An anal fistula is a small tunnel that forms between the end of the bowel and the skin near the anus. Though it may sound like a minor problem, it can cause persistent pain, swelling, pus discharge, and recurrent infections. One of the most common questions patients ask is, “Can an anal fistula heal on its own?” Unfortunately, the answer is no—and delaying proper treatment can lead to complications.
As a specialist in fistula treatment in Pune at Kaizen Fistula Care Clinic, Dr. Samrat Jankar, aim to shed light on why anal fistulas require medical attention, the risks of ignoring them, and the most effective treatments available today.
What Is an Anal Fistula?
An anal fistula usually develops after an anal abscess that fails to recover completely. When the abscess drains, either spontaneously or surgically, a tunnel may form between the anal canal and the skin around the anus. This tunnel continues to fill with pus or stool, leading to chronic infections.
Common Symptoms of an Anal Fistula:
- Persistent pain or throbbing around the anus
- Swelling and redness
- Discharge of pus or blood
- Irritation or itching around the anal area
- Fever (if infection spreads)
- Recurrent abscess formation
These symptoms may come and go, making patients think the problem is resolving itself. However, this temporary relief is misleading.
Can an Anal Fistula Go Away Without Treatment?
The answer is no—an anal fistula will not heal on its own.
Fistulas are abnormal passages that form due to infection and inflammation. The body cannot close these tracts naturally, as they are constantly exposed to bacteria and fecal matter. Without proper surgical intervention, the tract remains open, becoming a source of ongoing infection and discomfort.
Even if the symptoms subside for a while, the fistula will eventually flare up again. Depending on antibiotics or home treatments might provide temporary relief but does not resolve the root cause.
Risks of Leaving an Anal Fistula Untreated:
Choosing to ignore an anal fistula or relying solely on conventional treatment can result in:
- Chronic Infection: The fistula tract remains open, acting as a gateway for bacteria to enter, leading to repeated infections and abscesses.
- Worsening of the Fistula: Over time, simple fistulas can become complex with multiple tracts or branching pathways, making them harder to treat.
- Fecal Incontinence Risk: Delaying proper treatment might damage the sphincter muscles around the anus, risking loss of control over bowel movements.
- Skin Irritation and Discomfort: Constant drainage of pus or blood leads to skin inflammation, itching, and foul odor, affecting hygiene and quality of life.
Why You Should See a Fistula Specialist?
Because of the recurring nature of fistulas and the need for precise evaluation, it’s important to consult a colorectal specialist in Pune like Dr. Samrat Jankar. At Kaizen Fistula Care Clinic, we perform detailed assessments using techniques like MRI fistulograms and endoscopic evaluations to determine the type and extent of the fistula.
There are various types of anal fistulas—intersphincteric, trans sphincteric, suprasphincteric, and extrasphincteric—and each type requires a specific approach for successful treatment.
Effective Treatments for Anal Fistula:
While healing on its own isn’t possible, modern treatment options provide faster recovery, less discomfort, and better long-term outcomes.
- Fistulotomy: This is the most common procedure where the fistula tract is surgically opened, cleaned, and allowed to heal naturally from the inside out. It is highly effective for simple fistulas.
- Seton Placement: For fistulas involving the anal sphincter muscles, a seton is placed in the tract to stimulate drainage and minimize incontinence risk.
- VAAFT (Video-Assisted Anal Fistula Treatment): A minimally invasive technique where a camera is used to visualize the fistula from inside. It allows precise cleaning and sealing of the tract. At Kaizen Fistula Care Clinic, we specialize in VAAFT, especially for complex fistulas.
- Fistula Plug: A bio-absorbable material is inserted into the fistula tract, stimulating the body to heal over it. It’s a sphincter-saving method with growing popularity.
- LIFT (Ligation of Intersphincteric Fistula Tract): An advanced technique where the fistula tract is tied off and removed without cutting the sphincter, preventing incontinence.
Post-Treatment Recovery and Care:
Post-surgical care plays a vital role in healing. At Kaizen Fistula Care Clinic, we guide patients through every step of recovery:
- Maintain proper hygiene to avoid reinfection
- Sitz baths to reduce swelling and discomfort
- Follow-up appointments for wound monitoring
- Dietary advice to ensure soft stools and avoid straining
- Guidance on activity restrictions during healing
Most patients return to normal life within a few days to weeks, depending on the complexity of the fistula and the method performed.
Conclusion:
Anal fistulas are painful, persistent, and won’t heal on their own. While it may be tempting to ignore signs or try home treatments, this can lead to serious complications. With modern advancements in fistula treatment, there’s no reason to suffer in silence.
If you’re experiencing symptoms of an anal fistula, book a consultation with Dr. Samrat Jankar at Kaizen Fistula Care Clinic. Early diagnosis and expert care can help you return to a pain-free life faster and safer.
For appointments and more information, visit or call us directly. Your health deserves expert care—don’t delay!
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