What medicine is used for anal fistula

Anal fistula is a very common anal disease. It cannot heal itself and must be treated to be cured. Anal fistula is prone to recurrence and over time it will cause problems such as swelling and pain near the liver gate. Therefore, the usual treatment for anal fistula is surgery. So in addition to surgical treatment, can anal fistula be treated with medication? What medications are generally used? Comparing medication and surgical treatment, which treatment method is better?

1. What medicine should be used for anal fistula? Usually, the effect of drug treatment for anal fistula is not very significant. During the acute infection period, antibacterial drugs, local physical therapy, hot water sitz baths are used, and if an abscess is formed, it should be incised and drained. 2. Treatment methods for anal fistula 1. Fistulotomy is suitable for low-position simple anal fistula and external fistula between the internal and external sphincters. Opening the fistula only damages part of the internal sphincter and the subcutaneous and superficial parts of the external sphincter, and will not cause postoperative anal incontinence. Generally, under saddle anesthesia, a probe is inserted from the external opening and passed through the inner opening of the fistula. The fistula is then cut open along the direction of the probe and the rotten granulation tissue is scraped clean. To ensure that the fistula grows from the bottom to the outside, a little skin on both sides of the incision can be cut off to form a "V"-shaped wound with a small bottom and a large opening. At the same time, pay attention to whether there are branch ducts, which should also be cut open one by one.

2. Thread hanging therapy is suitable for high-position simple anal fistula, that is, the internal opening is above the plane of the anorectal ring. Surgical cutting may cause anal incontinence. By using a fistula hanging thread, the sphincter to be ligated will first adhere to the surrounding tissues. Due to local ischemia and necrosis after ligation, it will rupture on its own after 10 to 14 days. At this time, contraction incontinence will not occur, and the fistula will open up to form a wound, which will gradually heal. Method: Pass the probe from the external opening through the fistula to the internal opening. The probe guides a sterile thick silk thread or rubber band, leads the thread from the internal opening through the fistula to the external opening, and then ties the silk thread tightly. Things to note when hanging the thread: ① Find the exact location of the internal opening, do not create a false passage, and avoid surgical failure; ② Before tightening the silk thread or rubber band, cut the skin and the subcutaneous part of the sphincter to reduce postoperative pain and shorten the thread removal period; ③ The ligature should be tightened appropriately, as it is not easy to sever the fistula if it is too loose. Take a hot water sitz bath after the operation and tighten it again after 3 to 5 days. It will usually break completely within 2 weeks. 3. Anal fistula resection is suitable for low-position simple anal fistula. The difference from incision is that the fistula tract and surrounding tissues are separated and removed until healthy tissue is exposed. The wound is small inside and large outside and is generally not sutured. After the operation, the patient takes a sitz bath, changes the dressing, and waits until it heals. During surgery for high-positioned or complex anal fistulas, care must be taken to protect the anorectal ring to avoid postoperative fecal incontinence.

3. Improvement methods ? 1. Exercise method: First, lie prone and find the pain point at the highest point of the buttocks; The main method is to use the highest point as the center, and then use the thumb to press in a strong vortex-like rotation, you will definitely press a pain point, and then use your fist to hit it 15 to 20 times. ,.The most commonly used method of roasting acupoints with moxa sticks: You can also use cigarettes instead. The method is: roast the Baihui acupoint first, then roast the Kongzui acupoint, and then roast the Yin acupoints. Roast all the acupoints until they feel hot. 3. Self-regulation method: It is recommended to persist in doing ani-lifting exercises, which can metabolize hemorrhoidal congestion and effectively prevent the occurrence of anal fistula.

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