Pararectal fistula treatment without surgery. Operation as the only way to remove a fistula in the rectum: a list of the main methods. Characteristics and reasons for the formation

Fistula of the rectum ( medical name- fistula) - a through tubular channel that connects the abdominal organs. From the inside, the fistula is lined with epithelial cells or "young" connective fibers, which form as a result of tightening and healing various wounds and local tissue defects. Approximately 70% of rectal fistulas form in the pararectal space and extend from the Morganian crypts (pockets open towards the movement of stool) to the skin. Anorectal fistulas go from the anus directly to the skin.

Treatment of rectal fistulas usually involves the use of surgical methods, as well as mechanical and chemical cleaning of the cavity. Very often, patients diagnosed with purulent rectal fistulas are interested in whether a fistula can be cured without surgery. Experts agree that the treatment of pathology with medication and folk methods ineffective and can only be used as an auxiliary component to accelerate regenerative processes and quick recovery damaged tissues. There are also ways to excise the fistula without surgical (invasive) intervention, so the patient must have complete information about all available methods therapy.

Most proctologists consider surgery the most effective method of treating various fistulas, since during the operation the doctor can remove all damaged tissues, which significantly reduces the risk of recurrence. Fistula excision with a scalpel is an invasive, highly traumatic operation that requires a long recovery period, so many patients are looking for ways to treat fistulas without surgery. They will be discussed below.

Laser treatment without surgery

This is one of the safest, most effective and least traumatic methods of treating fistulous tracts, which has several advantages. Even children and adolescents can be treated with laser when indicated, although some doctors advise against using this technique in children under 10 years of age. Exposure to laser beams does not cause discomfort and pain, and after the procedure there is no need for a rehabilitation and recovery period. After excision of the fistula with a laser, there are no scars and scars on the skin, which is important if the operation is performed in the anorectal zone.

Despite the large number of advantages, laser treatment has significant disadvantages, including:

• high cost (in different clinics, the cost can vary from 20,000 to 45,000 rubles);
• a fairly high probability of relapses and complications (about 11.2%);
• side effects in the form of anal itching and burning at the site of excision of the fistula;
• inability to use for purulent fistulas.

Note! laser excision fistulous passages is practiced in all private clinics major cities Therefore, problems with the search for a laser proctologist usually do not arise.

Radio wave therapy

More modern way removal of rectal fistulas is radio wave therapy. The method is suitable for the treatment of all types of fistulas, and its main advantage is the absence of the need to go to the hospital. The patient can go home within 10-20 minutes after the procedure, since general anesthesia is not required for its implementation: the doctor performs all actions under local anesthesia (Lidocaine or Ultracaine is traditionally used).

Complete healing and tissue repair after radio wave excision of the fistula occurs within 48 hours, so if the fistula was removed on Friday, the patient can return to work on Monday (the standard recovery period after surgical operation at least 14 days). To determine the most suitable treatment method for themselves, the patient can use the comparative characteristics given in the table below.

Table. Comparative characteristics various methods of treatment of rectal fistulas.

Important! Despite all the advantages of non-invasive methods of treating pararectal fistulas (without a scalpel), the doctor should make the final decision on the possibility of using these methods, based on the degree and severity of the lesion and general condition sick.

Treatment of rectal fistulas with folk methods

When choosing the most appropriate treatment method, patients should understand that only surgical therapy is an effective way to treat anorectal and pararectal fistulas. Folk methods can be used as aid, which relieves inflammation, draws out pus and ensures the outflow of exudate. Some components effectively eliminate pain and accelerate tissue healing, but complete recovery after applying even the most effective recipes impossible. It's connected with anatomical features the structure of the fistulous passages, therefore, the recipes below are recommended to be used only as an adjunct therapy after consulting a doctor.

Honey ointment

Natural honey is one of the most effective anti-inflammatory agents. traditional medicine. Honey and bee products (propolis, perga, royal jelly) contain more than 20 components that soothe the skin, relieve inflammation and stimulate tissue regeneration.

To prepare it, you need:

• 5 tablespoons of liquid honey mixed with 2 tablespoons of melted butter(use only natural butter made from pasteurized cow's cream);
• add 15 drops of fir oil to the mixture;
• heat in a water bath to a boil and remove from heat;
• refrigerate for 8 hours.

With the resulting ointment, it is necessary to lubricate the affected area (you can use a swab) 5-6 times a day. Treatment should be continued for 3-4 weeks.

