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Home  Blog  What Happens if Anal Fistula is Not Treated on Time?

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What Happens if Anal Fistula is Not Treated on Time? The Importance of Early
Detection and Ti
 Aug 24, 2023
An anal fistula is a painful condition that occurs when an infected tunnel forms between the skin
surrounding the anus and the rectum. While it can be uncomfortable to discuss, it’s important to Colon Polyps: Types,
understand the potential consequences of leaving an anal fistula untreated. Ignoring or postponing Diagnosis, and Trea
treatment can lead to complications that affect both your physical and emotional well-being.  Aug 22, 2023

In this blog post, we will explore the consequences of not treating an anal fistula on time and highlight Common Causes of Acidity
the importance of seeking medical care promptly. At Kaizen Gastro Care, we are committed to providing and How to Prev
comprehensive care for anal fistulas and ensuring your well-being.  Aug 16, 2023

Stay Gut Healthy During

Treatments: Monsoons: Tips a
 Aug 7, 2023

Surgery is almost always required to treat an anal fistula. The purpose of the surgery is a balance What Happens if Anal Fistula
between getting alleviated of the fistula while protecting the anal sphincter muscles, which could cause is Not Trea
incontinence if injured.  Jul 25, 2023

Treatment options for anal fistula:

Fistulotomy
Ksharsutra
FiLaC procedure (Fistula-tract Laser Closure)
Fistula Plug
 Seton placement and surgery
Laser fistula treatment
LIFT procedure (Ligation of Intersphincteric Fistula Tract)
PILTEC: a modification of the LIFT procedure
VAAFT procedure (Video-assisted Anal Fistula Treatment)

Complications of Untreated Anal Fistulas:

Persistent Pain and Discomfort: One of the primary signs of an anal fistula is pain, which can range
from mild to severe. If the condition is left untreated, the pain can become chronic and persistent. The
fistula tract may become infected, causing raised inflammation and discomfort. The constant presence
of pain can make it difficult for people to engage in their everyday activities and lead to a decreased
quality of life.
Formation of Complex Fistulas: Anal fistulas have the possibility to become more complex over time
if left untreated. The tunnels linking the infected glands can branch out, creating multiple openings or
tracts. These complex fistulas are notoriously difficult to treat and may require invasive surgical
approaches. The longer treatment is delayed, the more likely it evolves for a simple fistula to progress
into a complex and challenging condition to manipulate.
Fecal Incontinence and Bowel Dysfunction: In some cases, an untreated anal fistula can lead to long-
term bowel dysfunction and fecal incontinence. The ongoing infection and inflammation associated
with the fistula can weaken the anal sphincter muscles, which are responsible for controlling bowel
movements. As a result, people may experience difficulty in controlling their bowel movements,
leading to involuntary leakage of stool and gas. Fecal incontinence can be socially isolating and
extremely impact a person’s emotional well-being.
Anal Stenosis: Untreated anal fistulas can lead to a condition known as anal stenosis. This happens
when the tissues in the anal region become scarred and narrow, causing difficulty and discomfort
during bowel movements. Anal stenosis can significantly impact the patient’s quality of life, making
passing stools a painful and hurtful experience.
Persistent Infections: One of the primary risks associated with delaying treatment for an anal fistula
is the persistence of recurrent infections. An untreated fistula provides a constant pathway for
bacteria to enter and exit the body, leading to recurring abscesses and distressing infections. These
infections can result in intense pain, swelling, and the formation of pus-filled pockets, making a cycle
of discomfort that can greatly impact a person’s quality of life.
Abscess Formation: As an untreated anal fistula continues, there is a higher probability of developing
abscesses. Abscesses are painful, localized collections of pus that form as a result of infection. They
can cause intense pain, swelling, and problem with bowel movements. Treating abscesses often
involves draining the pus and administering antibiotics. However, if the underlying fistula is not
addressed, the abscesses are likely to recur, leading to a never-ending cycle of infections and abscess
formation.
Risk of Anal Stricture: In some cases, untreated anal fistulas can lead to a condition known as an anal
stricture. An anal stricture happens when the tissues around the anus become scarred and narrowed,
resulting in difficulty passing stools. This can induce intense pain, constipation, and even bowel
obstruction. Anal strictures often need surgical intervention to relieve symptoms and restore normal
bowel function.
Systemic Infection(Sepsis): In rare cases, an untreated anal fistula can lead to a systemic infection,
also known as sepsis. Sepsis happens when the infection spreads throughout the body, impacting vital
organs and potentially becoming life-threatening. Signs of sepsis include high fever, rapid heartbeat,
confusion, and shortness of breath. Timely treatment of an anal fistula can help control the risk of
systemic infection.
Increased Risk of Anal Cancer: While rare, untreated anal fistulas can potentially enhance the risk of
developing anal cancer. Chronic inflammation and ongoing irritation in the anal area may contribute to
the growth of precancerous changes and the subsequent progression to cancerous cells. It is
important to note that anal cancer is highly treatable when detected early, emphasizing the
significance of timely intervention.

Conclusion:
Seeking timely treatment for an anal fistula is crucial to prevent potential complications and maintain a
good quality of life. If you suspect you have an anal fistula, it is vital to consult with a gastroenterologist,
Colorectal Surgeon, or Fistula Specialist in Pune, Maharashtra. With proper medical intervention,
including surgical options tailored to your specific condition, you can effectively address and fix anal
fistulas, minimizing the risk of long-term complications.

At Kaizen Gastro Care, we urge you to prioritize your health and take action at the earliest symptoms of
an anal fistula. Our team of experienced medical professionals is here to provide you with effective
treatments and compassionate care, ensuring a swift recovery and the restoration of your comfort and
quality of life. Remember, early intervention is key, so don’t delay; schedule a consultation today and let
us guide you towards a healthier tomorrow.
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