Fistula-in-ano

I had perianal abscess last September 2012 na na-develop to fistula-in-ano. Gusto ko na to matapos so nag pa consult ako sa surgeons. My first surgeon said na to give it some time, nung pumunta ako may discharge pa ng pus and blood, and possible raw na walang track going to the *****. I went back a week after pero merun pa ring discharge, so fistula nga (forgot the distance, pero it's not far from the *****, and between 6-7 o'clock). Was supposed to do a follow up pero the surgeon was leaving the country for a couple of weeks. So nag pa consult ako sa ibang surgeon (Surgeon 2).

Surgeon 2 didn't want to act on it kaagad, he said that the wound is still "raw." Kailangan raw maging chronic. Also, nung time na un walang ng pus. Blood, stool, and mucus ang discharge. I was given prescription for bactidoid/bactifree to use after BM. Fast forward to 2013 and 2 tubes of faktu, I just did my monthly check up with Surgeon 2 nung Wednesday, March 20, 2013. I was told na nag close na raw ang external opening. There's "internal healing." I was advised to continue lang what I've been doing, diet and exercise. He told me not to use faktu anymore and I don't need to see him next month unless something really bad happens.

I've been cutting on pork, beef, and chicken since the fistula developed (I'm now a pescatorian for more than a month). I've been taking a lot of fiber: fruits, veggies, and c lium. I do 30 mins brisk walking daily and 2-3 hours cardio during weekends. Most of the time wala ng discharge. Kung merun man, hindi na siya masyadong irritating compared sa first 3 months. And yung maga, maliit na lang siya, pea size, sometimes smaller.

Is this really possible? Mag heal siya without surgery? May mga cases ba same as mine? I'm sick of this condition, sana matapos na for good. And ang hassle lang ng may sanitary napkin.

Thanks!
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Comments

  • AteoAteo Non est Deus. Fac cum eo. PEx Influencer ⭐⭐⭐
    Oh my God, obstetric fistula is so treatable. Don't despair. It is unlikely to heal by itself, so it is better to see a doctor who knows about it. Ask around. Globally, the Belinda Gates Foundation and UNFPA have supported a lot of initiatives to treat fistula in South Asia and in Africa. If they have a local office, ask them if they know any doctor who is good in this. Otherwise, any obstetric surgeon should be okay. I am a little concerned about the comments of your doctor. Perhaps, he/she is not familiar with this condition and is hesitant to operate.

    An award-winning movie, "Walk to Beautiful" is dedicated on obstetric fistula. It is here: http://www.pbs.org/wgbh/nova/body/a-walk-to-beautiful.html If it does not play, Google the title and it might show in other formats.
  • AteoAteo Non est Deus. Fac cum eo. PEx Influencer ⭐⭐⭐
    Ahh okay. I assumed they are the same. I am currently volunteering in some fund-raising efforts for fistula treatment in Africa so obstetric fistula is on top of my mind when I saw the fistula thread.
  • punchthemonkeypunchthemonkey Member PExer
    matulis wrote: »
    Some peri-anal abscesses were caused by a tunneling of a fistulous tract from your anal canal. If there is persistent discharge after the drainage of the abscess, an examination of the anal canal under anesthesia is performed. If there is really a fistulous tract, then a fistulotomy is performed. If there is no demonstrable internal opening, then it is not fistula-in-ano.

    Examining fistula-in-ano is better appreciated under anesthesia as the muscles of the anal sphincter has to be relaxed. Ask your surgeon about it.
    If you need help with this, you may send me a PM. I would be glad to help you.

    Fistula-in-ano is different from obstetric fistula.

    Our in-house surgeon did a rectal exam without anesthesia and found a tract (or he thinks) that's why I was sent to Surgeons 1 & 2. So, did I just waste my time with Surgeon 2? I could have been healed months ago? Imma talk to our in-house surgeon about this. Thanks, Matulis.
  • TikitakzTikitakz Member PExer
    Buti may ganito na forum, i need help about this too. Balak ko magpatingin sa colorectal specialists, kaya lang sa mga nababasa sa internet parang puro negative ang meron, hindi daw gagaling even after surgery, so relieved to finally find a doctor here who can somehow tell us kung ano ba talaga ito, hindi ko pa din siya masyado maintindihan kasi. Hindi po ba magsasara ang sugat even after surgery?
  • kikoskiekikoskie Member PExer
    may ganito din ako eto ang istorya

