How to prevent fistula?

Anal Fistula or Fistula in Ano is an abnormal tunnel under the skin which connects the anal canal in the colon to the skin of the buttocks. Most anal fistulas from in reaction to an anal gland that has developed an abscess

Fistula causes and symptoms vary for every person. The most common fistula treatment method is surgery, though certain lifestyle changes help to prevent fistula.

6 Things to Prevent Fistula

Once you have a fistula in ano you will definitely need to avoid getting another one. Hence follow below tips to prevent fistula recurrence.

1. Eat a balanced diet

Taking care of your diet will keep the stomach and digestive system healthy. Simply avoiding fatty food, junk food, and spicy food will give you a healthier digestive system that is less prone to problems. Opt for an excess amount of whole grains, leafy green vegetables, and fruits.

  • Adding cereal food and fibers to your diet will aid in softening your stools and make the bowel movements easier.
  • Notice what types of food you are allergic to or that upset your stomach.
  • Fatty waste blocks the fistula tunnel and thus can induce the formation of a perianal abscess which is the major cause of pain for people with fistula in ano.

2. Drink More Water

Always it is recommended to drink more water preferably one and a half liters a day. Stop drinking alcohol instead, consume large amounts of water and fruit juice. This will help prevent the occurrence of constipation, which puts pressure on your fistula.

  • Excess water will make waste softer and clean the intestines, this is why if you drink excessive amounts of water you will need to enter the toilet more often.
  • Water also prevents the intestines from getting blocked especially with digestive diseases. For fistula patients, water will make pus more watery and thus decreases the possibility of abscess formation

3. Use Pillows

Sitting long hours at work is one of the fistula causes. So, avoid putting extra pressure on your back, butt, and legs especially if you have an anal fistula. This could be done by sitting on a donut pillow instead of a regular chair.

  • Always remember that your comfort is imperative. Try to avoid situations where you can foresee being uncomfortable.

4. Maintain good personal hygiene

Make sure to wash after going to the toilet or each bowel movement. Any bacteria remaining on the skin causes infection.

  • If you are outside and can’t do this, always keep wipes with you to be used.
  • Change towel each time you bath to prevent the spread of germs and growth of bacteria which can reduce perianal irritation.

5. Strengthen your immune system

Maintaining a balanced diet and eating food rich in omega 3s, and vitamin C like fish, olive oil and citrus fruits will help strengthen the immune system and decrease the levels of inflammation which may suffer due to a fistula.

  • Exercising, drinking more water, sleeping well are also great strides you can make a healthier you.

6. Practice Healthy Bowel habits

These habits help in lessen constipation and strain on the anal canal. Check these habits regularly to prevent fistula.

  • Give enough time to pass bowel movements comfortably. But do not sit on the toilet for too long.
  • Gently clean after each bowel movement and keep the anal area dry.

If your symptoms are consistent , consult our colorectal surgeon for safe and advanced fistula treatment.

Anal abscess is a journey towards fistula

An anal abscess is a journey towards fistula. Don’t ignore this. Seek your doctor help.

Anal Abscess and Fistula

Abscesses can occur anywhere on the body which is due to a collection of bacteria-producing pus. Abscesses that occur around the bottom area with the lining of the ano-rectum is due to a fistula.

What is an Anal Abscess?

An anal abscess is a common condition which a cavity is filled with pus near the anus. Fever, pain, tenderness, redness, and lump in the region of the anus are the symptoms of the abscess.

An abscess usually heals up and cause no more trouble if it has been treated at the initial stage. In most cases, it doesn’t heal completely indicating that an anal fistula may have formed.

What is an anal fistula?

An anal fistula or fistula in ano is a passage that connects the lining from inside the anus to the end of the anus. It always results from a previous abscess.

Consistent leakage of pus from the opening next to the anus indicates that a fistula has developed. However, If this opening doesn’t heal, pus can build up in the tunnel. It leads to an abscess which discharges itself with the pressure. So, a fistula leads to a repeated abscess.

itchy-bottom

Causes of Fistula in Ano

The primary cause of anal fistula is an anal abscess. They are most often associated with secondary conditions which include:

  • Sexually transmitted infections
  • Intestinal Inflammatory disease
  • Trauma
  • Anorectal cancer

What if I ignore Anal Fistula?

