Fistula

Fistula is the abnormal connection between two organs or vessels, which are otherwise not connected. It can develop between the anal canal and the perianal skin, vagina and bladder or urethra, or two parts of the intestine.

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My father has delayed wound healing after ostomy surgery. What to do?

Query: Hi doctor, My father is 84 years old and he has a history of GI blockage at the cecum due to surgery. He has delayed scarring due to recurrent blockage. Five feet of the small intestine was removed and reconnected with a stent. The major complication observed is delayed healing. His feces is leakin...  Read Full »


Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. I can understand the situation. Your father is going through a tough time in his life. It is always challenging to operate on this patient with such an age and it is always concerned about healing of the postoperative wound. I can figure out the information shared by yo...  Read Full »

Noticed fluid leak from hernial incision. Should I visit my doctor immediately?

Query: Hello doctor, My sister had a small hernia surgery 4 months back (in her right lower abdomen ). Since she was having a slight pain and fever too at that time, doctor suspected some infection there. However, when the surgery was performed, the infection was mild but they he did not put a mesh there....  Read Full »


Dr. Bhavin Bhupendra Vasavada

General Surgeon, Surgical Gastroenterologist

Answer: You need to be personally examined, generally it should heal by now. But some times it may take long. How much amount is coming? If small amount I would advise to wait for a month or so. If it still does not heal, get a CT scan and based on CT scan findings wheather resurgery is needed or not can be...  Read Full »

Is surgery the only option for fistula in the anal sphincter?

Query: Hello doctor, I have attached the blood reports, medical reports and doctor's prescription of the patient. Doctor advised for the operation. I would require you to please review the attached document and provide your feedback. Thank you.  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have thoroughly gone through your case, attached reports (attachment removed to protect patient identity) and can well understand your genuine health concerns.  Read Full »

Is Rasagandhi mezhugu recommended for the treatment of fistula?

Query: Hello doctor, My son, aged 27 years, had multiple fistulas last year, and we took Siddha medicine and applied Mathan oil. Now he has a fistula on one side, and now the doctor advised to take Rasagandhi Mezhugu two tablets twice daily for five days. My friends told me not to take this medicine as it...  Read Full »


Dr. Arul Amuthan

Ayurveda Specialist, Naturopathy Specialist, Pharmacologist, Siddha Medicine Specialist, Toxicologist

Answer: Hello, Welcome to icliniq.com. Rasagandhi mezhugu is the best drug for fistula. It should be taken twice daily after food, along with a cup of buttermilk. For the first few days, we need to check the compatibility of the patient. If suitable, it should be continued for many weeks. Many studies ha...  Read Full »

Urinary incontinence,the well known complications of forceps delivery

Query: Hi doctor, Nine months ago, my wife delivered a baby boy. It was a forceps delivery at the eleventh hour after observing for nearly 20 hours for normal delivery. The doctors did not inform us it will be a forceps delivery till last minute. Now, the baby is normal. But, my wife is facing urine incon...  Read Full »


Dr. Megha Tuli Gupta

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I went through your query. I totally understand the problem. It is not a very frequent but a well known complication of forceps. I am really sorry to know your wife is suffering from urinary incontinence. I know it is an agonizing problem. Urinary incontinence is of...  Read Full »

A stitch after a normal delivery has not healed after five months. Is it a fistula?

Query: Hello doctor, I had a normal delivery five months back, but I can still see one stitch, which has not healed properly. The skin is still raw near the vagina. It does not hurt, but only when I pee or when water touches there, it stings. Please help. I do not want to get restitched, as it has been a l...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. How are you doing? Do not worry. This is not infected, it is just a skin gap. Nearly everyone will have this much of wound gaping. This is more if the stitch was put very tight, it will cut through. This does not need any resuturing. But you will have to avoid sex ti...  Read Full »

CKD patient with high phosphorus content. Is dialysis required now?

Query: Hello doctor, My father is suffering from CKD for the past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right wa...  Read Full »


Dr. Krishna Somani

Nephrologist

Answer: Hi, Welcome to icliniq.com. After seeing all the details and your father's reports (attachment removed to protect patient identity). I would like to ask few questions. What is his age? How is his appetite? Does he feel nauseated or vomit? Is he losing weight and feels generally unwell? With these ...  Read Full »

I have continuous leakage of urine. Please tell me what is causing this.

Query: Hello doctor, I have been taking Furosemide (Lasix) for swollen legs prescribed by PCP 20 milligrams daily as needed since last year. This was during a followup following a hospitalization for swollen legs due to feet infection. The hospital doctor said that the swelling would go down in time, but ...  Read Full »


Dr. Shahil Khant

Andrologist, General Surgeon, Urologist

Answer: Hello, Welcome to icliniq.com. Relax and do not worry. I do not think the problem is due to Furosemide. You may be suffering from severe form of stress urinary incontinence which is very common at this age. The cause and severity of stress incontinence are to be found out. I suggest you see a uro...  Read Full »

I am 88 and the fecal matter comes out of my vagina. What are my options?

Query: Hello doctor, I am 88 yrs old. I have a rectal or vaginal fissure I guess. The fecal matter comes out of my vagina. Sometimes, I have a regular movement but still have a liquid form from the vagina. I do not want surgery. What can I expect for the short term of life I probably have left, if I do n...  Read Full »


Dr. Sujata Mittal

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. It is very sad to know about your condition. I can understand that at the age of 88 years, how you feel and suffer. But foremost, you need to get examined by your gynecologist. If it is a rectovaginal fistula, the only way to provide relief is by a minor surgery ...  Read Full »

What does waterlike vaginal discharge indicate?

Query: Hi doctor, My aunt is 31 years old and had her uterus removed 11 years ago. From then she never had the periods nor any discharge. It was all alright until a month ago. She had suddenly started experiencing waterlike vaginal discharge which is little smelly, and it hurts in stomach sometimes. When s...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. If there were few more facts about your aunt regarding the indication for uterus removal, any follow-ups, diabetic status, her sexual life, etc., would have been helpful. At the age of 31 years, the most probable cause is an infection. I put forth the possibilities a...  Read Full »

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