Ayurvedic Medicine for Fistula | Best Medicine for Fistula | Fistula Medicine

Fistula

What is Fistula?

Fistula (Fistula-in-Ano)

An anal fistula (also called a fistula-in-ano) is a small tunnel or communication channel that develops between the skin around and rectum anal fistula as a result of an infection or a collection of pus (abscess) in or around your anus. The anus is the external opening through which faeces are expelled from the body. Just inside the anus are a number of small glands. If one of these glands becomes blocked, an abscess or an infected cavity may form. An anal abscess is usually treated by surgical drainage, although some drain spontaneously. About 50% of these abscesses may develop into a fistula, in which a small tunnel connects the infected gland inside the anus to an opening on the skin around the anus. Anal Fistula can be higher or lower depending on whether and where they pass through the anal sphincter muscles.

Low fistula may not pass through the sphincter muscles at all, or go through in their lower half.

High fistula passes through the upper half of sphincter muscles.

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Simple Fistula

Fistula can be single tract or multiple tract. A simple fistula has a single tunnel running from your rectum to your skin and is usually a low fistula. If you have a complex fistula it may have branches, have more than one opening, or be very high up. Complex fistulas are more difficult to treat. Symptoms and signs of anal fistula can be constant or may disappear for a time before coming back.

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Obstetric Fistula

An obstetric fistula is a connection between the vagina and rectum or bladder that is caused by prolonged obstructed labor, leaving a woman incontinent of urine or feces or both. For women with obstructed labor, labor that goes unattended, the labor can last up to 5 or 6 days. The labor causes contractions that push the baby’s head against the mother’s pelvic bone. The soft tissues between the baby’s head and the pelvic bone are compressed and do not receive proper blood flow. The lack of blood flow causes this delicate tissue to die and where it dies holes are created between the laboring mother’s bladder and vagina and/or between the rectum and vagina.

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Arteriovenous fistula

When an abnormal channel forms between an artery and a vein, blood bypasses capillaries and flows directly into a vein from the artery. This form of fistula may be congenital or acquired after birth. Congenital arteriovenous fistulas are very rare, but the acquired form may be caused by injury to a vein and artery lying side by side. Usually, the injury is caused by a piercing wound such as from a bullet or from some other sharp objects like knife.

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Vaginal Fistula

A fistula that has formed in the wall of the vagina is called a vaginal fistula. A vaginal fistula generally starts with some kind of tissue damage. After few days to months of tissue breakdown, a fistula opens up. In general vaginal fistula happens after

  • Surgery of the back wall of the vagina, the perineum, anus, or rectum.
  • Due to IBD, Crohn’s disease & ulcerative colitis.

    Depending on the origin and connectivity it is classified as

  • A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula.
  • A vaginal fistula that opens into the small bowel is called a enterovaginal fistula.
  • A vaginal fistula that opens into the rectum is called a rectovaginal fistula.
  • A vaginal fistula that opens into the colon is called a colovaginal fistula.
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Types of Fistula

Extrasphincteric fistula begins from the rectum and proceed downward, through the anal muscle and open into the skin surrounding the anus. This type does not arise from the dentate line (where the anal glands are located). Causes of this type could be from a rectal, pelvic or supralevator origin, usually secondary to Crohn’s disease or an inflammatory process such abscesses.

Suprasphincteric fistula begin between the internal and external sphincter muscles, extend above and cross the puborectali muscle, proceed downward between the puborectalis and levator ani muscles, and open an inch or more away from the anus.

Transphincteric fistula begin between the internal and external sphincter muscles or behind the anus, cross the external sphincter muscle and open an inch or more away from the anus. These may take a ‘U’ shape and form multiple external openings. This is sometimes termed a horseshoe fistula.

Intersphincteric fistula begin between the internal and external sphincter muscles, pass through the internal sphincter muscle, and open very close to the anus.

Submucosal fistula pass superficially beneath the submucosa and do not cross either sphincter muscle.

What causes an anal fistula?

An anal fistula is frequently the result of a previous or current anal abscess. This occurs in up to 50-60% of patients with abscesses. Normal anatomy includes small glands just inside the anus. The fistula is the tunnel that forms under the skin and connects the clogged infected glands to an abscess. In general fistula is a reason of

  • Anal Abscesses.
  • Crohn’s disease and Tuberculosis.
  • Due to Cancer & Sexually transmitted diseases (STD).
  • Due to long & untreated inflammatory bowel syndrome (IBD’s).
  • Sometimes for not maintaining Anal Hygiene.

What are the Symptoms of an Anal fistula ?

The following may be symptoms or signs of an anal fistula

  • Recurrent anal abscesses.
  • Skin irritation around the anus, including swelling, redness and tenderness.
  • Constipation or pain associated with bowels.
  • Bleeding.
  • Bloody or foul-smelling drainage (pus) from an opening around the anus. The pain may decrease after the fistula drains.
  • Fever, chills, and a general feeling of fatigue.

