What is an anal fistula?

       The actual fact is that you will find a lot of people who have been in the market for a long time, and you will find a lot of people who have been in the market for a long time. The actual fact is that you can find a lot of people who are not familiar with anal fistula, or even have never heard of it, so they often get it and mistake it for hemorrhoids, and then take it upon themselves to buy some hemorrhoid cream or something to apply, which often does not work well, and can even aggravate the condition in serious cases. The actual fact is that you can find a lot of people who are not able to get a good deal on this kind of things.   The fistula can develop at any age, including infants and young children, and is more common in young adults, more males than females, but infants and young children have a tendency to heal themselves as their bodies and intestinal immune function improve. In adults, anal fistula is an infectious disease in which bacteria invade from a weak or broken mucous membrane in the anus (usually at the anal fossa) and spread around and outside the anus to form an anal fistula, also known as “anal leakage” or “leaky sore” in Chinese medicine. It is a disease in which the rectum of the anal canal is connected to the skin around the anus, and a pathological canal appears, consisting of a primary internal orifice, a secondary external orifice, and a fistula canal, usually formed after a perianal abscess has broken down.  The clinical manifestations of anal fistula are repeated localized pus flow, long-standing failure to close the mouth, pain when the external mouth closes and pus accumulates, or fever, etc. During examination, strips can be palpated or probed to pass into the anus. There are other asymptomatic patients who may find a hard node around the anus unintentionally, such as when bathing, without pain or itching, but if you find a similar situation, you should also consult a doctor for a clear diagnosis.  The most important thing is that you can get a good idea of what you’re looking for.  The majority of anal fistulas are simple at the beginning, but with repeated attacks, one becomes a complex fistula with multiple fistulas, and the other develops deeper into a high anal fistula, and the more complex the fistula is, the more perianal tissue and anal sphincter it invades, making surgery more difficult, and the post-operative trauma is greater, even affecting the patient’s anal function, and in serious cases, fecal incontinence. The more the sphincter is involved, the more difficult the surgery will be and the more traumatic it will be after surgery.  In addition, recurrent and long-lasting anal fistulas have a certain possibility of cancer. The first step in the process is to treat the fistula as early as possible, which is not only the principle of treatment, but also an effective way to prevent the fistula from becoming cancerous. The actual fact is that you should go to a regular specialist hospital to receive surgical treatment as soon as possible after being diagnosed.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.  The traditional methods used to be fistulotomy or excision, fistula hanging, etc., of which hanging wire therapy was used as early as the Ming Dynasty in China, and has been a very effective surgical method used to this day.  So why do we use threads? The reason is that after cutting off too many anal sphincters, the muscles will retract and the broken ends of the muscles will separate and lose their normal sphincter function, causing the anal closure to be impaired. The hanging thread is an “elastic ligature” of the rubber band that slowly disconnects the muscle and causes local fibrosis through the inflammatory reaction, so that the severed end of the muscle adheres to the surrounding tissue, thus preventing the severed end from retracting and avoiding fecal incontinence. In recent years, new methods of treating anal fistulas have emerged, the purpose of which is to protect the anal sphincter intact and avoid damage to anal function, such as fistula ligation between sphincters, anal fistula plugs or fibrin glue injection, etc. The most important feature of the new methods is that they do not damage the sphincter, but the recurrence rate is high and expensive, and the technology is not mature enough. But the technology is more mature and the efficacy is more stable. It is believed that minimally invasive treatment of anal fistula will be the future trend, but for now, traditional surgery may be safer and more effective.  The actual fact is that you can find a lot of people who are not able to get a good deal on this. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.  In addition, good habits are also essential to avoid overexertion, physical resistance is an intrinsic factor of infection, avoid eating spicy food and alcohol, avoid regular diarrhea, etc. are effective ways to prevent the onset of anal fistula. The most important thing is to know about anal fistula, to treat it and to enjoy a healthy life.