How Can Fistula With Abdominal Cramps Be Treated?

Posted on Thu, 22 Feb 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 22 Feb 2018 Answered on

Wed, 13 Dec 2023 Last reviewed on

Question : Dear Doctor,

Colour is brown
Mucus is present (+)
pH is acidic
RBC Nil
Parasite Nil
Veg cell present (+)
Recently diagnosed with Lichen Planus in mouth, penis.

Also diagnosed with fistula

Under treatment to get rid of foot sole wart.

Abdominal cramps when I stand after sitting for a while and the vice versa.

What does this imply about my health?

Answered by Dr. T Chandrakant (38 minutes later)

Brief Answer:

As explained and give feedback

Detailed Answer:

Hi,

Yes, you have mixed problems hence my thoughts are as follows:

If this is fistula in ano then you need to get a biopsy to know the exact cause of fistula, fistulogram by conventional ways with a radio-opaque XXXXXXX and/or MRI fistulogram as the facility is available.

This is needed to know the cause and plan a proper management of the fistula.

Lichen Planus, as you may know, is an autoimmune disease and needs proper care, management on a long-term basis. A dermatologist helps you the best in this case.

It is important to see whether warts on soles are of the vial or due to foreign body granuloma and whether cauterization or excision can help you the best.

Post very clear and focused photos of warts, fistula, lichen as this help sometimes.

Colonoscopy is a must to know the exact diagnosis related to the colon and fistula.

Please give feedback, post photos and let us discuss more. Till then continue the management as you have already been prescribed for.

Hope I have answered your query.

Take care

Regards,
Dr T Chandrakant, General Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar