Colon and Anorectal Fistula

anal abscess

What is the method doctors use to diagnose fistulas in the colon and the anorectal?

Doctors identify fistulas in the colon and the anorectal according to symptoms, medical history, physical examination, as well as imaging tests.

Medical background

Your Fistula doctor in Kolkata will inquire about your symptoms and the history of illnesses that can cause fistulas, like an abdominal procedure or surgery for Crohn’s disease radiation therapy, diverticular disease or an injuries.

Physical examination

A doctor may check for any tenderness or pain in your abdomen. They may also listen for sounds in the abdomen using the Stethoscope. The doctor will inspect any cracks in your skin to determine whether you be suffering from an internal colonic fistula.

In order to check the possibility of an anorectal fistula medical professional will check the skin around the anus for signs of abnormal openings, pain and indications of infection or inflammation. Your doctor can perform a digital rectal test and also conduct an anoscopy or proctoscopy to examine the insides of the anus and the rectum.

Imaging tests

Doctors may employ a variety of imaging tests to detect or check for anorectal or colonic fistulas. The type of test is contingent on the probable location of the fistula. Tests can include

ultrasound link external to NIH that uses the sound wave in order to create images of the organs of your body.

lower section of the GI, which makes use of x-rays an external link from NIH and barium, a liquid that is chalky, to look inside your large intestine.

computed tomography (CT) scans the NIH’s external links, which make use of the combination of x-rays with computers to create images

Magnetic resonance imaging (MRI) NIH external link that takes photos of the interior organs, soft tissues and even soft tissues, without making use of radiographs

fistulography is the process of the taking of x-rays following the injection of contrast media into the fistula in order to make it appear more clearly on x-rays

Doctors can order further tests in order to check for signs of complications or determine the causes of fistulas, like Crohn’s disease and cancer. If a fistula is connected to an organ in the body like the small intestine, bladder or vagina, the doctor might order further tests to look at these organs.

What is the treatment for fistulas of the colon and the anorectal?

Colonic fistula

Some fistulas in the colon will heal by themselves without surgery. Your doctor can only address or prevent complications to aid in helping to heal the fistula. Based on your specific needs the doctor could

provide electrolytes and fluids.

They will provide you with the nutritional support NIH External link that could comprise total parenteral nutritional (TPN) that’s an intravenous (IV) nutrition or enteral nutrition where you are given liquid nutrition through tubes that are placed inside your stomach, nose or the small intestine.

prescribe antibiotics and then drain any abscesses that may be present to treat the infection

Make sure your skin is protected from fluid that is draining from your fistula in the event that you have an external fistula

If a fistula appears not likely to heal by itself the surgeon will do surgery for closure of the fistula.

Anorectal fistula

Anorectal fistulas are typically treated by surgery. The majority of anorectal fistulas will not close on their own , without surgery, however certain rectovaginal fistulas might close by themselves. If you suffer from a rectovaginal fistula doctor might suggest delay surgery to determine whether the fistula can be closed.

If you are suffering from an anorectal fistula accompanied by an abscess, your physician will cleanse the abscess in order to cure the infection. In some instances doctors will prescribe antibiotics to treat the infection.

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