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Fistula in ano with gas and bloating
I have fistula in ano..feel pain on tail bone side. Now i am facing bloating and gas above belly button...even i feel hungry and poop at same time..that make me urge for poop.. 1-2 times am going for poop /day.. when i go to poop moring.. not that much gas but when i go to day time lots of gas passed.. FINDINGS: A thin hyperintense track with surrounding inflammatory changes is seen originating in the natal cleft in cms traversing the transphincteric plane with right paramedian location extending for length of 3.5 internal opening at 6' o clock. The internal opening is around 1.9 cms from anal verge. No supra-levator extension of the track. No evidence of collection/abscess seen in the present study. The pelvic organs appear normal. No obvious significant pelvic lymphadenopathy. Rest of the pelvic organs appear normal. Visualized bones appear normal. IMPRESSION: - This examination reveals trans-sphincteric fistula with internal opening at 6' o clock position fistula grade 3
Answers (4)
Hello,
Seems like a case of fistula in ano.
Ultimately you will need to visit a surgeon for the fistula, it could range anything from simply laying open the tract to complete removal or laser therapy, although for your case complete removal of tract should be the ideal procedure.
Next Steps
Dietary modification: avoid spicy oily foods, increase water intake, increase fibre content in food
Take sitz bath 2-3 times a day with
Take antibiotics like Tb cefixime 200mg twice a day for 7 days
Tb pantop 40 mg before breakfast
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Your fistula needs intervention. Surgical. That's for sure.
The bloating and gas formation can be due to 2 reasons.
1. Either because of fistula , you are not passing stools properly and holding in because of pain.
2. Can be underlying another pathology, which can be mostly acid peptic disease or cholelithiasis etc.
So need more evaluation.
Contact for more info
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Fistula in ano, if not cured by medications dictates surgical management.
Don’t wait much longer.
Surgery: Open Fistulectomy/VAAFT/Laser
For Symptoms :
1. Take PPI Drug
2. Avoid oily/spicy foods
3. Hot Sitz bath 15 min daily after motion
4.Take analgesics for pain
Next Steps
Consult a surgeon for surgery
Health Tips
Progression of disease increases patient morbidity
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fistula in ano is an abnormal connection between the bowel (inside of anus) and the skin ( usually near to anus). So medical management is used only for pain and infection there. The definitive treatment for this is surgery/ Laser techniques. So you need surgery for this. Go and consult nearest General surgeon/ proctologist
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