The link or connection between two different parts of the human body is known as the fistula. It is present between two organs or maybe in various body structures, such as in the vagina, lungs, anus, peritoneal cavities and blood vessels. Generally, they are formed because of an injury or surgery. The formation of fistulas can also take place in the areas where traces of inflammation or infection are found.
The possible areas where fistulas can quickly arise or form are:
- Navel and the gut
- Artery and veins present in the lungs
- Peritoneal cavity and uterus lining
- Stomach and surface of the skin
- Colon and the surface of the body
- Vagina and the bowel area
- Space between the skull and nasal sinus
- Throat and the neck
- Vagina and cervix
- Bile duct and the surface of the skin
- An artery and vein, especially in the lungs
The different types of fistula include
An abnormal connection between the arteries and veins of the lungs is known as a congenital fistula. It is also known as a pulmonary arteriovenous fistula. The standard procedure of oxygenation and deoxygenation of blood is complex. The blood deprived of oxygen is supplied to the lungs, which then gets oxygenated at that particular place and is pumped by the heart to the whole body. In the case of congenital fistula, the oxygenated and the deoxygenated blood is mixed together, which then interferes with the normal body processes and can cause an abscess. The structures of the fistula decide how much the patient is affected or can be affected and the quantity of oxygen received by the body.
A type of fistula that involves the moving of stools from the intestines. As the stools move from the intestines, they exit from the body other than the rectum. The most common example of the acquired fistula is Crohn's disease, as it causes inflammation of the bowel and has the ability to slowly destroy the delicate and soft tissues of the intestines. It can ultimately lead to an anorectal fistula.
The complications during childbirth can give rise to obstetric fistula. It happens due to minimal blood supply or cut-off in the blood supply to the areas of abdomen, bladder or intestine. So when the tissue dies, a hole is formed in that particular area and women can experience leaking through that hole, or stools can pass through that holes. These types of fistulas can cause infections and require immediate treatments.
- Surgically created fistula
A type of fistula is created to benefit the concerned individual or the patient by the doctors or health professionals. In the dialysis fistula, which is also correctly known as Cimino fistula, a hole is created for the patient to undergo dialysis. A hole or opening is made for the patients who are suffering from end-stage renal disease. The location of this type of fistula is the lower arm, where a vein and an artery is connected. The location of the fistula is for the improvement in circulation. Surgically created fistula is also used in the treatment of portal hypertension of the liver.
The most common symptoms of fistula are:
- Swelling around the anus
Symptoms can vary according to the type of fistulas:
- Constant urine leakage from the vagina.
- UTI [urinary tract infections] are common.
- Irritation in the external genital organs
- Fluid drainage from the vagina
- Leakage of faeces into the vagina
- Nausea and vomiting
- Abdominal pain
If you are experiencing any of the symptoms mentioned above, you must consider consulting with your primary care provider.
An anal fistula is formed between the skin surface and anus, which is the part of the digestive tract. Inside the anus, various kinds of fluids are present. When the glands that produce these fluids are blocked or get clogged, it leads to an abscess. When a spot is not appropriately treated or remains open, it leads to the formation of a fistula. There are some other causes of fistulas such as Crohn's disease, ulcerative colitis, tuberculosis or STDs [sexually transmitted diseases] and other health issues.
Generally, for investigating anal fistulas, doctors or health professionals perform many physical tests. In the physical examination, the professionals will check the skin surface and the area around the anus for any opening or hole. They will then inspect the depth of the hole or the fistulas.
Sometimes fistulas are not present on the skin surface, and a proper inquiry is necessary to detect them. The investigation is carried out through additional tests. Your doctor may recommend additional tests to diagnose your health condition.
Tests that can be performed by the health professionals are mentioned below:
- Anoscopy: Anoscopy is carried out to investigate the inner view of the rectum and anus.
- MRI [magnetic resonance imaging] for getting a better picture of the anus.
- Sometimes the professionals will prefer to examine you in the operating room.
If a fistula is found, your doctor will investigate further to rule out Crohn's disease. Crohn's disease is an inflammatory disease of the intestine. For examining further Crohn's disease, blood tests and X-rays are also prescribed by the professionals. Colonoscopy is also performed in many cases. Colonoscopy is a procedure where an instrument is inserted into the colon via the anus, and further investigation is carried out.
Homoeopathic treatment is carried out to treat the root cause of an abscess. The basic approach of the homoeopathic treatment involves the closing of the fistula in 100 percent natural ways. Further, this treatment consists of suppressing the factors which have led to the formation of an abscess.
Homeotherapy treatment can increase the resistance against abscess formation by its chemical-free methods. In order to treat a fistula, the fluid flow must be stopped or blocked. When the fluid drainage stops, the opening shrinks on its own and healing is carried out. Although homoeopathy is a natural way to cure any kind of disease, all the diagnosis, treatment and medicine intake should be done according to the doctor's advice.