Herbal ointment with lard

Recipes Based lard used for fistulas, accompanied by the formation of purulent exudate. Mixture medicinal herbs disinfects the skin, prevents ascending infection of the rectum and soothes inflamed tissues, accelerating healing and tissue repair. To prepare the ointment, you need:

• in a deep bowl, mix 1 teaspoon of oak bark, chamomile and water pepper herbs;
• add 300 ml of water and put on a slow fire for 20 minutes;
• cool the broth and strain, then add 4 tablespoons of melted lard to it;
• Mix everything and place in the refrigerator to set.

If the finished ointment is very liquid, you can add 1-2 tablespoons of butter to it, previously crushed with a fine grater, and then put the product back in the refrigerator. The ointment must be applied to a cotton swab and applied to the inflamed area. The tampon should be changed every 3-4 hours. good therapeutic effect can be achieved after 2-3 weeks of daily use.

Lotions with aloe juice and plantain

The juice squeezed from aloe leaves has a pronounced bactericidal and anti-inflammatory effect. Such lotions draw pus from the wound, provide its disinfection and reduce the intensity pain syndrome. Plantain has a stimulating and regenerating effect, so phytotherapists advise adding this component to traditional treatment aloe.

To squeeze the juice from aloe leaves, they must be thoroughly washed. cold water, crumple in hands and cut along the lateral line, then squeeze the pulp out of them. Plantain can be used as an infusion: pour 10 g of dried plantain root with a glass of boiling water and insist for 2 hours. Mix all ingredients and refrigerate for 1 hour.

A mixture of aloe juice and plantain infusion is used in the form of lotions: a cotton swab must be moistened abundantly with the agent and applied to the site of completion of the fistulous passage. Lotions need to be changed every 4 hours. Duration of use - 2 weeks.

Lotions with calendula

This is the easiest way to treat fistula at home. It will only require an alcohol tincture of calendula (you can buy it at a pharmacy for 30-50 rubles) and cotton pads or swabs. The swab should be moistened with plenty of tincture and applied to the fistula for 20-30 minutes. It is necessary to make 5-6 lotions per day. The duration of treatment depends on the tolerance of the components and the dynamics available. The recommended course of therapy is 7-10 days.

Note! Make lotions with alcohol tinctures necessary after hygienic washing. At the beginning of treatment, the patient may feel a strong burning sensation caused by the effect of ethanol on inflamed tissues. If such sensations do not disappear within 30 minutes after removing the tampon, the skin should be washed abundantly with running cool water and lubricated with a soothing ointment, for example, Bepanthen.

Olive oil and vodka ointment

This ointment helps to quickly relieve inflammation and has a positive effect on the condition of damaged tissues, stimulating their regeneration. In order for the ointment to have a thick consistency, it is necessary to purchase any fatty base in advance (glycerin, badger or goose fat, etc.). Mix 5 tablespoons of oil (it is better to use premium category oil) mixed with 50 ml of vodka and add 3 teaspoons of glycerin. If animal fat is used for cooking, the required thickness can be achieved using two tablespoons of fat.

All components should be thoroughly mixed and put in the refrigerator for several hours. It is necessary to apply the ointment up to 4-5 times a day, after use it is not necessary to wash it off. Significant improvements are usually observed already on the seventh day of treatment, but to achieve a stable result, it is recommended to use the remedy for at least two weeks.

Rectal fistula is an unpleasant, painful pathology that can lead to serious complications if not treated on time. the only effective method treatment of rectal fistulas today remains excision, which can be performed without surgery and the use of a scalpel. Home methods can be used as complementary therapy, but replace complete treatment they can not.

Video - Excision of the fistula of the rectum

They are small holes or tubules in the intestinal mucosa, which are often accompanied by purulent and inflammatory processes. It's pretty painful and dangerous pathology which is a complication of paraproctitis.

The main danger is the increased likelihood of occurrence. Fistulas require observation and mandatory surgical intervention. Conservative treatment of fistulas almost never gives results.

Crohn's disease is the cause of fistulas.

The occurrence of fistulas is associated with an infection penetrating the intestinal lining and surrounding tissues. First, the fatty tissue around the intestine () becomes inflamed. At the same time, pus begins to accumulate.

Ulcers break through over time, leaving tubules called fistulas. They may scar or continue to become inflamed and fester.

At timely treatment paraproctitis can avoid the formation of fistulas. For information on how to treat a rectal fistula, contact your doctor. As a rule, only one treatment is possible - surgical.