    may history ako ng Hemorrhoids (or almuranas) since birth yun, unang atake nya sa pagkakatanda ko is nung 14-15yrs old ako, super sakit sya lalo na kapag dudumi na halos walang posisyon sa pag higa mo na magiging komportable ka, or umupo, or lumakad, kumbaga torture sya, then habang sa pagtanda ko nasanay na siguro yung **** ko sa ganung eksena im 24 yrs old now,

    then nitong april 2 nag umpisa ang kalbaryo ko, sumakit bigla yung pwetan ko, so akala ko almuranas lang, pero nag tataka kasi ako dahil umabot sya ng 7days (actually yung sakin eh minsan 2-3 days lang sumasakit, so i decided na bumili na ng gamot baremoid ata yun kasi hindi na ko umiinum nun since inakaya ko na yung pain) so eto april 10 ABA konting galaw ko masakit ang **** ko. pakiramdam ko eh may pinasak na malaking bakal sa butas ng puwitan ko ganun kasakit, gang sa hindi na ko na dudumi for 5days hindi din ako pinatutulog nung sakit nya, halos 5days akong walang dumi at tulog dahil sa SOBRANG SAKIT, minsan iniuuntog ko yung ulo ko sa pader kapag sumumpong sa gabi, gang na pansin na ng ermat ko ang laki ng pinayat ko and parang sobrang stress ako, kasi ako yung taong hindi pala daing sa mga magulang ko, hanggang kaya ko tinitiis ko dahil unang una financial second ayokong may nag aalala sakin na mahal ko sa buhay, nag pasya sila na ipatingin ako sa doktor, so ako naman eh pasuko na talaga sa sobrang sakit eh pumayag na din, para nga pala syang pigsa na supeeeeerrrrrr sakit (pipiliin ko pang mahulog sa 5th floor kesa sa sakit na un) eto na check up palang dapat ang gagawin sakin pero agad agad nung nakita nila yung puwitan ko eh diniretcho na ko ng O.R and kinundisyon ang katawan ko para sa surgery

    di ako makapaniwala, dahil mula pagkamusmos ko eh di pa ko naoospital, at eto na nga april 15 na confine ako,

    sa O.R isang anesthesiologist at yung general surgeon at ako ang nasaloob, una tinurukan ako ng anesthesia sa spinal cord (wala akong kakaba kaba nun dahil buo ang loob ko and hindi ako takot sa sakit or kirot) then may inilagay sa ilong ko oxygen ata and mayitinurok sa may kaliwang braso ko, last na naaalala ko is sabi nung anesthesiologist " aantukin ka ha? wag mong labanan para mas maging komportable ka" ayun gang sa itinataas na nila yung paa ko and poop wala na akong maalala, ang ginawa nga pala nila nun is drain yung pus ko, lumala daw yung akin dahil hindi ko agad ipinasuri sa doktor and nag tataka sila pano ko kinaya na magtagal ng ganun nangiti *** ako, after surgery naka 1 and a half hour din daw, sabog ako nun kasi tinurukan nila ako ng morphine sa pag kakaintindi ko sa morphine eh pain reliever ata yun and nakaka high para kang naka drugs,

    eto na, kinabukasan ng surgery eh pinauwi na kami, PERO kinalikot nya yung **** ko kala ko lilinisin lang kasi may tumutulo na parang dugo madalas eh, and hindi ko alam na may hiwa dun and sa loob ng hiwa eh may nakapalaman na GAUZE makapal na gauze, oo pinalaman nila sa loob ng sugat, and ang masaklap aalisin yun at papalitan ng iba OMG yung hiwa eh kasing laki lang ng kalahati ng palito ng posporo and ilalabas mo dun yung kasing kapal ng kamao ko na GAUZE and papasakan ng panibagong gauze habang tinatanggal nya yun di ko na pigilang sumigaw mag mura at magwala sa sobrang sakiittt, ang purpose daw nun is para wag munang mag sara yung sugat, para mag umpisa ang pag hilom mula loob palabas, so pag uwi namin sa bahay

