Hello.....
Your MRI shows a fistula which is quite large....
You must take a surgical opinion n also simultaneously consult a Good Homoeopath nearby...... because Fistula can be very well managed by Homoeopathy.....
Health Tips
Avoid oily, fried, spicy food..... non veg....
You can take sitz bath in warm water with Alum powder added to it.....
See to it that your stools are not hard.... have lots of green leafy vegetables like spinach, water, fruits, fibre Rich food.....