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Fistulas
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What is a fistula?

A fistula is a tube filled with pus. Anal or rectal fistulas (or fistulae) have one or more openings in the buttocks near the anal opening, and another one (the feeder) is inside the anal canal or rectum. Fistulas almost always develop from abscesses, although not all abscesses become fistulas.  As an abscess forms, all of the typical symptoms of pain, swelling, heat and redness appear.  The symptoms worsen until the abscess either points (becomes a fistula) and breaks, or is lanced by a physician.  At that point, much of the pain and pressure that has built up is relieved. 

Progression of the Disease, and Treatment

So the patient may think his trouble is over, but more needs to be done to complete the treatment process.  For example, the opening (or fistula), which has drained the abscess can become clogged.  When this happens, the patient again undergoes the same suffering as before until the fistula tube reopens or a new opening is formed to provide drainage for the accumulated pus and debris.

If the fistula drains continuously on its own, the pain and suffering is often negligible.  It’s the body’s adaptation to a deep infection.  However, even when this happens, the infected area is still dumping pus and toxic material into the bloodstream day and night, poisoning and depleting the entire system.  Suffice to say, a deep infection in the rectal area (or elsewhere else, really), whether or not it has become an abscess or fistula, must be opened, fully cleaned out and prepared for healing

This same mechanism is usually at work when a tooth needs to be extracted – an abscess of the surrounding gums called pyorrhea. Extraction is the customary advice because it is known that many constitutional and chronic ailments, such as indigestion, rheumatism, skin diseases, and many others, are caused by the absorption of toxins or poisons from some chronically infected area.  

Fistula is a critical ailment that requires skill and experience if further complications are to be avoided.  My methods are conservative. There is no hospitalization and I can reasonably assure satisfactory results in every case I accept for treatment.

Neglect

If fistulae are neglected, allowed to stop up and gather from time to time, they eventually undermine all of the tissues surrounding the rectum.  The surgery required to remove all the infection covers a larger and larger area as time goes on. 

Root Causes 

90% of all fistulas are caused by infected crypts or anal glands, a condition known as cryptitis.

If the anal glands get infected, which is common, they turn into small abscesses.  These tiny glands sit in crypts, or cavities, called the crypts of orgagne.  The abscesses begin to work their way out from the crypts toward the exterior of the body forming a tunnel so as to drain.  It’s an emergency measure our bodies use to drain internal infections.

If an infection tunneling to the surface sounds like an amazing thing, I agree that it is. 

Here’s why it happens : a fistula is an abnormal communication between two epithelial-like (skin-like) surfaces, meaning, basically, you’ve already got a hole inside in the anal gland or the crypt, that will burrow its way out and cause a hole to open on the external tissue, to drain.  In this way, the body always tries to drain infections by externalizing them.  To treat them I just connect the dots, by going in where it’s coming out.  But it’s much less painful than it sounds!

 

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