    eto na, ang paraan ng pag lilinis nung sugat eh di biro, una tatanggalin yung malaking pasak na gasa sa sugat
    second papasukan ng catheter (take note ipapasok yung catheter sa sugat sgad dapat yun) yung sugat and bobombahin mo ng pang injection, yung gamot na ipang bobomba mo sa sugat is pinag halos sodium something hehe (dextrose sya pang irregation ata un) sodium peroxide (aqua oxenada) and last CLOROX oo yung pang labang CLOROX, ***** napaka hapdi, then pagkatapos mo linisin eh papasakan mo ulit yung sugat para wag mag sara yung labas one month naming tyinaga yun ng ermat ko, kahit diring diri sya 3x a day kasi yun nililinis eh., and eto ako ngayon four months na and di naman na umuulit pa (sana wag na umulit) so ayun, sa mga may ganito wag lang kayong matatakot, or mag isip ng kung ano, kasi ako mas nasasaktan ako na nakikita ko yung mga tao sa paligid ko na naaawa sakin or nahihirapan na nakikita akong ganun, every linis time nag papatugtog ako ng music sa CP ko, to ease the pain, minsan kapag masakit sumisipol lang ako, di ako nag sasabing ARAY MASAKIT every time na nililinis ni ermat *** sugat, instead tumatawa ako, pero deep inside gusto kong umiyak, half hour din yung linis time, and pag tapos naman nun ok na eh, titiisin mo nga lang ng 3x a day,
  • kikoskie wrote: »

    eto na, ang paraan ng pag lilinis nung sugat eh di biro, una tatanggalin yung malaking pasak na gasa sa sugat
    second papasukan ng catheter (take note ipapasok yung catheter sa sugat sgad dapat yun) yung sugat and bobombahin mo ng pang injection, yung gamot na ipang bobomba mo sa sugat is pinag halos sodium something hehe (dextrose sya pang irregation ata un) sodium peroxide (aqua oxenada) and last CLOROX oo yung pang labang CLOROX, ***** napaka hapdi, then pagkatapos mo linisin eh papasakan mo ulit yung sugat para wag mag sara yung labas one month naming tyinaga yun ng ermat ko, kahit diring diri sya 3x a day kasi yun nililinis eh., and eto ako ngayon four months na and di naman na umuulit pa (sana wag na umulit) so ayun, sa mga may ganito wag lang kayong matatakot, or mag isip ng kung ano, kasi ako mas nasasaktan ako na nakikita ko yung mga tao sa paligid ko na naaawa sakin or nahihirapan na nakikita akong ganun, every linis time nag papatugtog ako ng music sa CP ko, to ease the pain, minsan kapag masakit sumisipol lang ako, di ako nag sasabing ARAY MASAKIT every time na nililinis ni ermat *** sugat, instead tumatawa ako, pero deep inside gusto kong umiyak, half hour din yung linis time, and pag tapos naman nun ok na eh, titiisin mo nga lang ng 3x a day,

    I'm sorry to hear that you went through all that pain. I had my surgery nung June 16, so medyo 2 months post op na ako pero may konting discharge pa rin. Lalo na kung very active ako. Pag nasa bahay lang ako I get less discharge. So kailan tumigil yung discharge/drainage mo? Sawang sawa na ako mag napkin.
  • Intan77Intan77 Member PExer
    Thanks po sa thread na to. May problem din kasi ako bout sa fistula. Di ako makapag-open nito sa iba. Kakahiya kasi.. Patulong naman po. Di ko lang kasi alam kung anong klase to. Gusto ko po sana kumunsulta ng doctor kaso di ko alam kung anong espesyalista ang dapat kung lapitan? And any suggestion na hospital.. At mga magkano po ang kailangang budget para sa surgery.. Salamat ng madami. Wait ko po ang response nyo..
  • enrho12enrho12 Member PExer
    Hi matulis currently naghahanap ako ng makakatulong sakin I hope makontak mo ko dito sa number na toh 09161731479
  • reyesjoiereyesjoie Member PExer
    I'm sorry to hear that you went through all that pain. I had my surgery nung June 16, so medyo 2 months post op na ako pero may konting discharge pa rin. Lalo na kung very active ako. Pag nasa bahay lang ako I get less discharge. So kailan tumigil yung discharge/drainage mo? Sawang sawa na ako mag napkin.

    nabasa ko ito post nyo, na surgery po ba kayo ng fistulectomy, kasi ako 3 months post op na pero till now hindi pa din siya nag heal although may improvement naman pero may unti pa rin discharge till now...ask ko lang gaano katagal inabot yung sa inyo bago nag fully healed...
  • sabotahesabotahe veteran PExer
    I had this a few years ago. It started with some pain sa anal area then after two or three days, naging unbearable yung pain. Hindi ako maka-upo or maka lakad na walang nararamdamang sakit.