Often, patients delay contacting a doctor for acute paraproctitis, because relief comes with time. However, this only means that the formed abscess erupted spontaneously and a fistula remained in its place, which can then become inflamed. In addition to paraproctitis, there are several other possible causes of fistulas:

• . It's heavy chronic illness, accompanied by the appearance of numerous foci of inflammation in the intestinal lining. Quite often, ulcers, fistulas appear on the intestinal mucosa, which then transform into festering fistulas. It is almost impossible to cure Crohn's disease completely, it is accompanied by constant relapses.
• Diverticulitis. With this disease, small protrusions form under the pressure of gases in the intestinal mucosa. They are quite harmless, but when feces get into them, they begin to become inflamed. Over time, they can fester and break through, forming fistulas.
• Tuberculosis of the rectum. Koch's wand can enter the intestine through lymph or mucus. At first, the disease is asymptomatic, but then the body temperature rises, bloating, flatulence, disorders, pain in the abdomen appear. Ulcers appear on the walls of the intestine, which then turn into fistulas.
• AIDS. In this disease suffers the immune system person. The body becomes vulnerable, can not resist infections. In the last stages of the disease quite often join various infections, including intestinal, leading to the formation and fistulas.

Fistulas can differ in localization, structural features. For the rectum, complete fistulas with two openings are most characteristic: inlet and outlet.

The topic of the video is rectal fistula:

Symptoms and complications of the fistula of the rectum

With paraproctitis, the temperature often rises.

Fistulas quite often appear as a complication of other diseases. With paraproctitis, the most common cause of fistulas, it often rises, there is pain in the perineum, weakness.

After the breakthrough of the abscess, temporary relief occurs, but then fistulas appear. Fistulas are characterized by certain signs:

1. There is also pain in the anus. Itching may appear constantly, but intensify after a bowel movement.
2. Allocations. From the anus or skin nearby may appear bloody issues with pus and bad smell. As a rule, this symptom unmistakably indicates the presence of purulent fistulas.
3. Pain in the anus. These pains can be confused with. They become stronger during prolonged sitting, walking, defecation.
4. Temperature rise. With a fistula of the rectum, a slight increase in temperature is sometimes observed. If the fistula has an outlet to the outside, there will be a small wound next to the anus, from which pus also oozes.
5. With internal fistulas, the symptoms are more blurred. These fistulas have no way out. Such fistulas medical practice are rare and are often diagnosed by physicians as initial stage complete fistulas. An incomplete fistula is characterized by a violation of the stool with an admixture of pus and a sharp unpleasant odor.
6. Constant discharge from wounds near the anus leads to the need to wear sanitary pads and wash frequently. As a result, irritation, redness, and rash appear on the skin. It brings extra to the patient.
7. The danger of fistulas lies in the high probability of blood infection. Pass through the intestines stool, they come into contact with open and wounds, causing their inflammation and suppuration.
8. If left untreated, the tissues around the fistula begin to scar. As a result, this leads to such an unpleasant phenomenon as incontinence and gases. Scarring also leads to painful bowel movements.
9. The most frightening consequence is the degeneration of fistulas into cancerous tumor. A large number of fistulas in the rectum is considered a precancerous condition and requires immediate treatment and observation.

In addition to all of the above, fistulas are a rather painful phenomenon that significantly worsens the patient's quality of life.

fistula surgery

An effective treatment for fistulas is surgery.

Rarely brings results. Usually, the doctor prescribes medications and antibiotics only as preparatory therapy before surgery.

It is impossible to treat fistulas at home. None folk recipes will not help to cope with this disease. Often rectal fistulas accompany more serious and dangerous disease therefore examination and treatment should be carried out under medical supervision.

The only effective treatment for fistulas is their surgical excision. It is performed in a hospital setting under general anesthesia. About 7-10 days after the doctor is still observing the patient.

It is necessary to carry out the operation only during the period of exacerbation of the disease. During remission, the fistulas may close, so the surgeon will not be able to eliminate them completely. As a rule, such operations, carried out on time, lead to a complete recovery of the patient. largely dependent on the patient. He must lead healthy lifestyle life and eat right.

small children with congenital anomalies bowel surgery may be delayed up to a year and a half if there are no signs of infection. Exist various methods fistula excision. The choice of one or another method depends on the location of the fistula. Initially, diagnosis is carried out using or CT scan to determine the size, location and number of fistulas.

To avoid complications and suppress the infection, the doctor may prescribe a course before the operation. During the operation, the patient is under general anesthesia. The operation itself lasts 2-3 hours. The surgeon excised the fistulas, opened the abscesses and stitched the edges of the wound. The resulting suture heals within a week or two.

The operation is performed through the lumen of the rectum. If there are abscesses at the same time, they are opened and removed first of all, and then the fistula itself is excised. In some cases, edema is opened, sutured. Complications may include bleeding and recurrence of fistulas. Both effects are eliminated by a second operation. If by the time of the operation the disease has entered the stage of remission, the operation is postponed.

