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Home  Blog  10 Most Common Questions About Fistulas – Answered!

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What is a fistula?
A fistula is an abnormal connection or passageway that forms between two organs, vessels, or other
structures in the body. It can develop as a result of various factors, such as injury, infection, inflammation, Living with Diabetes? Your
or complications of surgery. Fistulas can occur in different parts of the body, including the digestive tract, liver needs e
urinary system, reproductive organs, and even on the skin.  Apr 17, 2023

What causes fistulas?


Fistulas can be caused by various aspects, including:

Crohn’s disease or ulcerative colitis


Surgery complications
Radiation therapy
Abscesses
Diverticulitis
Trauma or Injury
Colorectal cancer or bladder cancer
Chronic Medical Conditions
Congenital Abnormalities
Chronic diarrhea
Chronic constipation
Gynecological Conditions: pelvic inflammatory disease (PID) or complications of childbirth

What are the symptoms of a fistula?


The symptoms of a fistula can vary depending on its location and the organs or structures involved.
However, some common symptoms associated with fistulas include:

Discharge of pus
Inflammation or swelling
Pain or discomfort
Skin irritation or infection around the fistula site
Change in bowel or urinary habits
Malnutrition or weight loss
Diarrhea
Gas or stool passing through an abnormal opening
Recurring anal abscess
Swelling around the anus

How are fistulas diagnosed?


Diagnosing a fistula usually involves a thorough medical history assessment, physical examination, and
various tests. Imaging techniques such as CT scans, MRI scans, ultrasounds, or X-rays may be used to
locate and determine the extent of the fistula. Additionally, your healthcare provider may suggest blood
tests to check for signs of infection or other underlying ailments.

Can fistulas heal on their own?


In some cases, small and uncomplicated fistulas may heal on their own with proper medical treatment,
such as antibiotics or medications to decrease inflammation. However, larger or complex fistulas often
need medical intervention and surgical treatment to promote healing and prevent further complications.

What are the treatment options for fistulas?


The appropriate treatment for a fistula depends on various factors, including its location, size, and
underlying cause. Treatment options may include:

Medications to control infection or reduce inflammation


Fistula plugs or sealants to close the abnormal passage
Seton placement (a surgical thread) to promote drainage and prevent abscess formation
Surgical repair to close the fistula and restore normal organ function
Colostomy or ileostomy (in the case of complex or non-repairable fistulas)

Are there any complications associated with fistulas?


Yes, Fistulas can lead to various complications, including infection, abscess formation, malnutrition,
electrolyte imbalances, dehydration, and psychological distress due to the impact on daily life and self-
image. Prompt diagnosis and treatment can help minimize these complications.

Can fistulas recur after treatment?


The recurrence of fistulas is possible, particularly if the underlying cause is not adequately addressed or if
the initial treatment was not successful. Close monitoring and follow-up care are crucial to detect any
signs of a recurrence early on and initiate appropriate interventions promptly.

Is a fistula a cancer symptom?


No, a fistula is not a symptom of cancer. However, in some cases, a fistula can develop as a complication of
cancer when a tumor erodes through tissues and creates an abnormal connection. But a fistula itself is
not a direct symptom of cancer. It is important to consult with a healthcare professional to determine the
underlying cause of a fistula and its relationship to cancer, says the best fistula doctor in Pune,
Maharashtra.

Can fistulas be prevented?


Preventing fistulas may not always be possible, especially if the underlying cause is a chronic condition or
an unforeseen event. However, certain measures can help lower the risk of developing fistulas, such as
managing inflammatory bowel diseases, practicing safe sex to prevent sexually transmitted infections,
and following proper wound care after surgeries or procedures.

Conclusion:
Fistulas are complicated medical conditions that can significantly impact an individual’s quality of life, but
with timely diagnosis, proper treatment, and ongoing support, individuals affected by this condition can
manage their symptoms effectively. If you suspect you have a fistula or have any concerns, it is essential
to consult with the best fistula specialist & gastroenterologist in Pune, Maharashtra who can guide
you through diagnosis, treatment, and ongoing management. Remember, you are not alone, and there is
support available to help you through this challenging journey.

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