11 'o clock position of the rectum. Some times it is bleeding when stool become harder. I have to take almost regular lactulose solution to keep soft my stool. I regularly use Sucral Anno cream and Diltiazem gel before bowl movement and after having sits bath with worm water adding povidone iodine solution. But have their any side effect to use those drugs? And I know as soon as I stop using them my stool become harder and its started bleeding. How can I get rid off from these? I am 27 years old man. Please help Sir.

Dr. S K Singh 95% (750 ratings)
M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Anal fissure problem can be conveniently treated by Graded Kshar Karma. In this treatment a specialized Ayurvedic medicine is applied in fissure region. This medicine debrides the fissure and induces healing. Graded Kshar Karma sittings are repeated at week or 10 days interval till fissure heals completely. Pain associated with Anal Fissure usually subsides a week or 10 days time period while for complete healing of fissure 3-5 Graded Kshar Karma sittings might be necessary. Now you should continue Sitz bath 2-4 times a day followed by application of anesthetic gel and then Sushruta ointment and Lekhan Powder in anal canal. Put 5 ml of Sushruta oil in anal passage in night. For easy evacuation of bowel; you should take 1 tea spoon of Sushruta Churna with warm water in night. To get these medicines and for further support and appointment; you may call reception at Sushruta Ano rectal Institute.
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Hi, I have a problem I have some skin in shape of pimple on the perineum (around anus. I have no pain over there but sometimes it feels itchy. I have this from almost 1.5 year. Is there something to worry.

Dr. G.R. Agrawal 97% (22457 ratings)
DHMS (Hons.)
Homeopath, Patna
Hi, Lybrate user, Take, plenty of water to hydrate your body. Your diet be easily digestible on time. Tk,homoeopathic medicine:@ AzadirechtaQ -10 drops, thrice with little water. Avoid, junk food, alcohol and Nicotine. Take care.
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Blood came from anus when I excreted. It was painless. And after I did I do not feel any pain. I never suffered from constipation or fever before this day. I am still feeling healthy and nothing disease.

Dr. Jayvirsinh Chauhan 97% (16712 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Hello Rajat.. Usually internal piles are not painful initally... You can consult me at lybrate for homoeopathic treatment.
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