Analfistel
What is an anal fistula and what can cause it?
Think of fistulas as small tubes that can appear in different places.They serve as drainage systems for the body to remove pus from an abscess.This is an inflamed area that is encased by the body to prevent bacteria or
purulent fluid get into the blood.There are also fistulas in the jaw, for example, when a root is inflamed.As the name suggests, anal fistulas are in the anal area, where they can arise from Crohn's disease, for example.The disease entails chronic inflammation of the intestines and negatively affects the immune system.As a result, abscesses are less able to be fought, so that the skin around the abscess changes and a fistula then forms.This type of fistula is quite common in Crohn's disease patients.It is estimated that around 14 to 23 percent of those affected by Crohn's disease also have to deal with anal fistulas.
How can anal fistulas be treated?
An anal fistula is not to be taken lightly, you should definitely go to the doctor, as it usually has to be surgically removed. In order to be able to treat it, the fistula is opened up to the underlying abscess so that the pus can drain out. The abscess must also be opened by the doctor, which is done with a scalpel. This also allows the pus to drain out of the abscess cavity, which is then cleaned. The resulting wound is not initially closed with a suture so that it does not close too quickly. The reason for this is that more pus needs to be drained first, which is why a drain is often placed through which the liquid can escape. Only when the reason for the fistula has been found can it heal completely. The bad news is that anal fistulas often come back and require follow-up treatment.
What should I consider when it comes to hygiene and what helps against pain?
While the procedure itself only takes a few minutes, it can take a few weeks to heal and can also be painful.For hygiene, it is important to treat the wound with antiseptic hip baths and ointments and to shower them off.As a reminder, the wound is open.That's why you have to be careful and hygienic with it.You should also gently shower yourself around the affected region after each bowel movement, for which our bottom shower is ideal.Your jet is particularly gentle and can have a particularly beneficial effect after such an operation.
You can avoid pain by not pushing too hard when going to the toilet, but by taking your time.Also, try to make sure your stool is soft.A high-fiber diet is good for this.Painkillers are also possible in consultation with your doctor.However, do not decide this on your own, as a previous illness (e.g. Crohn’s disease) rules out certain medications.
