Anal Fistula Quiz
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Learn more about Anal fistula
Content updated on Jun 1, 2022
What is anal fistula?
This is a condition where a tunnel forms between the anus and the skin surrounding the anus. Patients are prone to recurrent infection of the area, and this is often associated with inflammatory bowel disease like Crohn's disease.
Symptoms of anal fistula
Hemorrhoids (piles) or a lump at the anus
Pain over the anus
Itching around the anus
Pus from around the anus or anus itself
Swelling of the affected area
Questions your doctor may ask to check for anal fistula
Your doctor may ask these questions to diagnose anal fistula
Do you have hemorrhoids (piles) or a lump at the anus?
Do you have anal pain?
Do you have itching of the anal region?
Do you have pus from around the anus or anus itself?
Is the affected area swollen?
Treatment for anal fistula
Surgery is usually required as they rarely heal on their own. Treatment of the underlying cause (e.g. bowel inflammation) is needed to prevent fistulas from returning.
View the symptoms of Anal fistula
Diseases related to Anal fistula
References
Limura E, Giordano P. Modern management of anal fistula. World J Gastroenterol. 2015 Jan 7;21(1):12-20. doi: 10.3748/wjg.v21.i1.12. PMID: 25574077; PMCID: PMC4284327.
https://www.wjgnet.com/1007-9327/full/v21/i1/12.htm
Mei Z, Wang Q, Zhang Y, Liu P, Ge M, Du P, Yang W, He Y. Risk Factors for Recurrence after anal fistula surgery: A meta-analysis. Int J Surg. 2019 Sep;69:153-164. doi: 10.1016/j.ijsu.2019.08.003. Epub 2019 Aug 7. PMID: 31400504.
https://www.sciencedirect.com/science/article/pii/S1743919119301931?via%3Dihub
Amato A, Bottini C, De Nardi P, Giamundo P, Lauretta A, Realis Luc A, Piloni V. Evaluation and management of perianal abscess and anal fistula: SICCR position statement. Tech Coloproctol. 2020 Feb;24(2):127-143. doi: 10.1007/s10151-019-02144-1. Epub 2020 Jan 23. PMID: 31974827.
https://link.springer.com/article/10.1007/s10151-019-02144-1
Seow-Choen F, Nicholls RJ. Anal fistula. Br J Surg. 1992 Mar;79(3):197-205. doi: 10.1002/bjs.1800790304. PMID: 1555083.
https://academic.oup.com/bjs/article-abstract/79/3/197/6172516?redirectedFrom=fulltext
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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan