I can understand your concern â itâs very natural to worry about fistula after experiencing perianal abscesses, especially when you read that drainage is often required.
The reassuring part in your case is that both abscesses were small, resolved quickly with antibiotics, drained on their own, and you have been completely symptom-free for the last 10 months. In such situations, it does not automatically mean that a fistula has formed. Many small, superficial perianal abscesses heal completely without progressing to a fistula, particularly when there is no persistent discharge, pain, swelling, or recurrent infection afterward.
A fistula usually presents with recurrent boils at the same spot, continuous or intermittent pus discharge, pain, itching, or a non-healing opening. Since the pinpoint opening you noticed healed on its own and you have had no symptoms for many months, the likelihood of an active fistula at present appears low.
However, because you had two episodes in a short period, it is reasonable to remain observant. A clinical examination â and only if required, a simple imaging test â can provide reassurance and help rule out any hidden tract, even if you are currently asymptomatic. Many patients seek consultation not because something is wrong, but to gain peace of mind and guidance on preventing recurrence.
If you notice any new pain, swelling, discharge, or discomfort in the future, please donât ignore it. Early evaluation helps avoid unnecessary procedures and supports complete healing.
You may consider a consultation to understand your individual risk factors and long-term preventive care.
Regards
Dr jyoti Kadkol
Health Global Homoeopathy, Vijayanagar, Bangalore
www.healthglobalclinics.com
Answered2025-12-19 08:40:49
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