The incision is not only a "sore bottom," but a disease that usually does not heal, and many people are slow to heal because of embarrassment.

Many people may have heard the word "incision," but they are not sure what it is, what it is, and how dangerous it is.

If easy to understand

The anal fistula is an "abnormal tramway" between the inside of the anus and the skin around the buttocks. It usually follows an infection of the glands around the anus that becomes an abscess or pus. Once the pus is drained, it can leave this small channel and chronic symptoms follow.

What makes this disease so painful is that it often does not heal easily.

Many medical data indicate that most castration abscesses do not close by themselves, and the main treatment is usually surgery. The doctor chooses the method according to the location, the complexity of the root, and the need to maintain the function of the anal sphincter.

There are many common symptoms, such as

• Pain around the anus

• More pain when sitting, walking, coughing, or taking

• Skin around irritated buttocks

• There is a liquid or smelly pus flowing out of a small hole near the anus.

• Blood or pus when taken

• Redness and fever if there is a common abscess

Some may also be more difficult to control fecal incontinence.

The point many people miss is that they think it's just normal inflammation.

But in fact, the disease is often associated with abscess around the original fistula, and if left for a long time, symptoms are often prolonged or repeated, so colorectal specialist doctors often recommend that they be examined when there is pain, swelling, or continuous pus.

What is the difference between "fistula" and "cuticle"?

The simplest explanation is

• fistula abscess (abscess) = infection / pus

• Fistula = An abnormal channel that may occur after the abscess has ruptured or has been drained of pus.

If a co-abscess is present, initial treatment often requires draining the pus first to control the infection, and thereafter the doctor will assess whether the fistula is present.

There are many ways to treat it. Not everyone has the same dissection.

Uncomplicated cases Doctors may consider fistulotomy, which is the opening of the fistula pathway to heal from the inside out; more complex or sphincter-related cases may use methods like seton or LIFT to help heal by trying to reduce the risk of impacting stool incontinence.

The key goal of healing is not just healing the wound.

But try to reduce the chance of recurrence and maintain the function of the anal sphincter, because if it hits the muscles too much, it can increase the risk of stool incontinence, the doctor must choose the surgery for each person, not the same formula for every case.

If you have these symptoms, don't leave them.

• Pain in the anus for days

• Sit and hurt, walk and hurt, or cough and hurt

• There is a small lump or hole near the fistula.

• Pus, fluid or blood seepage

• More and more fever, redness, or pain

This condition should see a doctor, especially a colorectal surgery doctor, or at least start leaving the hospital to check clearly, because if there is a real abscess or fistula, a quick diagnosis will help make the treatment plan more suitable.

Brief summary

Cursive abscess is a disease that "speaks and is embarrassed, but actually tortured" and, importantly, often does not heal by itself. Leaving it because of embarrassment or hope that it will improve may make it harder or more prolonged to heal.

Note: This post is for knowledge, not individual diagnosis. If there is pain, swelling, pus, or suspicion of being, a doctor should be found for actual assessment.

Medical Reference Source

1.NHS - Anal fistula

2.Mayo Clinic - Anal fistula: Symptoms and causes

3.NIDDK - Colonic & Anorectal Fistulas

4.NHS - Anal fistula: Treatment

5.ASCRS - Abscess and Fistula Expanded Information

6.Mayo Clinic - Anal fistula: Diagnosis and treatment

7.ASCRS Clinical Practice Guidelines 2022

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