What causes anal leakage?

Anal fistula is a disease in the anal area of the human body. Suffering from this disease has a great impact on people. There will be fecal retention, cysts in the anal area, and bleeding during defecation. If you suffer from this disease, you need to receive timely treatment to prevent more serious conditions. However, to treat it, you need to understand its cause. So let’s take a detailed look at what causes anal leakage.

Causes: (1) Perianal abscess: Mainly due to the retention of contaminated feces in the anal crypts, causing anal gland inflammation, leading to perianal abscess, which is the main cause of anal fistula formation. (2) Injury to the rectum and anus: Trauma, bone foreign bodies from the digestive tract, metal, anal table and anoscope examination can damage the anal canal and rectum. Bacteria invading the wound can cause perianal abscesses. (3) Anal fissure: Repeated infection of anal fissure may cause subcutaneous fistula and anal gland inflammation. (4) Perineal surgery: excessively deep injection of internal hemorrhoids or infection after surgery, infection after perineal suture after delivery, infection after prostate or urethra surgery, etc., can all affect the anorectum and cause abscesses and fistulas. (5) Tuberculosis: Swallowing bacteria or a few bloodstream infections can cause tuberculous anal fistulas. (6) Ulcerative colitis: can cause anal fistula. (7) Crohn's disease: may be accompanied by anal fistula. (8) Rectal and anal canal cancer: often accompanied by anal fistula. (9) Bloodstream infection: Diseases such as diabetes, leukemia, and aplastic anemia can often cause anal fistulas due to decreased body resistance. (10) Others: Lymphogranuloma, actinomycosis, coccyx osteomyelitis, rectal and sigmoid colon diverticulitis, etc. can also cause perianal abscess and anal fistula.

Treatment: 1. Drug treatment of anal fistula has intermittent period and attack period. There will be no symptoms at all during the intermission period, and no medication is required. During the attack period, symptoms such as pus discharge, redness, swelling, and pain will appear. If surgery cannot be performed immediately, medication can be used to temporarily relieve the symptoms. (1) For external treatment, use anti-swelling and analgesic lotion for sitz bath and apply golden ointment externally. (2) Use of antibiotics Antibiotics can be used during acute attacks, but generally not for more than one week. (3) For internal use, take the Chinese medicine Bixie Shenshi Decoction plus Huadu Chushi Decoction with modifications. If accompanied by fever, use Xianfang Huoming Drink.

2. Surgical treatment (1) Incision and drainage: During the acute phase of anal fistula with concurrent infection, if surgery is not possible due to other health factors, a small incision can be made on the surface of the infected area for drainage or pus can be drawn out with a syringe. This method has an immediate effect, but it is only a temporary relief and radical surgery will be needed in the future. (2) Drainage by catheterization or hanging wires For high-position fistulas or complex fistulas with multiple tracts, surgery is not an option. However, in order to prevent the condition from getting worse or spreading, a drainage tube or drainage strip can be placed in the fistula tract and flushed with drugs every day. Although this cannot cure the condition, it can control the condition. (3) Anal fistula incision is the most classic and mainstream surgical procedure for anal fistula. More than 90% of low-position anal fistulas are treated with this method.

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