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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What is causing fluid movement in my cheek and how to treat it?

Query: Hi doctor, I am 18-years-old female. My weight is 105 pounds, and my height is 5'4". I underwent jaw surgery precisely two months before, and I am under treatment for Hashimoto's disease. Whenever I puff my cheek, I could feel some air or fluid moving in the cheek area into my left eye. I have ha...  Read Full »


Dr. Ranjit Peter

Answer: Hello, Welcome to icliniq.com. Based on your clinical history and symptoms, you seem to have developed an oro-antral fistula, which is a communication between your oral cavity and left maxillary sinus. This usually happens through the extraction of a tooth in the premolar or molar regi...  Read Full »

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

Query: Hi doctor, My sister underwent hernia surgery in her right lower abdomen four months back. As she was having slight pain and fever at that time, the doctor suspected some infection there. When the surgery was done, her infection was mild but they did not place a mesh there. Her surgery went fine....  Read Full »


Dr. Bhavin Bhupendra Vasavada

Answer: Hi, Welcome to icliniq.com. Your sister needs a personal examination. Generally, it should be healed by now. But sometimes it takes some time. Please mention the amount of fluid leaked out. If it is a small amount, then I suggest you wait for a month. If it does not heal, then do a CT (compute...  Read Full »

How to treat the enterovesical fistula formed due to Crohn's disease?

Query: Hi doctor, My husband has Crohn's disease and a bladder fistula is formed from it. His bowel is tunneling into the bladder. What is the surgery done for this problem? Does it require a bag as it involves the bowel? Can the bladder be sewed? Will it cause damage to the bladder? How long a urinary ca...  Read Full »


Dr. Eriol Braholli

Answer: Hi, Welcome to icliniq.com. Enterovesical fistula formed due to Crohn's disease is treated therapeutically with the help of antibiotics, steroids, and cytostatics. Catheters are used for urinary drainage and parenteral feeding. This is the preferred way of treatment. Surgical treatment is preferre...  Read Full »

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

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 »

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.

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 »

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

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

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

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

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

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 »

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