How to live with Anal Fistula!

[@spikelall3834]

I dont know man. Having this issue is the worst pain in the world. I lived with it for 7yrs and finally had the courage to go speak with a doctor. Just had surgery on 11-26-2024 and am writing this message on day 2 of recovering. So far so good. I feel alive once again. I hope that this does not recurred and pray for all my bothers and sister's who is living with this be cured. The pain is dreadful!

[@alexanderthegreat8067]

How is the recovery going? How is the pain level?

[@ricardocuriel642]

I also had that surgery, It does help a lot, but I have to go for a second surgery so they can remove that thing they left,,

[@alexanderthegreat8067]

@ did they cut you open or just put the steton? How was the recovery how long did it hurt and can you still hold your stool after the surgery

[@trispyfrispy5778]

@@ricardocuriel642 I had 2 fistulotomies so far, looks like I may need a third...

[@Westsideplayer1]

iam at the emergency room now friend.the pain is a 100.i can't deal with it.iam in tears now.i hope it's not cancer.ill keep you up dated 😢

[@hollietherese2114]

Best money I've spent! To meet you in person and have 1 hour of your unadulterated time to discuss in detail my situation and options, and hear an opinion based in research and experience from someone who clearly doesn't have any other agenda but my health and happiness was priceless. I drove 23 hours to be seen by Dr Chung and I'm SO thankful I did! You're a rare breed and such a blessing Dr Chung, thank you!

[@dantelaratapdance]

Thanks for sharing. I have had an anal fistula for 3 years and want to see him soon.

[@donnamaerosalita7782]

Hey doc! I have been living with this condition for almost 12yrs, Im afraid to discuss about this with doctors cause I found it a rare condition, Im so happy I get crossed to your page,

[@jamilgotcher365]

Have you ever had a colonoscopy, to make sure it's not colon cancer?

[@LouieLotlot]

Hi there, is there still lots of discharge while living it? I had abscess a month and a week ago,it burst on its own when I tap a angelica leaves on it, I took amoxicillin 3 times a day for a week, but pus still draining out,in 10th day a got fever and chills, till 4 days keep coming every night and dawn so I decided to be admitted in hospital, they give me antibiotics, I was discharge in 3rd day,doctor advised me to see a surgeon 3 weeks after if the discharge is still coming out, until now there still fluid coming out, in a tiny whole half inch from under my balls,my abscess hast fully healed, there still pain,I hope this tiny hole is just from the abscess, I'm worried if it's fistula, because surgery is most common advice, that's why I reached out to you to help me what to do if not having surgery for fistula

[@spikelall3834]

@donnamaerosalita7782 please see a doctor. You are not alone, and it's is not as rear as you might think. The pain isn't worth your happiness. The procedure takes about 10 min for a lifetime of pain-free feeling. You will be happy you did.

[@Gerard-yw2lu]

Donna u must visit india to get the homeopathy treatment.

[@jefftaylor844]

It's amazing to me that in the year 2024, fistulas still CAN'T often or relatively easily and permanently be cured.

[@h0rriphic]

Ikr 💀

[@OperationSpider]

Mine was. I found a doctor who lasered it. Also changed my diet (stopped eating carbs) and it was gone.

[@jefftaylor844]

@OperationSpider ... I've read both positive and negative results re: laser surgery. Carbs are definitely not a helpful thing for your body for so many bad health issues. Quitting them is accepted by a growing number of people as being a healthy decision.

[@ektatijoriwala6772]

I m shocked that in such an advanced medical world we still don’t have a medicine to cure abscess permanently. Big Pharmaceutical companies should do more research on this. This is a very common and dreading problem.

[@OperationSpider]

@@ektatijoriwala6772 Big Pharma profits from people with chronic conditions. Especially if they are (or not) stuff you see with Crohn's Disease.

[@rojalinsethi6392]

The only doctor who doesn't suggest surgery ❤❤

[@bradrhea]

I’ve had 3 surgeries and so limited and equipped with knowledge, thank you for talking more about anal fistulas, causes, treatment, symptoms, and post op surgery recovery.

[@jeffreyquek4083]

@bradrhea, I am contemplating a surgery for anal fistula. Could you share why U had to go through a number of surgery pls? Was it a recurrence?

[@TheJokerman26]

Have you made your mind up for it?is it done? Did you have any complication?

