Perinatal fistula is a legacy that has been forming since the last part of the intestine arrived a year, creating a stretch tunnel that causes symptoms such as pain, redness and bleeding during the year.
Fistula usually occurs after an anal abscess, but can also be caused by inflammatory bowel diseases, such as Crohn’s disease or diverticulitis, for example.
- Treatment should be done by surgery.
- So each time a fistula is removed.
- Especially in case of abscess.
- It is recommended to consult a proctologist to confirm the diagnosis and start treatment.
- You may see other common causes of pain or diet in the area.
The main symptoms of fistula include
In addition to these symptoms, abdominal pain, diarrhea, loss of appetite, body weight loss and nausea may also occur if the fistula is infected or inflamed.
In these cases, it is recommended to consult a proctologist to make a diagnosis of the problem, by observing the area, MRI, for example, and initiating appropriate treatment.
To treat perineal fistula and avoid complications such as infection or fecal incontinence, a surgical procedure called fistulectomy is necessary in which your doctor:
To avoid pain, surgery is usually performed under general or epidural anesthesia and, before starting the procedure, your doctor uses a tube to scan your fistula and assess whether there is a tunnel if it is a complete fistula as it is. Tunnels. In this case, more than one surgery may be needed to close one tunnel at a time.
In addition to anal fistulotomy, there are other methods of surgical treatment of fistulas such as injections, special buffers and sutures, called signs, but these techniques depend on the type of fistula and the disease that is causing it. Caused. For example, in the case of Crohn’s disease, it is necessary to use medicines such as infliximab, a powerful anti-inflammatory, before performing any surgery, to avoid such complications.
After surgery, you usually need to stay hospitalized for at least 24 hours to make sure that the effect of anesthesia is gone and that there are no complications, such as bleeding from the infection.
Afterwards it is possible to go home, however it is recommended to rest 2 to 3 days before returning to work, during this time it may be necessary to take antibiotics, such as amoxicillin with clavulanic acid, anti-inflammatory drugs such as ibuprofen, prescribed by the doctor, to relieve pain and ensure that no infection occurs. To reduce the risk of infection, the area should also be kept hygienic with neutral water and a neutral pH wash, as well as changing remedies and applying ointments with painkillers at least 6 times a day.
During postoperative, it is normal for the hereditary blood a little, especially when using toilet paper for a year, however, if blood bleeds too much, it is important to consult a treating doctor.
In addition, in the first week it is also important to follow a diet to avoid tensions, as the accumulation of needs can increase pressure on the walls of the year and make healing difficult. Look what causes food and fights stress.
It is recommended that you consult your doctor, proctologist or emergency department immediately when there are:
In addition, it is also important to go to the doctor in case of a problem and that it does not disappear in 3 days, even with the use of laxatives.