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An anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. People with an anal fistula seeking care at apollo spectra, will be provided with the best specialists and services. We also provide the patients with the best care, pre and post the surgery. Using the latest technology, all our experts at apollo spectra come together to give you the best possible outcome from your treatment option. We look at 11 causes here, along with the treatment options there are for each one. an anal fistula is an inflammatory tract between the anal canal and the skin. The 4 categories of fistulas, based on the relationship of fistula to sphincter muscles, are intersphincteric, transsphincteric, suprasphincteric, and extrasphincteric. An anal fistula can be categorized as either simple or complex. An anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter. What are the symptoms of anal fistula? Symptoms of an anal fistula can include skin irritation around the anus constant, throbbing pain that may be worse while sitting down, move around, having a bowel movement or while coughing. An anal fistula is formed if an anal abscess bursts before it is treated or if the abscess is not healed completely. Based on the location, anal fistula is classified into following types, they are an intersphincteric fistula is an abnormal tract that begins between the internal and external sphincter muscles and ends in the anus region. Imagine how it would feel if you had to live your whole life with horrible pain in your perianal region. An abscess in the perianal region can be excruciating and can make you feel the same. If the anal fistula is in its early stage, you can try going on a liquid diet. Try to drink natural and freshly made fruit juices, lentil soups and green tea. This will prevent the contraction of the anal muscle giving the anal fistula enough time to heal.