[@tigrejones]

I've had mine 15 years. Once you get it to drain, keep it clean, use baby wipes. No TISSUE! It's very embarrassing also. You can get in the sea or pool but I DO NOT RECOMMEND PUBLIC HOT TUBS! EVER!! I have crohns ALSO. It's a struggle. THANK YOU SO MUCH FOR EXPLAINING THIS DR AL!! YOUR KIND AND I'VE NEVER FOUND A KIND SYMPATHETIC PROCTOLOGIST!

[@_Niel_777]

This may be weird but do your fistula pass gas when you fart mine do 😢 honest question

[@svenyproud]

@@_Niel_777yes completely normal

[@Elevate-momentum]

@@_Niel_777yes man

[@Elevate-momentum]

You still have it you’re living with it ?

[@francisfurtado6297]

@@_Niel_777 yes that's right, through the exterior opening

[@bradrhea]

Thanks!

[@bkwytpiamz]

I did my 2 fistula surgery on 2nd of February it's so painful damn! am wishing myself a quick recovery and thanks doctor your videos has been helpful ❤❤

[@abdullahbutt4166]

How are you now

[@muratisik6956]

How is it going now?

[@bkwytpiamz]

@@muratisik6956 Feeling better now thanks for caring i appreciate.🙏

[@bkwytpiamz]

Feeling better now thank you 🙏

[@GelloMello-j9z]

Had my fistulectomy 3 days ago....just rhe clean up part is so hard....there is shit in the freaking tunnel they excavated...

[@yehiaismail2451]

Thank you for beeing honest. This goes long ways 👍 💯. Hats off and respect

[@Tecun-p7g]

Your lifesaver in an angel saving a lot of lives true blessing to the whole world dr chung

[@Joses213]

Amazing Information as always. Thank you so much Dr. Chung. You are the Best!

[@rizwanabatool7281]

i had my fistulotmy 2 days before. no pain. . i am hopeful about speedy recovery.

[@billythekidd-go3hv]

How did you recover?

[@rizwanabatool7281]

@@billythekidd-go3hv two monthes passed wound is healed and i am fine now 😀

[@faizanpasha9844]

From where did you get this surgery done ? Are you from Pakistan?

[@rizwanabatool7281]

@@billythekidd-go3hv i am fine . wound is healed

[@rizwanabatool7281]

@@faizanpasha9844 bahawal pur punjab. dr javed iqbal leproscopic surgeon. 35 years experience. he is a famous man. u can search his videos about perianal fistula both in english and urdu.

[@shopnstuff8228]

ive heard a story of 2 ppl who healed fistula with Specific Carb Diet and are still in remission... i wish i could hear more stories of people who found healing with diet because not everyone can get surgery/afford it

[@rizwanabatool7281]

go for surgeory and get rid of this pain story

[@rona899]

Do you know more about that "Specific carb diet"?

[@dantelaratapdance]

Right?! I haven't heard or seen anything on the internet about someone who healed theirs naturally. Unfortunately its a sensitive topic to most, so there will always be lack of public help

[@Euphrates333]

@@rona899elaborate

[@maryellenrichardson9419]

Hi, have been enjoying your videos these last few days. I saw a colorectal surgeon a year ago for a perianal lesion . He said the only way to tell what it is was to excise it. Because this started with the skin there was constantly being covered with feces due to problems with incomplete bowel movements that needed to be dug out. I told him I was afraid of infection so I wanted to get the bowels more under control first so as to not constantly subjecting the surgical site to feces. Went to see a GI doctor to work on the bowels. She wanted to the lesion. She said she would work with me on the bowels but she wanted me to see another colorectal surgeon. I started the Miralax routine. The other day I received a call from a colorectal surgeon’s office telling me they have me scheduled to come in next month for condyloma treatment. Well as a senior who has not had any sexual contact in over 20 years I find this a questionable diagnosis especially since I never even saw this doctor before. Just thought you might enjoy this crazy trip I am going through.

[@LittleKitty22]

I'm severely disabled and have never been married, but doctors constantly demand that I get tested for STD's and pregnancy, and tell them how many people I sleep with and what I do in the bedroom! They are perverts! Don't go to this appointment. When they call you and ask where you are, tell them you are not there to entertain their perverted fantasies! If the insurance company contacts you, tell them the same.