Fistulas may cause you to bleed too much and may get another infection including to the sphincter muscles. If the anal fistula is left untreated, it may lead to the problem with controlling bowel movements.

However, the infection may spread to other parts of the body and makes you sick. If the fistula is deep, then the risk of incontinence is higher. If the abscess is not treated or ignored the recurrence of anal fistulas may happen.

When to seek a Doctor Help?

Anal fistulas are not dangerous, but once they form, they will not heal permanently without surgery.

If you notice any of the following symptoms, see a doctor within 48 hours.

  • Pus and blood in your stool
  • Smelly discharge from the anus.
  • Skin irritation around the anus.
  • Swelling around the anus, if you have an abscess
  • Difficulty controlling bowel movements.

The doctor may examine your anus to check for signs of fistula.

At SIICP, our physicians and surgeons can help patients determine the causes of and diagnose anal fistula or any other colorectal disorders.

Fistula Diet After Fistula Surgery

Diet plays a very important role in treating with fistula in ano.  A proper diet which includes nutrients cures the early stage of fistula.

The quantity and the truthfulness towards the diet would rely upon the nature and stage of the fistula. This varies for every single person as no two individual have the same medical problem.

Fistula Diet For Patients

  • Electrolytes and fluids: A patient can have a high output of fluid drainage. Because of this, it is important to keep fluid and electrolyte balance. Specialists will monitor the fluid and provide electrolytes intravenous fluids which keep you hydrated and clear the infection.
  • Enteral nutrients: Helps in improving the chances of recovery and decrease the risk of malnutrition.
  • Parental nutrients:  Helps to break down and digest food and also in rest and heal the body.
fistula-diet-after-surgery

Best Foods for Fistula

There is a chance for recurrence in anal fistula with mild changes. So have a good diet plan and healthy lifestyle habits ensure quicker healing.

Consuming very little fiber in the food is usually the cause of experiencing fistula.

Have food which is rich in fiber to increase the number of stools in the intestines. Best fibers will obtain from Cereals, Pulses, vegetables, and fruits etc that we consume every day.

Some  of the fiber-rich foods for  fistula diet or anus fistula diet are as follows:

  • Cereals: Brown rice, Oatmeal, Brocken wheat, Ragi, Quinoa.
  • Pulses: Chickpeas, Kidney beans, moong dal, masoor dal, soybeans.
  • Vegetables: All gourds-bitter gourd, snake gourd, ridge gourd, Cauliflower, Spinach, Carrot, bottle gourd, ivy gourd, ladies finger,  green leafy vegetables.
  • Fruits: Custard Apple, Pears, Grape and Watermelon, Oranges, Papaya, Banana, and Apple.
  • Milk and Milk products: Skim milk, Paneer, Cottage Cheese, Yoghurt.
  • Meat, Fish, and Egg: Tuna, Salmon, Herring, Mackerel, Omega3 fatty fish.
  • Oil: 5 Tablespoon/ day (Olive oil, Mustard Oil, Rice Bran Oil, Canola oil
  • Raw cabbage juice: Drink a half cup of raw cabbage juice every day to soften and easy passage of stools.
  • Keep hydrated: Drink plenty of water, which helps in clearing and removing the toxins and keeps you hydrated.

Fistula Diet Restrictions

List of foods to avoid with fistula and lifestyle changes due to fistula:
  • Spicy foods:  Avoid spicy as well as hot food items, which increases pain and bleeding during defecation.
  • Caffeine: Avoid caffeine when having a fistula because it can lead to dehydration.  Some food items include caffeine are coffee, tea, chocolates etc.
  • Alcohol: This can also cause dehydration leading to hard stools.
  • Large and Heavy meals: Avoid large and heavy meals, have a small quantity nutritive meal at a time. So it could ease digestion and gives relaxation to the intestines.
  • Avoid excessive cleansing: Due to excessive cleansing, it may lead to itching and irritation of that particular area.
  • Flour and Sugar: Avoid eating food from flour with lots of sugar and spices which is harmful to health.
  • Late night eating: Avoid eating food or snacks at late night. Also, avoid eating outside. These things may slow down your digestion process.
  • Stress: It is also very important to avoid stress, which may worsen the condition and cause constipation and indigestion.