Postoperative period and diet as part of the treatment

After the operation, the patient experiences discomfort.

Since the operation is performed under general anesthesia, the patient experiences certain inconveniences associated with recovery after the operation.

At first, you may feel dizzy, appear, as well as pain in the anus.

Postoperative sutures are observed within a week. Full recovery occurs in a few weeks. In difficult cases, painful dressings are performed under anesthesia.

Seams are processed antiseptic preparations and painkillers. AT postoperative period dangerous symptoms may appear, requiring reoperation. These include heat, lack of defecation or, on the contrary, incontinence of feces and gases, severe pain in the perineum or in, bloody or purulent discharge from anus.

In the absence of complications, the patient is able to start his former lifestyle in a month. Almost immediately after the operation, the patient is allowed to drink purified water without gas. However, for the first few days, the patient must adhere to a special diet that includes only liquid food, kefir, boiled rice, broths.

It is very important that the first 2-3 days after the operation the patient did not have a stool. This will provide the wound with sterile conditions for healing. In the subsequent time, the diet expands, but constipation, which can cause suture divergence, must be avoided. Additional recommendations:

• Meals should be fractional, 6 times a day in small portions.
• It is important to drink enough fluids, at least 2 liters of water per day, so that the body recovers faster, and also to prevent constipation.
• Do not eat foods that irritate the intestines. These include carbonated and alcoholic drinks, chocolate in in large numbers, hot spices and flavors, chips, fatty meats, etc.
• It is necessary to include in cereals, fiber, dairy products.

Subject to all postoperative rules, diet and timely examination of recurrence

Content

A fistula or fistula of the rectum, as a rule, appears as a result of a paraproctitis disease that occurs in acute or chronic form. Fistula of the rectum is a pathology, which is a channel with granulation tissue, concentrated between the rectum and the skin near the anus or between the rectum and pararectal tissue. It is characterized by unpleasant discharge (pus, ichor) and painful sensations.

What is a fistula of the rectum and how to cure it?

The fistula is formed mainly during acute period. This disease is an inflammation of pararectal tissue. Often, against the background of inflammation, an abscess is formed, which, opening up, breaks the walls of the rectum, forming a pathological anal crypt - a fistula. Before this, the mucosa becomes inflamed, puffiness forms and outflow is disturbed: pus requires a different outlet, creating a passage for itself outside near the anus.

Patients only in 40% of cases turn to a proctologist in a timely manner until the abscess has opened, less often they receive help - operational surgical intervention. However, it happens that the operation also leads to the formation of a fistula in the rectal tissue. In 95% of cases, the cause of the fistula opening is paraproctitis. But the disease has a different etiology - surgery for hemorrhoids (severe form), cancer, actinomycosis, chlamydia, pectenosis, irritable bowel syndrome, HIV infection, osteomyelitis.

Treatment of the fistula of the rectum is carried out with the help of surgery and other curative measures– antibiotic therapy if the patient is infected, proper nutrition, increased hygiene, special medicines (pasteurizan, ketonal, zaldiar, dufalac), folk remedies. Fistula or fistula of the rectum during surgery is treated in the hospital, under the supervision of experienced professionals.

Signs and symptoms

Determining the presence of a fistula is easy by observing the symptoms and signs of its occurrence. The patient usually feels pain during bowel movements. There is itching, maceration, burning, irritation around the anus. If there is an external hole, due to lack of drainage, an infiltrate, an exudate, is released, which causes additional pain to the patient. The discharge has a sharp bad smell. During an exacerbation, in the process of blockage of the channel, appears constant pain, temperature, weakness, intoxication.

However, you should not diagnose a fistula inside the rectum on your own. Differential Diagnosis carried out by a doctor using various methods:

• Examination and questioning of the patient.
• Palpation of internal tissues, revealing deformation in the rectum.
• Probe research necessary to determine the direction of the passage, its depth.
• Ultrasonography - ultrasound of the digestive system.

• Taking a sample with a dye agent in order to determine the type of fistula - complete or incomplete.
• Sigmoidoscopy, which helps to determine the presence of tumors, nodes.
• Fistulography or irrigoscopy - x-ray examination performed with a barium enema. Immediately after the introduction of the enema, an X-ray photo is taken.
• Sphincterometry - instrumental examination, which determines the quality of the functioning of the sphincter organs.
• Gynecological examination in women, if the exit of the fistula is in the cervix.