    I got myself checked and was given anti-bacterial meds. The next day, I still could not stand the pain so I went to the ER. The ER doctor did a rectal exam and pressed on the exact area na may abscess and I just screamed. Haha. After that, he asked that I get confined immediately and referred me to a general surgeon.

    The surgery went well and it turns out, it wasn't just an abscess. Fistulectomy was performed. Same as one of the guys above, the recovery process was a little difficult but right after the surgery, ZERO pain na and I was just so happy.

    It's true that they put a ridiculous amount of gauze INSIDE the wound where they cut you and removed whatever they removed. I remember sitting down on this customized chair that had a basin of warm of water in it so that my *** would be submerged in it for around 15 to 20 minutes. I think para lumabas lahat ng mga remaining puss yun.

    Then ako na mismo nag tanggal ng pagkadaming gauze sa sugat after a few days. It wasn't as painful as I thought it would be. When I was cleared to go back to work, I had to put sanitary napkins so that it would get all the puss that would come out. I think I had to replace napkins three times a day.

    This thing has not recurred since I got operated on maybe four years ago. Thank you! The healing process wasn't so bad. In fact, I got operated in December pero by February - I even completed a 42km marathon :)
  • Berting03Berting03 Member PExer
    Guys. Same din ako ng problem. *** sakin, almost 4yrs na. Gumaling *** sugat nung sakin then may lumabas nanaman na halos katabi nya. After ilang months, nagsugat ulit *** isa kaya ngayon 2 ma sila. May marerecommend ba kayo na specialist within manila? Thanks
  • BatotoyBiboBatotoyBibo My batotoy is bibo!=p PExer
    sabotahe wrote: »
    I had this a few years ago. It started with some pain sa anal area then after two or three days, naging unbearable yung pain. Hindi ako maka-upo or maka lakad na walang nararamdamang sakit.

    I got myself checked and was given anti-bacterial meds. The next day, I still could not stand the pain so I went to the ER. The ER doctor did a rectal exam and pressed on the exact area na may abscess and I just screamed. Haha. After that, he asked that I get confined immediately and referred me to a general surgeon.

    The surgery went well and it turns out, it wasn't just an abscess. Fistulectomy was performed. Same as one of the guys above, the recovery process was a little difficult but right after the surgery, ZERO pain na and I was just so happy.

    It's true that they put a ridiculous amount of gauze INSIDE the wound where they cut you and removed whatever they removed. I remember sitting down on this customized chair that had a basin of warm of water in it so that my *** would be submerged in it for around 15 to 20 minutes. I think para lumabas lahat ng mga remaining puss yun.

    Then ako na mismo nag tanggal ng pagkadaming gauze sa sugat after a few days. It wasn't as painful as I thought it would be. When I was cleared to go back to work, I had to put sanitary napkins so that it would get all the puss that would come out. I think I had to replace napkins three times a day.

    This thing has not recurred since I got operated on maybe four years ago. Thank you! The healing process wasn't so bad. In fact, I got operated in December pero by February - I even completed a 42km marathon :)

    I searched for this topic after my doctor suspected fistula on my case. He already treated me with antibiotics twice since January this year and the thing didn't heal completely. I'm glad there is one good case here to look at.
  • dj_sensuidj_sensui 乀(◐‿ ◐乀) PExer
    Kaka opera ko lang last week. Mga 100k din gastos, laking tulong ng HMO.

