Anal Fistula

Anal fistula symptoms usually develop due to persistent infection and inflammation near the anal glands. Common signs include anal pain, swelling, redness around the anus, and drainage of fluid containing pus or blood. Fever and discomfort during bowel movements may also occur.

Anal fistula diagnosis begins with a detailed medical history and physical examination of the anal region. Doctors assess symptoms such as pain, swelling, and drainage. Anoscopy or proctoscopy may help identify the internal opening. Imaging tests, including MRI or endoscopic ultrasound, may be used to map the fistula tract. Manipal Hospitals provides a comprehensive diagnostic evaluation to confirm anal fistula and guide appropriate treatment.

Anal fistula treatment focuses on controlling infection and closing the abnormal tract to prevent recurrence. Management commonly includes surgical procedures such as fistulotomy, seton placement, or other specialised techniques. The choice depends on the fistula pathway and surrounding tissue involvement.

Anal fistula management at Manipal Hospitals begins with a detailed consultation with a colorectal specialist. Doctors review symptoms such as pain, swelling and drainage around the anus. A careful physical examination helps identify the external opening of the fistula. Additional evaluation may include anoscopy, proctoscopy, or imaging tests such as MRI or endoscopic ultrasound. These tests help determine the pathway of the fistula and the extent of surrounding tissue involvement.

After confirming the diagnosis, proctology specialists create an individualised treatment plan based on the fistula type and associated infection. Surgical options may include fistulotomy, seton placement, or other specialised procedures. These procedures remove infection and close the abnormal tract. The goal is to treat the fistula while preserving normal bowel control. Following treatment, patients receive guidance on wound care, hygiene, and symptom monitoring.

During follow-up visits, doctors monitor healing and assess recovery progress. Guidance on diet, bowel habits, and hygiene may be provided to support recovery and reduce complications. Anal fistula treatment at Manipal Hospitals includes continued evaluation to detect recurrence or infection. This helps ensure appropriate long-term care.