Prevention is always better than cure. Proper diet prevents fistula in early stages.  Taking care of a previous abscess can prevent a coming fistula.

In addition to the above suggestion, avoid packed foods, increase intake of protein, take good sleep, Eat more laxative rich food and Sit in warm water bathtub at regular intervals to prevent the possibility of Fistula.

For more details, consult our best doctors for fistula in BangaloreBook an appointment today.

My dream honeymoon is ruined. Because of a Fistula!

fistula-ruins-honeymoon
My honeymoon ruined by a Fistula

My fistula had ruined my honeymoon trip and a number of unsuccessful operations devastated my whole marriage life. Let me share my terrible experience with an anal fistula.

About an year ago, I got married to the man of my dreams and we were on our honeymoon trip in the beautiful Goa. After a couple of days, I started experiencing a lump inside my anus but ignored as I didn’t feel any discomfort. Later, the lump became painfully big and I had trouble even to sit.

However, I visited the general physician and was given random medicines which only relieved me from the horrendous pain. My pain in the anal area was getting worse and intolerable. On the other side, I was depressed as the situation has taken away all my happiness and hopes on my honeymoon trip. Even after one week, there is no improvement in the pain and so we returned to our hometown.

A few weeks later, I started experiencing some wetness on the right side of my perianal region which is pus. I thought it was some heat boil and looked forward to it getting healed soon. But, turned out that it just got worse and over time, I could see some stool coming out of the opening. I had to use sanitary pads everyday to avoid any embarrassing public situation. It developed into drainage of stool & pus with constant pain from both the external opening and the anus, which was annoying.

I went to many gastroenterology experts and specialists from the local clinic for infectious diseases. All they gave me were antibiotics, painkillers and sent away. I consulted a surgeon, he examined inside the anus and diagnosed me with complex fistula. He had a seton put in for 4 -6 weeks. I found the seton fairly comfortable but had lots of pain and pus discharge.

I have also tried homeopathy, no improvement then tried Ayurvedic medicines, only pain and abscess drain reduced but the fistula not cured fully.

Moreover, my surgeon inspected my anus and suggested me a fistula surgery. I have had countless surgeries including opening up the fistula tract in the hope of removing and ridding me of that nasty fistula. Unfortunately, nothing has worked and my fistula in ano remains as large as when I was first diagnosed. I suffered more than a year with useless operations and was really depressed and gave up all hope of ever getting better.

My friend suggested me the best colorectal surgeon, Dr. Parameshwara C M at SIICP Bangalore, to get rid of anal fistula. I had not accepted because I was traumatized by my last surgeries. But, when I was in pain, I just wanted to give it one last try by consulting Dr. Parameshwara C M.

Finally, I made an appointment & visited SIICP as my last hope to cure fistula in ano. The chief surgeon of Fistula examined and explained me about the FiLAC (Fistula-tract Laser Closure) surgery for fistula in ano,  the possible outcomes, and the success rate. Finally, I decided to undergo FiLAC procedure which was my 7th operation in a span of one year. I was under general anesthesia and the procedure is completed within 30 minutes and discharged from the hospital that very evening.

A few weeks after I have undergone the FiLAC surgical procedure, I noticed that the external wound became dry and the pus from the anus subsided totally. Now, it is more than 6 months since the operation, I didn’t find any pain from the rectum and pus discharge or any fistula coming back.  And, I really hope there won’t be any issues in the future. Also, I dreaded the sphincter damage which I read online as the side effect leading to complete loss of bowel control. But the doctor assured that this is a  minimally invasive technique & no sphincter damage would be there in any case.

