Can anal fistulas really heal on their own?

  Can an anal fistula really heal itself? It is often referred to as an anal fistula because it is a granulomatous canal around the anus, consisting of an internal port, a fistula tube, and an external port. It is a common rectal and anal canal disease, second only to hemorrhoids in incidence, and can develop at any age, mostly in young and middle-aged men, probably due to the high secretion of sebaceous glands, one of the male sex hormone target organs. The actual fact is that you can get a lot more than just a few of the most popular and popular items.  The actual fact is that you can’t get a good deal on your own. The actual fistula can be self-healing?  The actual fact is that if you are not treated, you will have recurring perirectal abscesses, so you must have surgery. The principle of treatment is to cut open the fistula to create an open wound and induce healing. There are many surgical options, and the surgery should be chosen based on the height of the internal opening and the relationship between the fistula and the anal sphincter. The key to surgery is to minimize damage to the anal sphincter to prevent anal incontinence and to avoid recurrence of anal fistula.  The treatment of anal fistula: 1. Fistulotomy is a method of cutting open all the fistula and relying on the growth of granulation tissue to heal the wound. It is suitable for low anal fistulas, because the fistula is below the deep part of the external sphincter, and only the lower and shallow part of the external sphincter is damaged after the incision, so there is no postoperative anal incontinence.  2, hanging thread therapy is the use of rubber bands or corrosive thread mechanical compression, slow incision of anal fistula method. This method also has the advantages of simple operation, less bleeding, convenient drug changes, and no skin incision adhesion before the rubber band falls off.  3.Anal fistula excision Cut open the fistula and remove all the fistula wall to healthy tissue without suturing the wound; if the wound is large, it can be partially sutured, partially open and filled with oil gauze so that the wound grows from bottom to outside until it heals. It is suitable for low level simple anal fistula. It should also be noted that the good or bad change of wound dressing after anal fistula surgery is a key issue to ensure that the surgery is successful.  The main symptom is the repeated flow of a small amount of purulent, bloody, or mucus discharge from the external orifice of the fistula. In larger high anal fistulas, because the fistula is located outside the sphincter and not controlled by the sphincter, there is often fecal and gas discharge. Due to the stimulation of the discharge, the anal area is moist and itchy, and sometimes eczema is formed. When the external opening is healed and an abscess is formed in the fistula, it can be significantly painful and can be accompanied by systemic infection symptoms such as fever, chills, and malaise, which are relieved by abscess penetration or incision and drainage. The recurrence of the above symptoms is the clinical characteristic of fistula. We hope that all of you can achieve early detection and treatment.