Crohn’s Disease Fistula – How Can They Effect You And What Are
have had Crohn’s Disease for awhile you may already know what a fistula is or
how it can affect you, or if you were like me I didn’t know what a fistula really was till years after I was
diagnosed. I have been lucky and have never been affected by a fistula all the years that I have had
Disease fistula is an abnormal tunnel connecting two body cavities that are not usually connected,
such as the rectum and the vagina. A fistula can also be a body cavity to the skin such as the rectum to the
outside of the body.
that a fistula can develop is through an abscess. It can be common to have a fistula if you have
Crohn’s disease, around 25 percent of people get them.
diarrhoea or constipation can result in a tear, or fissure, in the lining of the rectum. Most people have had a
tear or fissure on the corner of their mouth, which can occur in winter/cold weather and also if you yawn.
same way an anal fissure is a small tear of the lining of the anus, caused by diarrhoea or constipation.
Fistulas can also form from sores and ulcers caused by inflammation. If an ulcer goes deeper and penetrates
through the intestinal wall, this is another way that a Crohn's Disease fistula can
anal fissures can cause intense pain when you have a bowel movement (before and after) which will stretch the
fissure. The majority of fissures will heal on their own some require surgical repair. Fistulas can be a common
cause of sepsis in Crohn's disease. In some cases, sepsis can be life threatening.
symptoms of fistulas that are between sections of intestine are - increased diarrhoea,
malabsorption of nutrients and dehydration. A vaginal fistula causes intestinal waste to leak into the
contamination of the bladder, in a bladder/vaginal fistula can cause urinary tract infections. The most common
fistula in Crohn's Disease is the anal fistula — this connects between the rectum and skin around the anus. Anal
fistulas can be, but are not always associated with an abscess.
half of the people with fistulas, no real treatment will be required as the body will heal it
or non surgical methods can be used. Stool softeners maybe used to help reduce the pain during a bowel movement.
You may be put on antibiotics for a short period of time as well.
is the case make sure that you are taking some kind of probiotic so that your bowel flora stays healthy.
Antibiotics kill the good bacteria in your system as well as the bad ones.
fistula will not respond to treatment, your doctor will have another look at you. Such things as muscle scarring
and spasms can affect the healing process in a negative way.
Crohn's Disease fistula doesn’t heal then it may need to be corrected with surgery. If this is
the case there is no need to worry as this is a minor operation and is usually done on an outpatient
surgeon will remove the any underlying scar tissue and the fistula, by cutting away a small amount of the anal
muscle it will stop spasms.
helps the area to heal and it is rare for it to interfere with the control of your bowel movements. The pain
often goes in a few days, but it will take a couple of weeks for complete healing.