    Anyway, mahirap lang mag dumi kasi masakit. Tapos kailangan mag napkin lagi.
  • di-alamdi-alam Member PExer
    hi sir saan po kyo nag pa opera private o public lang hope you can reply...thanks po!
  • di-alamdi-alam Member PExer
    sir i would like to ask kung saan po kayo nagpa opera and magkano poang inabot.. thanks...
  • vanessa2015vanessa2015 Member PExer
    Any one here may mairerecommend na doctor for check up and surgery?
  • Trans101Trans101 Member PExer
    Today is November 18 2015 , Hello call me khim , I'm 27 now and Pre Op trans woman nagtratrabaho sa CALL CENTER . Gaya niyo meron din akong Fistula in ano . And before i go further i would like you all to know na napaka saya at thankful ko na may ganito palang forum at yes I sunundan ko yong thread dito binasa ko ang kanya kanyang story niyo . Some made me relieved but mostly gave me fears and worries yet gave me some good things to do . sa totoo lang masakit at mahirap tanggapin ang katotoohan about sa sakit na to pero the sooner it's cured of course is better . I said to myself now finally meron na din ako mapag shi sheran ng condition at napaka laking problema kung to na awa ng diyos first time kung nailabas sa iba . Not sure if anung klase yong akin kasi never pa ako nakapagpa check up sa tamang doctor or surgeon who specialized fistula in ano pero ang doctor dito sa center sa malapit samin ang pinaka unang nag sabing FISTULA IN ANO daw tong akin at she checked it and even removed some discharged and that was 2011 4 years na ngayon . Like yours this comes and go i mean yong pag sumpong niya ng discharge and pain . Pero this time is the worst kasi unlike before kaya kung I tolerate ang sakit na iniinuman ko lang ng anti biotic for days nagiging ok na ** . This time is more painful like most of you experienced nahihirapan ako mag lakad . Yong sugat na nasa labas is more lumaki at mas dumami discharged na Na** na may dugo din . With my case nag research ako about sa sakit na to sa abot ng aking makakaya to know paano gagaling and what are the things to do para di lumala . But the bottom line with my agony bumabalik pa din ** kahit ilang beses na xang humupa at temporary na gumaling . Subrang nakaka stress talaga . Kakaisip kung kanino pwedi lumapit at kung magkano gagastusin , like others here na stress din ako mag worry family ko at pinaka stress sa LAHAT financial. Kaya sumulat ako dito because HOPING AKO NA MAY MAGBIBIGAY NG BUO AT MAAYOS NA DETAILS ABOUT SA KUNG SINO AT SAAN AKO MAGAGAMOT SA PRESYONG SANA KAYANIN KO . NAGBASA AKO DITO NG THREADS SIMULA UMPISA PERO WALA NAMANG NAME NG DOCTOR O OSPITAL NA SINA SUGGEST WHICH IS YON NAMAN TALAGA ANG PINAKA IMPORTANT NA DETALYE , I hope na isa sa inyo ang mag silbing daan para masagot ang mga matagal ng katanungan sa aking isipan . Please don't hesitate to PM , Reply or email me those very important details to [email protected] asap . Nawa'y pagpalain tayong lahat lalo na ang makakatulong sakin lalo na kung paano ako gagaling ng tuluyan . Maraming Maraning salamat sa inyong lahat dito . *Fingers Crossed *
  • dj_sensuidj_sensui 乀(◐‿ ◐乀) PExer
    wag ka matakot mag pa check.

    Sa Medical City ako nag pa check at na-operahan.
    Laking ginahawa nung na operahan.
  • sumakit pusod ko na parang konektado sa pag ihi ko then after 2 days nagkaron na ng discharge tapos namaga na *** pusod ko talaga then ***** after anti biotics humupa siya even the discharge. I cried na nga kasi im only 19 im a student but i keep on praying talaga kasi ako ang black sheep sa family naman pasaway ako and big liar maybe karma to or what? But habang tumatagal habang sumasakit lalo akong napapalapit sa Diyos gusto ko magbago minsan talaga kinakalabit niya tau pero hanggat naniniwala tayo sa kanya everything will be ok at ang daming nagmamahal sakin ng totoo mula sa online world kasi medyo kilala din ako jan pero na amaze ako samprayers for me mg mga ibat ibang tao most especially my mom and family they are great. Bukas punta ako sa surgeon kasi sinuggest na un ng doctor ko. Hoping na matapos na ito at gumaling narin :) medyo wala natin discharge sa pusod ko pero kita parin jng laman nakakatakot. Sana walamg surgery sana may miracle kasi ang mahal ayoko na maging pasanin nanaman samin. Kulit ko kasi akala ko mga infection lang to un pala medyo grabe na.
  • Magkano po nagastos niyo? Saan po lumalabas ang discharge niyo?

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