Constipation and fistula-in-ano (FIA) also called an anal fistula is not related.
FIA refers to an abnormal connection between the anal skin and the inner lining of the anus (opening from which stool is discharged) or rectum (the last part of your large intestine that stores stool and ends in the anus).
It is commonly caused by an infection of one or several anal glands resulting in recurrent infection and discharge.
Surgery is the most effective way to treat FIA.
Constipation on the other hand is not a disease but a common symptom experienced by everyone at some point in their lives.
The causes of constipation are,
• To little or too much dietary fibre.
• Inadequate fluid intake.
• Lack of physical activities.
• Medication.
• Irritable bowel syndrome.
• Neurological diseases such as stroke and diabetes.
Colonoscopy is recommended in view of your constipation and your age if your are 50 years old.
This procedure helps to detect more sinister causes of constipation such as colorectal cancer.
FIA can be detected during the evaluation of your constipation but not a result of constipation.
Treating constipation relies on accurately identifying the underlying causes and prescribing individualized treatment.
Constipation can be the result of weakness your anus and rectum coordinating muscles or lack of it, which are responsible for the normal passage of your stool.
Anorectal manometry is a useful test that measures the pressure along the anal canal and rectum, this test helps doctors to identify FIA in patients.
You can benefit from anorectal biofeedback therapy, it comprises a series of coordinated movements of breathing and abdominal and anal muscle contractions exercise.
Using a visual and auditory aid, both patient and therapist will know if the exercises are performed correctly.
The result from this therapy varies and improvement do not occur overnight.
It requires at least 6 months of daily disciplined routine and regular follow up sessions.
If there is no improvement in your constipation, it is strongly encourage that you check with your doctor again for further review.
He will examine you thoroughly and assess your symptoms in greater detail as well as review the exercises you did are correctly perform.
You should continue to moderate your intake of dietary fibre and drink plenty of fluids.
Lastly, your doctor should ensure that your FIA has not return and constipation is not the cause or related to FIA.
If your FIA has returned surgery should be considered but not to address your constipation.
Posted by: Mo Salle
Read Other Related Articles:
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• Bleeding Anus: Piles or Fissures
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