A fistula is a misaligned connection between two biological parts, such as an organ or a blood vessel, and another structure. Fistulas are typically caused by an accident or surgery. A fistula can also occur as a result of infection or irritation. An anal fistula is a hole in the skin that connects the colon's anal canal to the skin of the buttocks. The majority of anal fistulas arise in response to an anal gland that has developed a pus-filled infection (abscess). You have a 50% probability of having an anal fistula if you have an anal abscess. Even if your abscess drains on its own, you are at risk of developing a fistula. Certain disorders affecting your lower digestive system or anal area may also put you at risk. If you experience symptoms of an anal fistula, your healthcare provider may recommend you to a colon and rectal disease expert. Your symptoms and medical history will be discussed with the professional. The doctor will look for a fistula opening near your anal orifice during your physical exam. He or she may press on the affected region to see if it is painful and if pus is oozing.
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