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Fistula in ano
I have fistula in ano , and 2 days back I have done MRI which shows my track is partially healed and also there are new abcesses forming
But since yesterday I have pain near my thighs junction...is that means it's moving towards thighs ?? But MRI is not captured anything such...
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If MRI shows that the tract is only partially healed and abscess formation is present, then you will require surgery. Please consult a G.I. Surgeon or a General Surgeon.
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Definitely needs surgery
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Fistula in ano , if you are suffering from long time need surgical intervention.
Next Steps
do consult surgeon. get clinically examined .
Health Tips
fiber diet. use medication advised by consultant.
regular Fallow up .
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Fistula in ano with active abscess requires a antibiotics and after healing can be planned for fistulectomy /fistulotomy
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No ,this small abscess can’t move to thigh , and MRI shows no inflammation/abscess in Ischiorectal fossa ,check for redness /swelling etc there may be other swelling like boil etc in thigh . for fistula , you can take antibiotics course after consulting your doctor or me .Usually fistula does not heal and need treatment ,.upload previous MRI
Next Steps
No it usually does not spread to Thigh ,take antibiotics course
Health Tips
Check for redness ,swelling in thigh junction if it’s there and You are running fever then consult your doctor .
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Hello, I reviewed the MRI report. It describes a simple inter-sphincteric perianal fistula. The report suggests the previous fistula tract is showing signs of partial healing (no clear fluid signal at the internal opening), but there are small residual/recurrent inter-sphincteric abscesses (around 4–7 mm) mentioned.
Pain near the thigh/groin junction does not necessarily mean the infection is spreading toward the thigh. MRI has not shown extension into the thigh or ischioanal region. The pain could be due to local inflammation, referred pain, or early abscess-related irritation.
We surgeons usually confirms the situation by clinical examination and sometimes proctoscopy/EUA if needed along with MRI findings.
Next Steps
You should be reviewed by a colorectal surgeon/general surgeon because a fistula with new abscess formation may need treatment (sometimes drainage or fistula procedure depending on examination findings).
Health Tips
Seek urgent care if you develop:
* increasing swelling near anus/buttock
* fever
* severe pain
* redness spreading
* difficulty sitting or passing stool
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Dr. Kunal Majoka
General Surgeon
7 yrs exp
Jaipur
Needs surgical intervention
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.