Treated by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy
An anal fistula is an abnormal tunnel that forms between the inside of the anal canal and the skin near the anus. It usually develops after an infection in an anal gland creates an abscess that drains, leaving behind a tract. Dr Ravi Chandra Reddy evaluates and manages anal fistulas with a focus on accurate diagnosis and appropriate treatment tailored to each patient's condition.
The tract passes between the internal and external sphincter muscles. This is the most common type and usually the most straightforward to treat.
The tract crosses through both sphincter muscles. This type requires careful surgical planning to preserve muscle function during treatment.
Complex tracts that pass above or around the sphincter muscles. These are less common and often require specialised surgical approaches.
Multiple factors can contribute to the development and progression of this condition.
Recognising the signs early gives you more treatment options.
Assessment begins with a detailed history of symptoms and a physical examination of the area around the anus. Additional imaging studies may be needed to map the fistula tract, though not every patient requires every test.
From conservative to surgical — we always start with the least invasive option first.
A structured, patient-first approach from first visit to full recovery.
Dr Ravi Chandra Reddy takes a thorough history and performs a careful examination to identify the fistula openings and assess any active infection or associated conditions.
Imaging studies or examination under anaesthesia may be arranged to understand the exact course of the fistula and its relationship to the sphincter muscles.
Based on the fistula type and patient factors, an individualised treatment plan is discussed, balancing effective closure with preservation of bowel control.
After any procedure, clear instructions are provided for wound care, pain management, and follow-up visits to monitor healing and address any concerns.
What to expect at each phase of recovery.
Pain and discharge are common in the first few days. Rest, prescribed pain relief, and keeping the area clean are important. Timelines vary and individual guidance takes priority.
The surgical site heals gradually over several weeks. Regular sitz baths and follow-up visits help monitor progress. Some procedures require longer healing times than others.
Most patients resume daily activities within a few weeks, though full healing may take longer. Strenuous activity and heavy lifting should be avoided initially as advised.
Appropriate surgical treatment aims to close the fistula and stop persistent drainage. However, some fistulas are prone to recurrence, particularly complex or Crohn's-related tracts.
Good management may help reduce pain, discharge, and skin irritation. Complete resolution depends on successful healing and addressing any underlying causes.
Surgical planning aims to protect the sphincter muscles and maintain bowel control. In complex cases, multiple stages may be needed to balance healing with function.
Even after successful treatment, fistulas can recur, especially if there is underlying disease or incomplete healing of the tract. Ongoing monitoring may be needed.
An untreated anal fistula usually does not close on its own and may continue to drain indefinitely. Recurrent abscess formation is common, leading to repeated episodes of pain and swelling. Over time, the infection and inflammation can extend to involve more tissue, making eventual treatment more complex.
You should seek medical advice if you notice persistent discharge, swelling, or pain around the anus, especially if you have had an anal abscess in the past. Fever, increasing pain, or signs of a new abscess forming are reasons to seek prompt care.
Early treatment means more options and better outcomes. Book a consultation to understand your condition and explore the right path forward.