You should see your physician if you notice any of these symptoms.

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How is an Anal fistula diagnosed?

Your Doctor can usually diagnose an anal fistula by examining the area around the anus, specifically for any external opening on the skin. If this is visible, then its depth and direction will be found out. Often drainage can be produced from the external opening. Some fistulas or blind fistulas may not be visible on the skin's surface. In this case some additional tests line endoscopy, ultrasound or MRI is required for proper identification & orientation of the fistula tract. Some of the common diagnosis techniques are

  • Fistula probe– This is a fine, narrow instrument which is specifically designed to be inserted though a fistula tract.
  • Anoscope- this instrument is well lubricated and is passed a few inches into your rectum (end of large intestine). An anoscope has a light on the end, which allows the Doctor using it to see the entire anal canal. In case of complicated & higher end fistula, your doctor may recommend further tests, which may include.
  • Diluted methylene blue dye- this dye is injected into the fistula and it helps to show your doctor the fistula's position and path. The dye very rarely causes any side effects.
  • Fistulography- this involves having a special solution injected into your fistula. You will then have an x-ray, which shows the path of the solution as an x- ray image.
  • Magnetic resonance imaging (MRI) scan- this scan uses magnetic and radio waves to get a detailed images of the fistula tracts & there length diameter & orientation.

Faq’s about Fistula Treatment

One open at one end only, opening on the skin (external blind fistula) or on an internal surface (internal blindfistula).

This is a very complicated & hard to treat fistula near the anus, having a semicircular tract with both openings on the skin.

A haircontaining sacrococcygeal dermoid cyst or sinus, often opening at a postanal dimple, believed to result from an infolding of skin in which hair continues to grow. These cysts cause no symptoms unless they become infected, which is likely because of their location.Pain and swelling, with the formation of an abscess, are the symptoms of infection.

Fortunately no, but it causes lot of discomfort & inconvenience as compared to other ano-rectal problems like Piles & Fissures.

Complications depends on the location & internal opening of the fistula. Initial few days after surgery can cause pain & discomfort.

Fistulas are known for recurrence & the chances of recurrence are higher for complicated & higher fistula & low for a simple & lower grade fistula.

Reoccurrence of fistula after completing the full course of PF2-CURE are very minimal or nil .As fistula is a life style disease, a patient has to follow a healthy balanced diet and a harmonized lifestyle .

Yes with PF2-CURE, All discomfort associated with fistula will go within 7 days But According to expert like gastroenterologist and proctologist , fistula is complex disease like infection in space between two mucosal layer of rectal area , blockages and inflammation of rectal glands, poor digestion , gastritis etc .hence For the complete treatment of fistula ,fistula tract should be healed completely which is a long and slow process called fibrosis for this there should be no infection, inflammation and blockages of glands and also harmonized digestion so for all such issues there is one solution that is PF2-CURE.

PF2-cure is effective in both the cases, In multiple tract fistula or old cases fistula patient needs more dosages of PF2-CURE, as in multiple tract fistula there are more than one tract to be heal or it may connect with the anal canal. Similarly in old fistula tract there may be a connection with the anal canal and such connection may cause repeated infection that delays the healing of the fistula tract.

Yes, PF2 CUREcan be used at any stage. It solves all the issues even in the post operative cases.

Yes, you may take this medicine during your pregnancy and lactation. It is totally herbal and safe. Pregnant ladies should consume medicine after breakfast . However patient should always consult a doctor before consuming any medicine

Yes, fistula tract will close by patient’s body response, by the process called fibrosis. This process is enhanced by intake of PF2-CURE medicine with necessary precaution.

Yes, calcium slows down the intestinal motility (the ability of the gut to move food along). It may also reduce fluid secretion in your gut, causing hard or dry stool. we can use bio- available calcium which is helpful in overall individual health. Similarly Iron in the stomach may cause water to move into the intestines. This activity takes water away from the lower intestine, causing stools to become harder. Thus following supplements may cause digestive distruption which leads to ano-rectal issue.

After administration of PF2-CURE discomfort will start reducing within seven days . infection associated with fistula heals with help of natural antibodies present in our medicine . PF2 CURE gives strength to digestive system and also works on the blocked and inflamed rectal glands.Most importantly for faster and complete healing there should be no infection or digestive issues and also patient should follow all instructions provided by our experts

CURE is complete combo of 13 herbs to solve the issue of fistula by rooting out the cause of infection and leads to healing.

Yes, Process of healing depends on age , faster in younger patients slower in old age patients . Similarly medical condition like kidney , heart, liver problems interferes with the process of healing which leads to slow recovery in fistula.

Generally 3-4 courses are required for fistula patients . factors like individual body response, lifestyle and dietary habits and severity of problem will decide the number of courses required by the patients