I am so thankful and can honestly say that, I am totally healed from fistula under the care of Dr. Parameshwar C M, one of the best colo-proctologists in Bangalore. And, FiLAC is one of the best surgical procedures to treat fistula in ano, but the procedure depends on the surgeon. The surgeon needs to be well-experienced and requires right skills. I learnt that without appropriate skills, FiLAC procedure can be very painful and may not be successful. So, it is essential that the doctor be skilled, trained & experienced. Dr. Parameshwara C M has 18+ years of experience in the field of Coloproctology and successfully performed a number of surgeries.

I feel anyone suffering from complex fistulas should avoid surgical procedures done by quacks or unskilled surgeons. It is a fact that at Bengaluru smiles – a unit of SIICP, the doctors analyze the patient and examine how deeper the fistulas are and where they are positioned. And, then give the appropriate fistula treatment (Fistulotomy, LIFT, FiLAC, Ksharsutra) which is suitable for the patient.

Get the best treatment for fistula at the hands of the best colorectal specialists at SIICP. Good luck!!

How fistula affects a woman’s daily life

I had a highly complex fistula for 2 and a half years. Fortunately, I got rid of it completely now.

I am a 37-year old female from Mysuru city in Karnataka state of India. I had suffered for two years long from anal fistula with severe pain and constant pus discharge. The continuous wetting at the anal opening took away all the attention of my daily routine. I used to experience lots of pain and bleeding after every bowel movement. It was really a terrible time I spent with a continuous urge to clean up the anal area.

I was in extreme pain while I sit or stand and even in sleep, and unable to perform any of my household works. Thankfully, I could get rid of my complex fistula through the traditional Ayurveda technique – Kshara Sutra treatment. Let me share my my story here…

It was October 2016, I was diagnosed with anal fistula. I tried with several home remedies which gave me only temporary relief out of pain.  I had undergone fistula surgery, fistulectomy by an unskilled surgeon under spinal anesthesia in a private hospital. He charged me heavily but no improvement and the fistula recurred (Recurrence fistula) even before the surgical wound healed.

Fistula-Facts-treatment

After four months from the fistulectomy procedure, the surgeon again suggested for another surgery with no guaranty of a permanent cure. I could not dare to go through that procedure for the second time with a fear of damaging sphincter muscle further, which might lead to incontinence. Apart from consulting a number of surgeons, I even visited super-specialty clinics for anorectal disorders.

Also, I had a discussion with many Gastroenterologists, Homeopathy and Ayurveda doctors. They all prescribed me antibiotics and painkillers and said that I will be fine in the next few days, but my fistula didn’t heal. And my pain became even worse to handle. I was too much depressed with the situation as it has spoiled all my personal and official life.

A woman with fistula is too often rejected by her husband and pushed out of her village due to her foul smell.

Later I came to know that Ayurveda technique of Kshara Sutra procedure would be done at SIICP, Bangalore by a skilled and experienced surgeon to cure anal fistula. I went there and got the procedure done under simple local anesthesia by Dr. Parameshwara CM. He told me that the medicated thread (Kshara sutra is a thread coated with Ayurvedic herbal medicines) has to be replaced with a new one at weekly intervals. My sphincter muscle was damaged a bit because of the fistulectomy did by an unskilled surgeon. So, Dr. Parameshwara CM  performed Kshara Sutra procedure cautiously to prevent further damage to my sphincter and possible incontinence.

In that procedure, the thread was loosely tied and allowed a slow cutting during daily walking while the medicines coated to the thread also aid the process of healing. The herbal medicines also prevent infections in the area. I was sent home on the same day of the Kshar Sutra procedure. Later both ends of the Kshar Sutra was joined together and replaced with a new one a week later.

In my every follow-up, Dr. Parameshwar CM had filled me with confidence and kept telling me that my fistula tract was becoming smaller each week. I too noticed a reduction in pain and bleeding after bowel movements with each thread change. Not much food restrictions were imposed on me. No antibiotics were prescribed but only herbal medicines which are to be applied externally to prevent infections. The chief colorectal surgeon had advised me to be careful with fistula diet and prevent constipation.

A few weeks later, I was confirmed that my fistula has gone and I need not come back to the hospital again. Now, I am free from nasty fistula which to a greater extent taken away happiness in my life. No discharge and no constant worry and no need to visit the toilet at every possible opportunity to clean up my anal area. It is really wonderful.