Types of fistulas in proctology - clinical forms

Fistulas of the rectum are classified in different ways. Depending on the location of the stroke, they are complete or incomplete. A complete fistula is a passage that forms an inlet in the rectum and an outlet on the skin of the perineum in the sphincter area. Incomplete fistulas do not form an outlet, forming a deepening of pararectal tissue. Given the position of the fistula relative to the anus, they are divided into three types - intrasphincteric, transsphincteric, extrasphincteric.

For a more detailed classification of fistulas, see the photo:

intrasphincteric

An intrasphincteric fistula is characterized by a straight passage without ramifications. It is easily diagnosed, scars are not expressed. As a rule, such a fistula is located below the sphincter. This type of disease is easily determined by palpation, by probing.

Posterior transsphincteric

With this type of disease, the fistulous passage may be branched, uneven. As a rule, there are abscesses, strongly pronounced cicatricial processes. This fistula is located above the rectal sphincter, and the higher it is, the more branches from the main channel.

Extrasphincteric

An extrasphincteric or extrasphincteric fistula is the least commonly diagnosed. The channel of this fistula is uneven, with bends, there are scars, purulent capsules. The acute form often involves the appearance of new fistulous passages and holes. The complexity of the course of the disease is determined by four degrees of its development:

1. The passage is relatively straight, the exit and inlet are narrow, scarring is unexpressed or absent.
2. There are scars on the inlet, inflammation is absent or small.
3. There are no scars, the canal entrance is narrow, however, this degree is characterized by the onset of the inflammatory process.
4. The internal course is wide, there is scarring, abscesses, inflammation.

Fistula excision and postoperative period after recovery

Surgery for a rectal fistula will help avoid aggravating the process. Along with dissection, excision of the fistula to the lumen of the rectal canal is used. It is performed with the adoption of various additional measures - opening abscesses, drainage, suturing the sphincter, laser intervention, etc.

To avoid recurrent neoplasms and insufficiency of the sphincter, professional surgical intervention is necessary. Observe preventive measures: given that main reason the appearance of fistulas is the disease "paraproctitis", carefully monitor the course of the disease, consult a doctor in a timely manner, avoid traumatic procedures in the rectal area.

Treatment with folk remedies - without surgery

Mild rectal fistula can be treated folk remedies. However, if there is no improvement, see a professional. Here are some recipes to help get rid of the disease:

• Tampon with tincture of calendula. Buy it or cook it yourself (twenty-five grams of dry marigold or fifty fresh mix with one hundred grams of 70% alcohol, leave for two weeks). Soak a swab in the solution: 100 ml clean water, 100 ml boric acid, a spoonful of tincture. Then it must be carefully inserted into the rectum, lubricate the walls. Carry out the procedure once a day for ten days.
• Olive oil and vodka. Mix them in a one to one ratio. Treat the swab with the resulting solution, insert inside the anus. The procedure must be repeated twice a day. After it, make an enema with a decoction of herbs that relieve irritation - chamomile, St. John's wort.

Video: operation to remove the fistula of the rectum

A visual video on removing a rectal fistula will help you understand how a fistula is treated surgically.

Fistula or fistula of the rectum - serious illness which you can avoid by paying close attention to the symptoms of paraproctitis. During the remission of the disease, be careful - the moment when the inflammation subsides may be the beginning of the formation of a fistula.

Have you experienced this nasty disease? Tell us about your treatment experience in the comments.

Attention! The information provided in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment, based on individual features specific patient.

A fistula of the rectum is one of the symptoms of the disease that no one will discuss with relatives. Many are embarrassed with such problems to seek help from specialists. But paraproctitis is an insidious disease that causes not only moral suffering, but also physical pain. The disease rarely goes away without consequences. However, it can be defeated with the help of many medicines. With a fistula of the rectum, it is noted sharp pain in the area and perineum. The disease is often accompanied by defecation disorders, chills and fever. Often with paraproctitis there is difficulty urinating. Usually, specialists offer surgical intervention to rid the patient of the disease. However, some practice the treatment of rectal fistula without surgery.

Why does the disease occur?

Why does paraproctitis occur? There are many reasons for the occurrence this disease. Most often, the disease is provoked by factors that can reduce immunity. Among them it is worth highlighting:

1. Irrational nutrition.
2. Sedentary, sedentary lifestyle.
3. Acute or chronic form of infection of the digestive tract.
4. Stool disorders constipation, diarrhea.
5. Chronic diseases.

