Anal Fistula

Anal fistula refers to a narrow channel that forms an abnormal communication between the anus and the skin surrounding it. It forms as a result of recurrent anal abscesses or infections, resulting in the collection of a large amount of pus, which when drains out, leaves behind a fistula.

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Why am I having water like discharge after anal fistula surgery?

Query: Hello doctor,I was operated on for an anal fistula four months back. I was made to take a Sitz bath and antibiotics. The wound is all right and there was no problem till 15 days back when I started feeling water-like discharge from the anus especially when I walk for a distance. There is no foul sme...  Read Full »

Dr. Dhaval Thakkar

Answer: Hello, Welcome to You must know and remember that anal fistula is a condition that has got fairly high recurrence rate, meaning it has a tendency to occur again after the operation. A complete cure is very difficult. I strongly suspect that you have got fistula-in-ano again. Please co...  Read Full »

Will my anal fistula and perirectal abscess require complex surgery?

Query: Hello doctor, I am a 42-year-old female suffering from perirectal abscess and anal fistula. I need to know if my fistula surgery will be simple based on the MRI findings or if I will need a complex surgery.  Read Full »

Dr. Kumar Sonal

Answer: Hello, Welcome to From the MRI report you shared (attachment removed to protect the patient's identity), your fistula-in-ano seems complex. A definitive surgery performed at the earliest is required. The surgery will be performed under spinal anesthesia and is not a high-risk surgery....  Read Full »

I have had a painful growth near my anus for the past few years. Kindly help.

Query: Hi doctor, I have something near the anus which has been there for a few years, and sometimes it increases in size and is painful, but I feel relieved when it pops. On the other hand, sometimes it is painful when pressure is applied. I have attached the picture.  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to I understand your concern. From the attached image (attachment removed to protect the patient's identity), it seems you have repeated perianal abscess. Usually, a fistula is responsible. This fistula is called fistula-in-ano or anal fistula and is of several types. Bas...  Read Full »

I have already had chronic prostatitis for the past four months and am now also experiencing rectum pain. What should I do?

Query: Hello doctor, My anal fissure surgery is done a few years back, and my anal fistula three years later. No problems after surgery. But now, I have been facing chronic prostatitis for the last four months. I visited a urologist a few days back because of pain. He asked me for a rectal examination by p...  Read Full »

Dr. Ghulam Fareed

Answer: Hello, Welcome to I read your query and can understand your concern. So, as per prior history, this may be anal stenosis, and after a recent digital rectal examination by the urologist, there is a good possibility of having a minor anal fissure or erosion again. Warm water sit baths ...  Read Full »

Will anal fistula heal on its own?

Query: Hi doctor, I was diagnosed with fistula-in-ano before eight years. I just consulted multiple physicians and surgeons. They all said to wait and watch and put me on antibiotics. Two years later, my fistula has closed on its own and there is no pus discharge or abscess forming. The healing was fast an...  Read Full »

Dr. Kagathara Happy Kumar Devkaranbhai

Answer: Hi, Welcome to Fistula-in-ano is a surgical condition and cannot be cured by medicines only. Yes, antibiotic has minor role just to prevent infection.If fistula tract develops an infection then from which an abscess will develop and later the fistula tract may extend.External fistula op...  Read Full »

I have an anal fistula, and my fingers have been clubbing recently. Are these related?

Query: Hello doctor, I am a 29-year-old male. I am healthy and fit and do not consume alcohol or smoke. However, I have had an anal fistula. In addition, I have mild clubbing of my fingers, and the doctor said it could be because of Crohn's disease or IBD. But I do not have any symptoms related to the dise...  Read Full »

Dr. Ankush Dhaniram Gupta

Answer: Hello, Welcome to There can be numerous reasons like lung diseases, inflammatory bowel diseases (IBD) like Crohn's disease, liver disease, and chronic anemia causing clubbing of nails, also called spoon-shaped nails or koilonychia. As you mentioned, you are healthy and have no other ...  Read Full »

Is the rise in PSA value related to hemorrhoid vein thrombosis?

Query: Hi doctor, My query is related to PSA values. Please look into the attachment. The person is currently suffering from a thrombosed hemorrhoid vein. The treatment which the doctor has proposed is Movicol a stool softener once daily, Daflon thice daily for the first four days and afterwards for three ...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have thoroughly gone through your case and can well understand your genuine health concerns.  Read Full »

I have a tender lump beneath skin near anus. What could this be?

Query: Hello doctor, Suffering from mild IBS D since last four years. Noticed a tender lump beneath skin near anus three years ago. Swells and shrinks itself. Mild throbbing and pale yellow fluid discharge from anus when pressed during swelling. Proctoscopy was done in a piles hospital. The doctor said no...  Read Full »

Dr. Arvind Guru

Answer: Hi, Welcome to After reviewing the information shared and your pictures (attachment removed to protect patient identity), it appears you are suffering from Fistula -in Ano (tubular interconnection between anal canal and outside skin near the anal opening). The swelling you are talking...  Read Full »

Why do I have lumps near the anus?

Query: Hi doctor, I am in real pain for past 9 months and my doctor is clueless after several visits. After a period of 38.6 weeks in latent labor, I had a vacuum assisted vaginal delivery (first baby). No ultrasound was done the very day of admission. With crowning left medio-lateral episiotomy was given....  Read Full »

Dr. Srivastava, Sumit

Answer: Hi, Welcome to I have gone through your complaint. It seems there is fistula (tunnel like passage) formation leading to recurrent perianal abscess in your anogenital area. But it needs to be examined to confirm the diagnosis. I would suggest you to consult an experienced surgeo...  Read Full »

When can I return to my regular physical activities after the fistulectomy?

Query: Hi doctor, I have undergone fistulectomy and right now in bed rest. I am taking sitz bath, three times a day with Betadine solution and then Betadine cream. Also, I am on antibiotics. I am a working in IT sector and my work requires a sitting time of 8 hours approximately. So, when can I go ba...  Read Full »

Dr. Rahul Goel

Answer: Hi, Welcome to Fistula-in-ano is a chronic and debilitating illness. I must first congratulate you for getting it operated. After the surgery, you can resume your routine work after two week's time. This will allow the operated site to heal properly. You can start sports after a month. ...  Read Full »

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