I can honestly say that I am so thankful for the Kshar sutra procedure and giving me my normal healthy life back. I am very much pleased with the result and hospitalization and a team of SIICP for post-operative care.

From my own experience, the most important factor in fistula treatment is the doctor and hospital. You need to have an experienced colorectal surgeon to perform fistula surgery.

SIICP, Bangalore is the best place to cure fistula or any anorectal disorders . I hope it will go well for you too…

Fistula in a software engineer’s life

Hi everyone,

Myself Rahul working as a Project engineer in one of the top multi national company in Bangalore. Being a software engineer, all of my work involves prolonged sitting with almost 13 hours per day in the office. The only breaks I took were lunch and two bathroom breaks. I have always been regarded as the sincere and valuable resource to my team because of hard work. But lately, I have realized how this lifestyle affected my health and happiness to an extent I couldn’t imagine. Let me share my personal experience of suffering from complex fistula which became very difficult to stay with.
fistula-software-engineer-life

As I told earlier, I used to spend a minimum of 13 hours sitting in office with almost no breaks. In Dec 2017, I started noticing some discomfort in the rectum area but I ignored it thinking it was just some indigestion or constipation.

But later in one month, it got severe and I started noticing a pimple like a bump and an abscess coming from inside the rectum. And I was in extreme pain while sitting and any action which requires sphincter muscles.

Even after a touchable pimple and a severe pain, I ignored it. After suffering for more than 45 days, I started draining some liquid from my anus. The situation has completely debilitated me. I couldn’t sit for long and focus on work. I could see the decline in my performance. And so I decided to check with a doctor as I couldn’t sit and work at the office.

I visited the nearest doctor who I later found out was not a qualified doctor who treated with different treatment methods and gave strong painkillers. But the abscess and pain were not healed and drainage of pus through the external opening became much worse. Later, I had visited a general physician and there I was diagnosed with “Anal Fistula with Abscess”. Immediately, he cleaned a pimple, applied some medicine and gave me some antibiotics for 30 days.  Even after a month, the same episodes of pain and pus drainage.

As a third option, I sought the help of a gastroenterologist. He examined and mentioned it was high complex fistula and will heal in 6 weeks with his treatment. After a few weeks, I noticed that pain and bump next to the anal hole was increased. I was in a terrible situation which affected my job a lot. I was depressed and almost decided to quit my job.

Later, I got to know that fistula is not a call of a gastroenterologist because he is also just a physician and fistulas should be treated by a colorectal surgeon.

I have been searching for a< best colorectal surgeon, then a friend of mine suggested Dr. Parameshwara C M, a best colorectal surgeon at SIICP (Smiles International Institute of Coloproctology Pvt Ltd). Finally, I visited SIICP, the doctor told me about the complications with quackery. And, he explained  me clearly about LIFT (Ligation of Intersphincteric Fistula Tract)procedure and seton insertion to treat complex fistulas. Then I understand a seton is mandatory since the abscess needs to be open to be able to leak out. And seton is a good thing because it allows the fistula to stay open and keep draining.

The doctor recommended me LIFT surgery. So, I had the seton put into the fistula tract for a couple of months. Believe me, the entire Seton process was very comfortable and painless. However, after coming home I did have the rubbing pain with the seton. As suggested by the doctor, I used to do sitz baths to clean up after every bowel movement. I had pus coming out and had to change dressing 3-4 times a day.

In my follow up after two months, the doctor said I was ready for the LIFT surgery. Soon I was taken to the surgery room and got operated, then the doctor decided to do a fistulotomy instead of LIFT. He later told me that Seton helped the fistula to be very external and fistulotomy was sufficient for me to keep safe of any incontinence. The doctor did mention of having to take time off work and  managing diet after fistula surgery etc.

Within a week of fistula surgery, I noticed that my pain has been started reducing. After the initial postoperative pain was gone, I immediately felt the difference, walking and sitting became much easier. Also, I haven’t had an abscess since the day of the surgery. The fistula was healing well and almost 0% discomfort and the discharge has altogether gone.

The whole recovery took 2 months to get over. I felt lucky to get the best coloproctologist in Bangalore and also a speedy recovery.

