Anal Fistula: Why It Rarely Heals Without Proper Treatment

  • Dr. Kayomaz M. Mogal

  • Health, Fistula & Anorectal Care

  • September 26, 2026

Anal fistula symptoms, causes and treatment options

An anal fistula is an abnormal tunnel that develops between the anal canal and the skin near the anus. It commonly develops after an anal abscess or infection that has not healed completely.

Unlike some minor anorectal problems, an anal fistula rarely heals permanently without appropriate medical treatment.

“Repeated swelling and discharge are warning signs—not something you should keep ignoring.”

Common Symptoms of Anal Fistula

Common symptoms of an anal fistula may include:

  • Repeated pus or foul-smelling discharge

  • Pain or throbbing near the anus

  • Swelling and redness

  • A small opening near the anus

  • Blood during bowel movements

  • Fever when an abscess or infection is present

  • Temporary relief after pus drains, followed by recurrence

Why Does a Fistula Develop?

Most anal fistulas develop after an infected anal gland forms an abscess. When the abscess drains, a tunnel may remain between the anal canal and the surrounding skin.

Other possible causes include inflammatory bowel disease, certain infections and complications after surgery near the anus.

Treatment Options for Anal Fistula

Anal fistulas usually require a medical procedure. Depending on the fistula’s location, complexity and relationship with the anal muscles, treatment may include:

  • Fistulotomy: A surgical procedure used for suitable fistulas to open the fistula tract and allow it to heal.

  • Seton treatment: A seton may be used in selected fistulas to help manage the fistula tract while protecting the anal sphincter.

  • Kshar Sutra treatment for fistula: A specialised treatment approach that may be considered depending on the type and complexity of the fistula.

  • Laser treatment for fistula: A minimally invasive treatment option that may be considered for selected patients.

  • Other sphincter-preserving procedures: Depending on the location and complexity of the fistula, other procedures may be considered to help preserve normal bowel control.

Every fistula is different. Proper examination and, when required, imaging help the doctor select a treatment that aims to heal the fistula while protecting normal bowel control.

Consult a Fistula Specialist in Bardoli

If you are searching for a fistula doctor in Bardoli, fistula surgeon in Bardoli, laser treatment for fistula or an experienced proctologist in Bardoli, consult Dr. Kayomaz M. Mogal at Shree Anorectal Hospital, Bardoli.

Get confidential consultation, accurate diagnosis and personalised treatment guidance for anal fistula and other anorectal conditions.

Don’t Wait for the Infection to Return

Repeated pain, swelling or pus discharge needs medical evaluation. Early assessment can help identify the fistula and determine the appropriate treatment approach.

Book your appointment with Dr. Kayomaz M. Mogal at Shree Anorectal Hospital, Bardoli.

Disclaimer: This article is for general awareness and does not replace professional medical consultation. Treatment depends on the fistula’s type and the patient’s condition.