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Suggest Treatment For An Anal Fistula
Question: I have an anal Fistula had surgery two weeks ago every app says I'm in the screw shoes paying right now should I go to the ER
Yes, go to ER to see if there is any possible complication!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I also have disease I had lots of surgeries on this fistula it just keeps reoccurring and I'm in so much pain right now I don't know if I should go to the art my doctor is unreachableCrohn's
Brief Answer:
Go for latest surgeries.
Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
I am Dr Kumar a Gastroenterologist and would be answering your query.
Before coming to your query let me give you some briefing about your problems this will help you deal in understanding the cause of your problem.
As per the standard medical literature upto 50% of abscesses may re-present as another abscess or as a XXXXXXX fistula with in a year of treatment.
XXXXXXX says-"Despite proper treatment and apparent complete healing, fistulas can potentially recur, with recurrence rates dependent upon the particular surgical technique utilized."
So as said above more then 50% chancess of recurrence are always there with fistula.As normal surgery is not helping you i would suggest you to go for advance treatments like-
Ligation of intersphincteric fistula tract procedure-As per NCBI this new technique This technique is based on the concept of secure closure of the internal opening and concomitant removal of infected cryptoglandular tissue in the intersphincteric plane. Reports from Chulalongkorn University have described a novel technique called LIFT for the treatment of recurrent anal fistulae. A success rate of 95% was reported in the treatment of 18 patients.For you to understand the main use is that this technique prevents the entry of fecal material into the fistula tract and eliminates the formation of a septic niduscause of recurrent infection) in the intersphincteric space to allow healing of the anal fistula permanently.
Recently, cell therapy for an anal fistula has been described. Adipose-derived stem cells have two biologic properties, namely, ability to suppress inflammation and differentiation potential. These properties are useful for the regeneration or the repair of damaged tissues. Mesenchymal adult stem cells extracted from certain tissues, such as adipose tissue, can differentiate into various types of cell. phase I clinical trials show that adipose-derived stem cells are safe for the treatment of a fistula in Crohn's disease.They reported that fistula healing was observed in 71% .
You are in united states the best place for new surgeries you should go for further treatment at a higher centre and should consult a Colorectal surgeon.
You have not mentioned till date what surgeries had been performed on you and has a MRI been done to see the tract of fistula.
Please attach al relevant documents i want to go through them.
You should take the advice seriously because recurrent fistula contains pus.Pus is a thick, whitish to yellowish material composed primarily of dead cells that generally forms as a byproduct of bacterial infections. The inflammatory cells that participate in the body’s immune response at the site of an infection eventually degrade and die, creating the substance known as pus. When pus forms within enclosed spaces in the tissues, it causes abscesses.Formation of pus with pain indicate active bacterial infection.Agony is that antibiotics are not effective if pus formation is there.Only thing which can help apart from surgery is Draining pus regularly from abscess.
Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and the perianal skin,In a lay mans language it is breach of external skin and this breach results in direct communication of your anal canal with external enviroment and pathogens.It can be a potential source of infection if left untreated.Its just like a open wound where skin is breached this break in the skin provides a route for the germs to travel from the outside to the inside.
Even the pus inside the fistula can spread further leading to formation of multiple tracts and several opening in the skin around the anus. This makes the fistula more complex and further difficult to treat.
There is a risk, though low, of cancer formation in the long standing Anal Fistulas. Therefore, recuurent painful Fistulas should always be treated at the earliest.
If some how the bacteria's come in contact with blood this may result even in life threatening condition like Sepsis also.Mortality rate of patient landing up in shock due to sepsis is as high as 90%.
I hope you understand the intensity of problem.
Hope i answered your query in detail.
In case you need any other help feel free to ask.
Good luck.
Go for latest surgeries.
Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
I am Dr Kumar a Gastroenterologist and would be answering your query.
Before coming to your query let me give you some briefing about your problems this will help you deal in understanding the cause of your problem.
As per the standard medical literature upto 50% of abscesses may re-present as another abscess or as a XXXXXXX fistula with in a year of treatment.
XXXXXXX says-"Despite proper treatment and apparent complete healing, fistulas can potentially recur, with recurrence rates dependent upon the particular surgical technique utilized."
So as said above more then 50% chancess of recurrence are always there with fistula.As normal surgery is not helping you i would suggest you to go for advance treatments like-
Ligation of intersphincteric fistula tract procedure-As per NCBI this new technique This technique is based on the concept of secure closure of the internal opening and concomitant removal of infected cryptoglandular tissue in the intersphincteric plane. Reports from Chulalongkorn University have described a novel technique called LIFT for the treatment of recurrent anal fistulae. A success rate of 95% was reported in the treatment of 18 patients.For you to understand the main use is that this technique prevents the entry of fecal material into the fistula tract and eliminates the formation of a septic niduscause of recurrent infection) in the intersphincteric space to allow healing of the anal fistula permanently.
Recently, cell therapy for an anal fistula has been described. Adipose-derived stem cells have two biologic properties, namely, ability to suppress inflammation and differentiation potential. These properties are useful for the regeneration or the repair of damaged tissues. Mesenchymal adult stem cells extracted from certain tissues, such as adipose tissue, can differentiate into various types of cell. phase I clinical trials show that adipose-derived stem cells are safe for the treatment of a fistula in Crohn's disease.They reported that fistula healing was observed in 71% .
You are in united states the best place for new surgeries you should go for further treatment at a higher centre and should consult a Colorectal surgeon.
You have not mentioned till date what surgeries had been performed on you and has a MRI been done to see the tract of fistula.
Please attach al relevant documents i want to go through them.
You should take the advice seriously because recurrent fistula contains pus.Pus is a thick, whitish to yellowish material composed primarily of dead cells that generally forms as a byproduct of bacterial infections. The inflammatory cells that participate in the body’s immune response at the site of an infection eventually degrade and die, creating the substance known as pus. When pus forms within enclosed spaces in the tissues, it causes abscesses.Formation of pus with pain indicate active bacterial infection.Agony is that antibiotics are not effective if pus formation is there.Only thing which can help apart from surgery is Draining pus regularly from abscess.
Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and the perianal skin,In a lay mans language it is breach of external skin and this breach results in direct communication of your anal canal with external enviroment and pathogens.It can be a potential source of infection if left untreated.Its just like a open wound where skin is breached this break in the skin provides a route for the germs to travel from the outside to the inside.
Even the pus inside the fistula can spread further leading to formation of multiple tracts and several opening in the skin around the anus. This makes the fistula more complex and further difficult to treat.
There is a risk, though low, of cancer formation in the long standing Anal Fistulas. Therefore, recuurent painful Fistulas should always be treated at the earliest.
If some how the bacteria's come in contact with blood this may result even in life threatening condition like Sepsis also.Mortality rate of patient landing up in shock due to sepsis is as high as 90%.
I hope you understand the intensity of problem.
Hope i answered your query in detail.
In case you need any other help feel free to ask.
Good luck.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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