As the statistics show, the disease affects mainly women. The reason for this lies in the wearing of thong panties, bikinis, tight-fitting trousers. Especially dangerous clothing thick fabric. She is able to rub the skin in the perineum. In addition, hypothermia can cause inflammation. After all, many women wear short skirts and thin tights in cold weather. In older people, paraproctitis usually occurs in a chronic form. At risk are those who had an acute form of the disease in their youth.

initial stage

Treatment of a fistula of the rectum without surgery is possible. On the early stages this disease, the doctor usually prescribes. They must be applied to the perineum. In addition, experts recommend conducting procedures such as warm baths and giving relief enemas. Such measures can significantly improve the patient's condition.

For the treatment of rectal fistula, antibiotics are usually prescribed. Bed rest is recommended for patients during treatment.

acute form

Treatment of rectal fistula without surgery acute form also allowed. However, this therapy has some peculiarities. As a rule, doctors recommend surgery, in which an abscess is opened. But, as practice shows, many patients do this at home with the help of alternative medicine. In any case, after cleaning the inner hole is required. If this is not done, then a relapse of this disease may occur, up to the formation of another fistula.

Features of the disease

Even in simple case after elimination of the fistula of the rectum, an opening is formed in the anal canal. It usually doesn't heal. In this case, a fluid fistula is formed. Rarely, a scar may appear.

If any factor again provokes the development of paraproctitis, then an abscess may again form in the same channel. If a scar is located at this place, then an abscess may occur next to it. If the disease recurs, then its treatment should be the same as in the acute form.

Paraproctitis can occur even in infants. Treatment of a fistula of the rectum with alternative methods in this case is unacceptable. The child should be shown to the doctors. It should be noted that surgical intervention is very difficult, since in young children the suppuration hole has a small diameter. This greatly complicates the cleaning of the channel.

What is the best way to treat?

Is it possible to overcome the fistula of the rectum? Treatment without surgery, reviews show, can proceed quite successfully. Over the centuries, many methods have accumulated that allow not only to save the patient from the disease, but also to prevent it. re-development. However maximum effect can be achieved if, in the treatment of rectal fistula, the means of traditional as well as informal medicine are combined.

Baths with salt against the fistula of the rectum

Treatment of a fistula of the rectum with folk remedies allows you to cope with the disease much faster. As many reviews show, sedentary baths with the addition of salt can alleviate the patient's condition and eliminate some symptoms. Such procedures perfectly cope with inflammation, and also help to move pus away.

Preparing such a bath is very simple. First you need to pour 5 liters into the container boiled water. Baking soda, sea salt and common salt should be dissolved in the liquid. It is enough to take a spoonful of each of the components. The finished solution should be filtered. This bath should be taken for 10 minutes. Treatment of a fistula of the rectum with folk remedies should be carried out in courses. Salt baths should be done for 15 days, one procedure per day. After baths, special ointments should be used. They are usually prescribed by a doctor.

Herbal baths

How else can you eliminate the fistula of the rectum? Symptoms, treatment, as well as recovery from the disease - all this causes a lot of negative emotions and discomfort. To alleviate the course of the disease, you can take sitz baths, but not with saline, but herbal decoction. You can cook it at home.

As a rule, for the treatment of a fistula of the rectum, a decoction of St. John's wort, oak bark, calendula, bergenia, yarrow, calamus, and other herbs is used. To prepare the product, 50 to 60 grams of herbs are required. Such a quantity of raw materials must be poured with boiling water (1.5 liters) and placed on fire. Bring the herbs to a boil and cook for 20 minutes. Now the remedy should be infused. It takes about 40 minutes. The finished broth should be carefully filtered, and then poured into a container of a suitable size and diluted with warm water (5 liters). Take such baths should be 10-15 minutes.

Bath recipes

A fistula of the rectum, which is recommended to be treated at home only under the supervision of a doctor, is a very unpleasant phenomenon. For therapy, you can use the following sitz baths:

• 70 grams of ash must be filled with water (7 liters) and placed on fire. Boil the product should be within half an hour. After the indicated remedy, such a decoction must be filtered and cooled to a temperature of 35 to 37 ° C. You should take a bath for 25 minutes. The number of such procedures is not limited and depends on the degree of the disease.
• Two liters of milk must be brought to a boil. Next, add a few medium-sized onions and 4 cloves of garlic to the container. Boil such a tool for 2 minutes, and then cool slightly. Baths should be taken hot. In this case, the body should be wrapped in a blanket. You can not stop the procedure until the milk has completely cooled down. The course lasts until complete recovery.

