What are the possible treatments of fistula?

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A fistula is a narrow passage that opens up between body organs or between an organ and the skin. Treatments for fistulas could be surgical options or natural methods. The treatment would depend on the type and location. The size of the fistula and what caused it would also matter.  Certain small fistulas that may be the result of injury heal by themselves. If the fistula is caused by disease, antibiotics may be administered.

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Some fistulas interfere with the physical functions and they would require surgery. Though surgery is the prescribed common treatment, is not a permanent solution since the fistula could occur again. The perianal and rectovaginal fistula are types that can recur after surgery. Treatment without surgery may thus be preferred.

With small fistulas, catheters are used to drain fistulas and manage infections. Fibrin glue and a collagen matrix plug are used to seal and fill the fistulas. 

For the oroantral fistula, a palatinal plate is used along with antibiotics. A bronchopleural fistula treatment involves closing the fistula surgically with the help of a chemical. The enterocutaneous fistula has to be drained so that healing can take place.

Surgical treatment options:

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In a laparoscopic surgery that is minimally invasive, a tiny cut is made and small instruments and the camera are used to make repairs in the fistula. 

In a transabdominal surgery, the abdominal wall is cut and the fistula reached. 


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The ligation of the intersphincteric fistula tract is one of those innovative treatments for anal fistulas. 

Natural treatments for anal fistulas:

As compared to harsh allopathic chemical-based medicines or invasive surgery, natural remedies are nowadays increasingly preferred for a variety of diseases. They have been in vogue for probably thousands of years, based on indigenous knowledge of plants, roots, fruits, and herbs. Besides, natural medicines are very convenient and do not have harmful side effects.

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Diet management is very important that works along with the home remedy. Constipation makes the condition severe and painful. A high fiber diet contains whole wheat, brown rice, barley etc. Fruits like banana and papaya also help to keep the stool soft. 

Avoid spicy and pungent foods that may increase the pain and bleeding. Drink plenty of water to flush out the toxins. Cabbage juice and papaya would help. Take a sitz bath where the buttocks are immersed in warm water. Sit on a ring-shaped cushion.

Herbal remedies include aloe vera, Amalaki, haridra etc that combine to create a natural treatment. They reduce the pain and bleeding and clear toxins since they are powerful antioxidants. 

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