Rectum fistula

Fistula of a rectum is a chronic inflammatory process of proctal gland, the morganiyevy crypts (proctal bosoms) which are usually in area as a result of which in a wall of a rectum the course through which inflammation products are periodically allocated is formed (pus, slime and an ichor).

Rectum fistula origins

In most cases the postponed acute paraproctitis (an inflammation of proctal gland) which did not receive adequate treatment is the reason of the formed fistula of a rectum. The acute paraproctitis leads to suppuration of proctal gland. The inflamed gland swells, and outflow from it is broken, the purulent contents as a result formed find a way out through friable cellulose of a rectum, opening on skin in the field of an anus. Gland, as a rule, melts purulent process. Its exit in a rectum becomes an internal opening of fistula, and the place where pus found a way out outside – outside inlet opening. Because of continuous infection with intestinal contents, inflammatory process does not stop, and passes into a chronic phase. Around fistula of a rectum cicatricial fabric, forming its walls forms.

Less often posttraumatic and postoperative fistulas meet.

Rectum fistula symptoms

Fistula of a rectum can be full (outside) or incomplete (internal). Various clinical manifestations have these two forms.

For internal fistula of a rectum the chronic current with periodic aggravations is peculiar. During the period between aggravations fistula can not prove in any way and not disturb the patient. During an aggravation of inflammatory process there is a pain in the field of an anus amplifying at defecation the feeling of a foreign body in the field of an anus appears, the pus from an anus irritating skin in this area can be emitted. During aggravations the general condition of the patient can worsen: there is fever, weakness, a headache.

If rectum fistula outside, then disturbs the patient burning in the field of outlet opening of fistula, periodic release of pus and an ichor from there. In this place skin is condensed that can also create inconveniences as there is a continuous traumatizing during defecation.

Diagnosis of fistula of a rectum

The diagnosis of fistula of a rectum is made on the basis of a manual rectal research and a rektoromanoskopiya. At outside fistulas conduct a research the probe, moving ahead from outside outlet opening to internal. Rektoromanoskopiya - an endoscopic research of a rectum by means of the tube entered into an anus. This method allows to visualize a mucous membrane of a rectum, and also to carry out a biopsy to differentiate rectum fistula from a tumor, in case of the arisen suspicion. For the purpose of specification of provision of fistula of a rectum and existence of additional branches, carry out an ultrasonografiya – ultrasonic examination of a pararectal fat.

Treatment of fistula of a rectum

Treatment of fistula of a rectum only operational. Because of it is long the proceeding chronic process the fistular course gets dense walls and is not capable to independent scarring, even on condition of performing antiinflammatory therapy. Therefore conservative treatment of fistula of a rectum always is insufficient. Operation of fistula of a rectum consists in excision of internal, outside inlet openings and walls of the fistular course. Drug treatment of fistula of a rectum is appointed as additional therapy in the postoperative period, for prevention of a recurrence. Removal of fistula of a rectum is carried out in a proctologic hospital, under the general anesthesia. The postoperative period lasts about a week, at this time the patient is in a hospital under medical observation.

National treatment of fistula of a rectum

National treatment of fistula of a rectum consists in use of natural anti-inflammatory drugs, generally plant origin, and also the general strengthening of an organism, for fight against the center of persistent infection.

As topical antiinflammatory treatment of fistula of a rectum effective use of broths and infusions of officinal herbs, in the form of trays, compresses and microclysters. For this purpose apply a St. John's Wort, a pharmaceutical camomile, an eucalyptus, a sage, the oak bark, a plantain, an acorus and other officinal herbs having antibacterial and antiinflammatory properties. It is also possible to use infusions and broths of these herbs for washing of the fistular course by means of the small syringe.

National treatment of fistula of a rectum also offers use of honey and other products of beekeeping, and also ointments on their basis.

For the general strengthening of an organism the daily use of a tablespoon of honey on an empty stomach, or the honey mixed with aloe juice in a proportion 1:1 is recommended. Also good immunostimulating effect is rendered by drugs from a purple cone-flower purple, a root of a mallow, a ginseng.

Hardly it should be taken into account national therapy as an alternative of operation of fistula of a rectum because of high risk of a recurrence. Rather national treatment of fistula of a rectum is a good method of removal of an aggravation and an inflammation soft and at the same time effective remedies, and also remission maintenance when carrying out surgical removal of fistula of a rectum for any reasons is impossible.