Microclysters

Treatment of a fistula of the rectum without surgery with folk remedies is a difficult process that requires endurance and patience. The use of microclysters can increase the patient's chances of recovery. To carry out such procedures, a special pear with a rubber tip is required. Before use, the tool must be properly processed. In order not to injure the tissues, the tip should be lubricated with cream or vegetable oil. Here are some effective recipes:

• A spoonful of honey should be dissolved in 100 grams of water. The field of this need to prepare an infusion of herbs. This will require chamomile, yarrow and sage. The mixture must be poured with 200 grams of boiling water. In a separate container, you need to mix both products, taking 1 dessert spoon of each. This solution should be infused for at least 30 minutes. You can douche before going to bed. After that, the procedure should be repeated, but using only an infusion of herbs about 40 milliliters. In addition, it is recommended to drink 1/3 of such a drug.
• Raw potatoes must be thoroughly washed and grated along with the peel. The resulting mass should be gently squeezed out. The resulting juice should be used for douching. AT anus at night you need to enter a tablespoon of the drug. The course is 10 days.
• With a fistula of the rectum, a microclyster with a solution prepared from fresh calendula flowers helps. First you need to prepare the remedy. It is necessary to pour 20 grams of calendula flowers with a glass of boiling water. The tool should be well infused. This takes several hours. Ready infusion should be filtered and can be used for its intended purpose.

Fat vs rectal fistula

Badger, and also help to eliminate the fistula of the rectum. Treatment without surgery is long process. During therapy, you can use various means alternative medicine. In addition to microclysters and sitz baths, you can use tampons. They should be soaked in fat and inserted into the anus at night.

If you do not have the indicated components, then you can use sticks from fresh potatoes. Use them, like tampons with fat. It is worth noting that the potato well soothes irritation, and also heals and envelops erosion and cracks located in the anal region of the intestine.

tea recipes

Treatment of a fistula of the rectum without surgery can be carried out not only with the use of topical agents. To overcome the disease, you can use various teas. Such funds help to cope with paraproctitis.

To prepare the drug, you will need 100 grams of plantain leaves and marshmallow roots, as well as 75 grams of yarrow. All components must be crushed and then mixed. In the evening, three tablespoons should be poured with 700 milliliters of boiling water. The tool must stand overnight. In the morning, the finished infusion should be filtered. It is recommended to drink 150 milliliters of this drug per day before meals. For greater effect, you need to take the remedy at least 4 times during the day. It is worth noting that the infusion allows you to cope with paraproctitis and, of course, with a fistula.

Fistula of the rectum: treatment with St. John's wort and other herbs

It's another one effective method therapy of the fistula of the rectum, as well as the disease that caused it. To prepare, take a glass of 50 milliliters

such herbs as St. John's wort, basil, Japanese sofa and celandine. You will also need birch leaves. They need several of these glasses.

All crushed components must be mixed, and then brewed with 1.2 liters of boiling water. The container with the agent should be placed on the fire and brought to a boil. You need to cook the drug for a minute on low heat. Now the broth should stand for about an hour. Finished product should be filtered and taken between main meals, at least three times a day. Dosage - a tablespoon.

Experts also recommend using an infusion of these herbs for microclysters. They can be done up to 4 times during the day. After such procedures, a swab moistened with a decoction should be applied to the places of suppuration. Such a remedy will help to quickly eliminate the fistula of the rectum. Treatment without surgery in the ways described above allows you to recover faster after the disease.

Increasingly, one has to deal with such a disease as a fistula of the rectum. Let's get acquainted with the disease, what are the causes, symptoms, classification of the disease. Consider the methods of treatment and folk methods.

Fistula of the rectum - inflammatory disease in the anal crypt with the formation of a fistulous tract.

Causes of the disease

A rectal fistula often forms after acute paraproctitis. In addition, there are a number of other causes of the disease:

• complication after surgery for the treatment of hemorrhoids;
• due to injury;
• Crohn's disease;
• chlamydia, syphilis, cancer, rectal tuberculosis.

Classification of rectal fistulas

Fistulas of the rectum are divided into types:

• Full: have two holes. The internal is located in the anal crypt and opens into the intestinal lumen. The external opening is located on the surface of the skin, usually near the anus.
• Incomplete: have only an internal opening located on the surface of the mucosa.
• Internal fistulas: two openings located on the rectal wall.

According to the location of the fistulous canal, fistulas are classified:

• Intrasphincter fistula. The simplest type of disease with a straight short fistulous canal, without scarring. Internal opening on the surface of a Lieberkühn crypt. It opens with an external opening, in the region of the anus.
• Extrasphincteric fistula. The inner hole is on the surface of the Lieberkühn crypt.

