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Fistula in ano
Hi...I had fistula in ano, meanwhile I did homeopaythy medicines for 5-6 months... This was the recent MRI shows this result... Also I have slight pain and very very little puss drain ..may be 3-4 drop a days...does that mean it's resolved and cured ...please suggest
Answers (7)
The MRI says there's no fistula tract noted. But as there are symptoms persisting and causing you discomfort, visiting the surgeon and getting yourself clinically examined is ideal.
Next Steps
I do recommend discussing the MRI scan with another radiologist by taking the films and CD for another opinion.
I usually prefer getting a TRUS (Trans Rectal ultrasound) for better visualization of the tract and clinically co-relate. So you can consider getting a TRUS also if symptoms persist.
For now you can use
Tab Metrogyl 400 mg 1-0-1 * 5 days
Tab Pan 40 mg 1--0-0 * 5 days
Ano-metrogyl gel for local application.
Continue doing SITZ bath 2/3 times a day
Drink plenty of water and have a high fibre diet.
Health Tips
Please visit the Surgeon and get clinical examination done.
Answered
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Any pus discharge, even 3-4 drops, means the tract is still active and not fully healed. Fistulas rarely resolve with medicines alone. You need a surgical opinion â procedures like VAAFT or LIFT are minimally invasive and highly effective.
Next Steps
Consult me on Practo or see a colorectal surgeon for proper evaluation.
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Your MRI is reassuring, as it states that the previously seen intersphincteric fistula tract is not visualized, with no residual or recurrent fistula or abscess. However, the presence of persistent pus discharge (even a few drops daily) and pain means the fistula cannot be considered completely healed based on MRI alone. Clinical examination by a colorectal surgeon is essential, as small external openings or persistent infection may not always be evident on imaging. Homeopathic medicines have no proven role in curing anal fistulas.
Next Steps
Consult a colorectal surgeon for a clinical examination. If the discharge persists, further evaluation and treatment may be required. Maintain good local hygiene, take warm sitz baths, eat a high-fiber diet, and avoid constipation.
Health Tips
If you develop increasing pain, fever, swelling, or foul-smelling discharge, seek medical attention promptly, as these may indicate recurrent infection or abscess formation.
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Based on your MRI report, there is no evidence of a residual or recurrent fistula tract or abscess, and the previously seen intersphincteric fistulous tract is no longer visualized, which is an encouraging finding. Mild edema (inflammation) is still present in the perianal region, which can persist during healing.
However, persistent pain and even a small amount of pus discharge (3–4 drops/day) suggest that complete healing cannot be confirmed on MRI alone. Sometimes a tiny external opening or superficial sinus may continue to drain despite a normal MRI.
Next Steps
I recommend a clinical examination by a colorectal surgeon/proctologist, as treatment decisions are based on both symptoms and examination, not MRI alone. Continue warm sitz baths, maintain good local hygiene, avoid constipation, and seek review if the discharge increases, swelling develops, fever occurs, or pain worsens.
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There is not residual tract as per MRI
But there is edema and u have pus discharge
It is symptomatic
Do Sitz bath
Start antibiotics Tab. Ciplox -tz 1-0-1
Tab. Pan-40 mg 1-0-0
Tab. Aceclo -sp 1-0-1 for one week
Wait for swelling and edema to reduce
And get another TRUS ( trans rectal usg)
After 15 days or one month
If another tract is formed u need proper surgery
Donot go for homeopathy or ayurveda again
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Hello. Symptoms are persistent- so - problem remains unresolved. It is to be seen clinically. MRI films needs to be re discussed- because if the pus is there, it must be seen in the MRI films as well.
Next Steps
Consult in-person with a proctologist
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