Can people with anal fistula drink alcohol?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 10, 2024
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Patients with anal fistula are advised not to drink alcohol. As an anal fistula already features distinct external and internal openings as well as a fistulous tract, excessive or chronic alcohol consumption can stimulate recurrent local inflammatory episodes. This can cause an increase in the secretions from both openings, leading to varying degrees of anal pain and itching for the patient, worsening the condition, potentially increasing the branches of the fistula, or causing it to spread deeper or to other areas. Therefore, not only should patients with anal fistula abstain from alcohol, but they should also maintain a light diet rich in green vegetables and fruits. Once diagnosed, it is crucial for patients with anal fistula to undergo surgical treatment promptly. The primary surgical approach involves fistulotomy with seton placement. Postoperatively, attention must be paid to the dressing of the local wound to avoid pseudo-healing and infection.

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Written by Chen Tian Jing
Colorectal Surgery
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Symptoms of hemorrhoids and anal fistula

If there are concurrent hemorrhoids and anal fistulas, then the clinical manifestations primarily involve the combined symptoms of both conditions. The clinical manifestations of hemorrhoids mainly include recurrent prolapse of local swellings at the anus along with defecation bleeding or pain. As for anal fistulas, they primarily present with local infectious symptoms at the anus because anal fistulas have distinct external and internal openings. During acute episodes, there typically is intermittent discharge of pus from the external opening along with accompanying stabbing pain. If the patient also has hemorrhoids or an exposed anal fissure, it is recommended to proceed with surgical treatment as soon as possible. The only treatment method for anal fistulas is surgery. During the surgery, while excising the wall of the anal fistula tract, mixed hemorrhoids can also be removed simultaneously, achieving the purpose of complete cure.

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Written by Yu Xu Chao
Colorectal Surgery
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Is an anal fistula close to the anus considered high or low position?

In general, anal fistulas close to the anus are considered low anal fistulas. Clinically, anal fistulas are classified as either high or low based on the levator ani muscle as the boundary. Those located above the levator ani muscle are considered high anal fistulas, while those below are considered low anal fistulas. Clinically, the treatment for anal fistulas primarily involves surgical intervention. Options include fistulectomy, which involves the removal of the internal opening and the fistula tract. Post-surgery care may include the use of anal cleansing agents, red oil gauze strips, and golden ointment for dressing changes to promote wound healing. It is important to maintain smooth bowel movements and consume a light diet. High, complex anal fistulas may easily damage the anal sphincter or even the anorectal ring, leading to fecal incontinence. Therefore, during surgery, the thread hanging method may be chosen to avoid excessive damage to the anal sphincter.

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Written by Chen Tian Jing
Colorectal Surgery
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How long does it take to recover after surgery for an anal fistula?

After surgery for an anal fistula, the general recovery time is about twenty days to a month. The duration of recovery mainly depends on the size of the local lesion before surgery, as well as the surgical wound postoperatively, and also relates to the patient's constitution. Particularly, if the patient has certain underlying diseases, such as diabetes or a history of tuberculosis, the recovery time may be relatively extended. The wound after an anal fistula surgery is an open wound contaminated with bacteria, so postoperative wound dressing changes are very important for wound recovery. It is recommended that the secretion from the local wound be cleared daily, followed by disinfection with povidone-iodine, then application of an anti-inflammatory ointment, and covering the wound with an oil gauze strip for drainage to avoid poor drainage leading to false healing of the local wound.

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Written by Chen Tian Jing
Colorectal Surgery
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How long will it take for a fallen anal fistula seton to heal?

The primary surgical method for anal fistulas is the fistulotomy with seton placement. The duration for which the seton, made of elastic band, remains in place largely depends on the severity of the anal fistula and the amount of sphincter muscle tied. If the fistula is a simple superficial one, the seton usually falls out around seven days. In cases of high, complex anal fistulas, or those with multiple branching fistula tracts and multiple sphincters tied, the seton may take slightly longer to fall out, generally about ten days. If the seton has not fallen out after the local sphincter muscle has fully regenerated, it can be cut by a professional proctologist. However, it is important to note that postoperative care mainly involves dressing changes until the seton falls out, indicating that the wound has largely healed.

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Written by Chen Tian Jing
Colorectal Surgery
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Does an anal fistula hurt?

Anal fistula mainly refers to the presence of a noticeable fistula in the tissue under the perianal skin, which connects the inner opening in the anal canal and the outer opening around the anus. Usually, the anal fistula does not cause significant pain when it is not in acute flare-up. However, if the anal fistula enters an acute episode, there may be pain due to inflammation at the local external opening of the anus, and possibly an increase in purulent discharge, which can irritate the skin around the external opening, causing stinging pain and itching. To prevent recurrent episodes of anal fistula and further aggravation of the condition, it is advised to seek surgery as soon as the fistula is detected.