There are 4 degrees of complexity of these fistulas:

• 1st degree. No scarring around the internal opening. The fistula channel is straight. Fiber does not contain infiltrates, purulent streaks.
• 2nd degree. Scars begin to appear around the internal opening, but there are no abscesses and infiltrates in the fiber.
• 3rd degree. Narrow entrance to the canal. There are no scars. Fiber contains ulcers and inflammatory infiltrates.
• 4th degree. Wide inlet. Multiple scars, abscesses, infiltrates.

3) Trans sphincter fistula. Part of the fistulous passage is located in the fiber, and part passes through the sphinker. It can connect with the cavity in the ischiorectal and pelviorectal tissue.

More on the topic: Intestinal adhesions are a very common diagnosis.

Symptoms

Disease with different forms shows the same symptoms:

• Discomfort, itching in the anus;
• Purulent, bleeding from the anus or the area around it, with an unpleasant odor;
• Pain in the anus, aggravated by prolonged sitting, walking, coughing;
• Slight and periodic increase in temperature;
• Headaches, general weakness.

The external outlet of the rectal fistula looks like a small wound on the skin, in the region of the anal outlet. When pressing on the wound, blood or purulent discharge appears. The amount of excretion directly depends on the volume of the cavity drained by the fistula. If the fistulous passage is wide, gases and feces can be released through it. The photo of this disease is not unpleasant, therefore it is often replaced by black and white schemes.

The disease proceeds with periods of remission and exacerbation. When the abscess opens, the patient feels better, the inflammation subsides and the stage of remission begins. The disease lasts for years until the fistula is cured.

Diagnostics

To make a correct diagnosis and choose a method of treatment, it is necessary to undergo a diagnostic examination, including:

• Collection of anamnesis.
• External examination of the anus, in which fistula openings can be detected.
• The doctor is palpated soft tissues around the anus, the rectum is examined with a finger. This makes it possible to feel the course of the fistula.
• Probing the rectum with a special probe, which allows you to determine the direction of the fistula and its entrance.
• All patients are tested with dyes.
• Sigmoidoscopy is prescribed, with its help, inflammation is detected in the rectal mucosa, as well as tumors, fissures and hemorrhoids.
• Fistulography. Additional method examinations. It is prescribed for suspected extrasphincteric or intrasphincteric fistulas.
• Ultrasonography.
• Sphincterometry. With its help, the function of the rectal sphincters is evaluated.

Complications of the disease

Usually, a fistula of the rectum does not pose a threat to the life of the patient. However, if left untreated, they can cause serious complications:

• widespread infection from the fistula can lead to peritonitis;
• chronic fistula can develop into.

More on the topic: Diet with diarrhea plays important role during treatment

Treatment

Let's figure out how to treat the disease, is it possible to get rid of the disease without surgery? Modern proctology offers two methods of treatment:

• conservative;
• surgical.

Conservative treatment of rectal fistulas includes sitting baths, washing the fistula with antiseptics, microenemas with sea ​​buckthorn oil, the introduction of antibiotics in the course of the fistula. Unfortunately, conservative treatment ineffective. Therefore, doctors are inclined to perform an operation to remove the fistula.

During the period of remission, while the fistulas are closed, excision of the fistula is not carried out, since there is a risk of damage to healthy adjacent tissues. When choosing a surgical technique, consider:

• fistula type;
• the presence of scars;
• inflammatory changes.

There are many methods for removing a fistula, but the essence is the same - excision of the fistula. Modern types of operations performed to excise the fistula:

• dissection of the fistula into the intestinal lumen;
• excision of the fistula into the intestinal lumen with further opening, drainage of purulent cavities;
• excision of the fistula into the intestinal lumen with further stitching of the sphincter;
• Gabriel's operation with excision of the fistula into the intestinal lumen and others.

The operation is carried out under general anesthesia. To eliminate inflammatory processes in the fiber, antibiotic therapy may be prescribed before the operation.

The essence of the operation: excision of the fistula and altered tissues around it. The postoperative wound heals within 5-7 days. In most cases, operations end successfully.

In the postoperative period, the following complications are possible:

• bleeding;
• reappearance of the fistula.

This rarely happens and is easily corrected with additional treatment.

People who have undergone surgery leave only positive feedback.

Postoperative period

A couple of hours after the fistula was removed, the patient is allowed to drink liquid, in small quantities. Since after the withdrawal of anesthesia, pain is possible. In the first three days, the patient is prescribed an anesthetic. Dressings are painful, so they are performed with local anesthesia.

In the first days after the operation, a strict diet is prescribed: water, kefir, a small amount of boiled rice. A couple of days after the operation, defecation should not occur so that the wound heals faster.