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Suggest Treatment For Anal Fistula
Question: I had Piles oprated in 2012 & AGAIN IN 2013 NOW DAYS IAM FEELING ISSUE FISSTULLA AT ONCE STARTED WITH HEAVY PAIN BUT PAIN IS DISCONTINUED AFTER 7 DAYS WHEN ITS ABACUS TYPE OPENING BRUST NOW PUS IS COMING FROM OUTER OPENING AFTER 2-3 DAYS MY OPENING GETS CLOSED BUT AGIN PUS INSIDE INCREASED AND THEN AGAIN ITS GETTING OPENING IAM GETTING VERY MUCH FADE UP I HAD ALSO ISSUE OF STOMATCH CLEANING 2 TIMES DAY ONCE IN EARLY MORNING ANOTHER AFTER 2-3 HOURS OR AFTER EATING I HAD TRIED UNIENZYME,TRIFALA,ISABGHOL BHUSI ETC. PLEASE SUGGEST I DONT WANT TO GO PAINFULL OPERATION AGAIN ITS JUST 15 DAYS OVER MY DUTY IS NOT FIXED MANY TIMES I HAVE TO TRAVEL FROM ONE CITY TO ANOTHER CITY MY WEIGHT IS 80 KG
Brief Answer:
surgery is only permanent treatment
Detailed Answer:
Hi XXXXXXX
Welcome to HealthcareMagic.
I have read your query and understand your concerns.
But for an anal fistula surgery is the only cure. Medicines can control the infection and provide temporary relief but it will come back again and again.
If you are not willing for the surgery at present then you can take a course of antibiotics like a combination of ofloxacin and ornidazole for five days and a painkiller to reduce the inflammation.
Also take sitz bath i.e. sitting in a tubful of lukewarm water with 10ml of any antiseptic solution added to it like detol, for 15 mins, three times a day.
This should clear the infection and there are chances that the fistula might get closed, but its not 100% guarantee. Just 10%.
For your motions, you may take any lactulose syp in the night. They are easily available at the pharmacy.
Hope i have been helpful.
Regards,
Dr. Ashish Verma
surgery is only permanent treatment
Detailed Answer:
Hi XXXXXXX
Welcome to HealthcareMagic.
I have read your query and understand your concerns.
But for an anal fistula surgery is the only cure. Medicines can control the infection and provide temporary relief but it will come back again and again.
If you are not willing for the surgery at present then you can take a course of antibiotics like a combination of ofloxacin and ornidazole for five days and a painkiller to reduce the inflammation.
Also take sitz bath i.e. sitting in a tubful of lukewarm water with 10ml of any antiseptic solution added to it like detol, for 15 mins, three times a day.
This should clear the infection and there are chances that the fistula might get closed, but its not 100% guarantee. Just 10%.
For your motions, you may take any lactulose syp in the night. They are easily available at the pharmacy.
Hope i have been helpful.
Regards,
Dr. Ashish Verma
Above answer was peer-reviewed by :
Dr. Raju A.T
ofloxacin and ornidazole iam using from last 20 days i want to know how long i Can hold surgery
I dont had pain but felling pain after 2-3 days but after abcus brust and i feel comort
Can holding surgery may risk for further surgery or infection.
Want to know which surgery is best option.
Iam using ofloxacin and ornidazole & Isibghol
I dont had pain but felling pain after 2-3 days but after abcus brust and i feel comort
Can holding surgery may risk for further surgery or infection.
Want to know which surgery is best option.
Iam using ofloxacin and ornidazole & Isibghol
Brief Answer:
infection will increase, no doubt
Detailed Answer:
Hi XXXXXXX
If on ofloxacin and ornidazole you still are having abscess formation then your antibiotics need to be changed according to the pus culture and sensitivity.
If you will continue like this then the infection will spread and it may form a complex fistula and/or a high fistula, which are much more difficult to treat even by surgery. So it wont be wise to delay.
There is no time limit by when it may form a complex fistula, it varies from person to person.
Regarding the type of surgery which is best for you, it depends upon the type of fistula you are having and the tract taken by it, for which you need a clinical evaluation and a MRI fistulogram if your surgeon after examining you is of the opinion that it is a complex fistula.
So show to a surgeon for an evaluation and a pus culture test.
Regards,
Dr. Ashish Verma
infection will increase, no doubt
Detailed Answer:
Hi XXXXXXX
If on ofloxacin and ornidazole you still are having abscess formation then your antibiotics need to be changed according to the pus culture and sensitivity.
If you will continue like this then the infection will spread and it may form a complex fistula and/or a high fistula, which are much more difficult to treat even by surgery. So it wont be wise to delay.
There is no time limit by when it may form a complex fistula, it varies from person to person.
Regarding the type of surgery which is best for you, it depends upon the type of fistula you are having and the tract taken by it, for which you need a clinical evaluation and a MRI fistulogram if your surgeon after examining you is of the opinion that it is a complex fistula.
So show to a surgeon for an evaluation and a pus culture test.
Regards,
Dr. Ashish Verma
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Can i wait for 15 days as i have to close my month end till please suggest high dose
Abacus is getting closed and opening again after 2-3 days
Pls suggest high dose i will meet doc. on saturday and plan for surgery on July
Till this pls suggest best option
Abacus is getting closed and opening again after 2-3 days
Pls suggest high dose i will meet doc. on saturday and plan for surgery on July
Till this pls suggest best option
Brief Answer:
culture would had been better
Detailed Answer:
Hi XXXXXXX
If you don't have time to go to a surgeon now then just vist a good pathology lab and ask them to take a swab of the pus discharge for culture and sensitivity. The report will come in 2-3 days.
If there is not pus discharge at present then you can start on a third generation cephalosporin like cefuroxime 250 mg or cefpodoxime 200 mg along with metronidazole 400 mg.
Regards
Dr. Ashish Verma
culture would had been better
Detailed Answer:
Hi XXXXXXX
If you don't have time to go to a surgeon now then just vist a good pathology lab and ask them to take a swab of the pus discharge for culture and sensitivity. The report will come in 2-3 days.
If there is not pus discharge at present then you can start on a third generation cephalosporin like cefuroxime 250 mg or cefpodoxime 200 mg along with metronidazole 400 mg.
Regards
Dr. Ashish Verma
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thanks Dr XXXXXXX
i had purchased Metronidazole 400 mg,Cefpodoxime proxetil 200 mg & one packet of ornidazole 500 Mg & ofloxacin 200mg
Request you please confirm can i take all Medicine togther
i had purchased Metronidazole 400 mg,Cefpodoxime proxetil 200 mg & one packet of ornidazole 500 Mg & ofloxacin 200mg
Request you please confirm can i take all Medicine togther
Brief Answer:
no
Detailed Answer:
Hi,
Don't take oflox and ornidazole now. Its not working for you.
Metro is to be taken thrice daily and will give a metalic taste in your mouth. Other one twice a day.
Regards
Dr. Ashish Verma
no
Detailed Answer:
Hi,
Don't take oflox and ornidazole now. Its not working for you.
Metro is to be taken thrice daily and will give a metalic taste in your mouth. Other one twice a day.
Regards
Dr. Ashish Verma
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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