Crohns Fistula Treatment

Crohns Fistula Treatment

Fistulas are a common occurrence in hose who suffer from Crohn's disease. They develop in an area that is known as the perineum, which is around the anus and the genitals. Symptoms of this condition are fever, itching, pain, tenderness, itching, and overall feeling of being sick.

There are 4 types of fistulas, namely enterocutaneous, enteroenteric or enterocolic, enterovaginal and enterovesicular. An enterocutaneous fistula could be the result of a complication arising after a surgical procedure. It is like a passage that makes its way from the intestine to the location of the surgery, and then meets the skin.

Enteroenteric or enterocolic fistula involves the intestines, large or small, enterovaginal fistula spreads to the vagina, and enterovesicular fistula reaches the bladder.
Fistulas treatments differ as per their location and seriousness of symptoms present. Common medications prescribed to treat this condition are the antibiotic Flagyl, the immunosuppressant 6-MP, and the TNF-inhibitor Remicade.

An enteral diet, which is a liquid one that administered through a feeding tube or directly through the mouth, is usually prescribed for enterovaginal, enterocutaneous, and enterovesicular fistulas. This liquid diet is made of nutrition formulas and is fed in place of solid foods. No solid food is fed so that there is no pressure to pass much stool through the anus, thus allowing the fistula to heal properly and close.

If the fistulas do not respond positively to the above mentioned treatments, then the only option left would be a surgical procedure. Removing a fistula from the healthy part of the intestine is relatively easier and does not involve the removal of any part of the intestine; but if the fistula is in a heavily infected section of the bowel, then a procedure called resection must be done to take care of the problem.

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Crohns Fistula Treatment