I am so thankful for the whole team of SIICP for keeping me rejuvenated and providing me the best treatment for fistula.

I am very happy to say I am now fistula free and enjoying my job and personal life!!! Hurrah!!!

Sitz bath- What is Sitz bath? How to take a Sitz bath?

Sitz bath for Hemorrhoids, Fissure, Fistula, Constipation & other ano rectal issues

What is a Sitz bath?

A sitz bath or hip bath is a warm bath where you sit in water up to the hips that cleanses the perineum,  the area between the rectum and the vulva or scrotum. This bath can help in bringing relief for people with pain, swelling, irritation or inflammation in the perineum. as explained by best hemorrhoids doctor of SIICP.

 

It is also a way of bathing the genitals that can help to relieve burning and soreness.

Hence, we can say that sitz bath can be valuable for individuals who have issues in the butt-centric region, for example, hemorrhoids, or a disease in the anogenital region. It can give relief to ladies after vaginal childbirth.

How to take Sitz bath?

The different ways of taking a sitz bath are taking it in the bathtub and using a kit. Soak up to 10 to 15 minutes for three times a day.

>> Taking sitz bath in the bathtub

Steps on how  to take a sitz bath in the bathtub:

  • Clean the tub by blending 2 tablespoons of bleach with a ½ gallon of water.
  • Make sure that the tub is filled  3 to 4 inches of water. The water should be warm but not hot enough to cause burns or discomfort.
  • Sit in the tub, making sure your perineum is covered.
  • Afterward, gently pat the area with a clean cotton towel. Don’t cause pain and irritation by rubbing or scrubbing the perineum.
  • Rinse the tub thoroughly.
>> Taking sitz bath using a kit

A plastic sitz bath normally comes as a kit that can be fitted to a standard toilet. Rinse the kit with clean water. Then, add warm but not hot water along with medications or solutions prescribed by a doctor.

sitz-bath-for-hemorrhoids-fistula-fissure
how-to-take-sitz-bath
The following are the steps on how to take sitz bath using kit:
  • Place the sitz bath in the open toilet
  • Test it by trying to move it from side to side to guarantee it will remain in the same place and won’t move.
  • The sitz bath should be filled with warm water. You can add extra water without having to get up. The extra water comes from the tube of the plastic bag. Make sure the water is deep enough to cover your perineum.
  • Most sitz baths prevent water from overflowing. The water conveniently overflows and can be flushed.
  • Avoid rubbing or scrubbing the area when you are finished. Stand up and pat the area gently with a clean cotton towel.
  • Prepare the sitz bath for its next use by cleaning it completely.

In spite of the fact that there are no guidelines for when to replace sitz bath, dependably check it for indications or signs of splitting or weakened areas everytime time before and after use.

What are the uses of Sitz bath?

People use sitz baths regularly to cleanse the perineum. Sitz baths benefits include

  • keeping the anus clean
  • improve hygiene
  • reducing inflammation
  • promote blood flow to the anogenital area
  • healing perineal
  • vaginal lacerations after vaginal childbirth
  • Can advance quicker recuperating
  • calms irritation, itching and minor pain

Why you should consider Sitz bath?

Common  reasons why you should need to consider using a sitz bath include:
  • Having recent surgery in the anogenital area.
  • Having discomfort from hemorrhoids, when they push outside of the anus.
  • Having given birth recently
  • Having discomfort with bowel movements, such as diarrhea and constipation.

Both adults and children can use sitz baths. Parents need to supervise their children during a sitz bath.

Our doctors can help you by prescribing the right medications to put in a sitz bath.

Risk factors of Sitz bath

Taking sitz bath is harmless because it is a noninvasive treatment.  The most well known adverse event associated with sitz baths is the infection of the perineum, but this rarely happens. This may also happen if you don’t clean the tub or plastic bath thoroughly.

If your perineum becomes red and puffy or if the pain or itching worsens stop using sitz baths and contact your doctor.

If sitz bath gives relief, you can take three or four per day, until the source of the itching, irritation or pain is healed. After having a sitz bath, you may immediately return to normal activities.