[@BF0202]

You could have HPV and not know it… condyloma can be transferred from self inoculation if you happened to touch your privates and then your anus area

[@sagartripti]

How are you now? Did you get the surgery?

[@andrewbuffington5677]

I have severe Crohns disease and I’ve had 3 fistulatomys, and they keep coming back every year. the surgeon that performed the surgery said I’m skrewed. I’m deep in debt and slowly dying. Very little hope for anyone like me 😢

[@mphophandavhudzi2815]

My question is how do we treat the smell and have better hygiene 😩😭? Even if I bath 3 times a day I completely smell shiit I can tell how people react around me and as for me it's difficult to identify the smell

[@HolisticRx-x4t]

Ever heard of deodrant

[@jameschael5445]

I'm 19, I have 1 fistula before and after surgery I was so happy but after 1 year the fistula comes back in other side and after few months another 1 fistula beside the ano so I got 2 fistula now 😢😢😢😢

[@johntravolvo9830]

Hope it will go better for you in the future, wish you all the best

[@cprado385]

Stay hopeful your not alone

[@rakibsstories2549]

Finally somehow how doesn't make the patients nervous. I'm 31 and I have had a fistula for several years now and I'm quite used to it and it does not bother me much. I didn't even know the term Fistula until recently and and after searching on internet I became very nervous about it. 99% people are talking about surgeries or they say there will be complication in the future. I have just one question, is there any chance of developing cancer from this fistula if I keep it as it is? Note that I will try to maintain more healthy lifestyle than I used to since I came to know about many things last 2 days. Btw thanks for this video Doc, I really feel calm now after 2 days!

[@NitishBhardwaj-x8d]

Who knows, I have read it that if you don’t treat it for 10-15 years it can lead to bigger complications. Complications can also include further branching. Best to get MRI to see how it’s progressing every year or so. If it is getting complex, definitely get a surgical procedure done. Diet, sleep etc. helps to manage it, not treat it fully.

[@Roberto-lg7jx]

My fistula started to branch out after just 15 months or so while waiting for surgery. Fortunately, the surgery date arrived and seton was placed in it. After 3 months the next surgery to remove the seton and close up the fistula (likely with a flap) but I was spared and went home after 1 hr. Dr said I was good, all dried up. No more seton,no more surgery. However every day I have to clean the anus as there are lubricant leaks out. I would clean the area with toilet paper or just water with my finger 5 to 8 times a day. Other than that I consider myself lucky so far

[@jameschael5445]

I'm 19 and got 2 fistula near my ano 😢 I'm scared to undergo surgery

[@Juststayhopeful10]

​@@jameschael5445 same I'm 20 I was diagnosed 7 months earlier😢 I'm having lot of itching now I'm going to have surgery

[@gabbyrose54]

I been dealing with my fistural for 9 years, multiple surgery, I have a ostomy and the fistural still not close, now I'm seeing a wound care doctor and it's getting smaller but still open and draing 😢😢😢😢

[@DevinRhode2]

You are a gift from God wow

[@thangjampalina1645]

Can u plz tell me foods n drinks I should not eat and what should be eat

[@safwanmajeed3114]

I've been living with this condition for 22 years. It started in 2002,but after two years it healed by itself and it again started in 2012. Since then I'm living with it. I'm scared to go to a doctor. I just use antibacterial cream on it

[@haroonsaif7683]

I had it in 97 and come and go still I have

[@haroonsaif7683]

How u apply cream and where

[@muhitspeaks7846]

​@@haroonsaif7683 did you do any surgery?

[@anabalraj410]

You are the best. Today I was really scared and I came across you video.. Thank you

[@lauras.6745]

Yeah people may have been living with a fistula for a long time, but it doesn’t mean it’s been all good! Constant irritation from fluids does affect your life. Also paying for pantyliners and gauze constantly is expensive.

[@jehangirkadir9634]

Yes. I dont see living with it an option. Too messy and embarassing. Not a good standard of living.

[@PagKAINgpinaSARAP]

Hi doctor i followed u on ur channel coz i can see that u were very honest with all the kinds of situation when it comes to proctology. But now i am hearing from u the laser treatment. Not all cases laser will work as for my experience. Im having complex fistula and my 1st doctor did the laser. It was a hell of experience for 6 months im suffering from severe pain, bleeding, pus! I never felt better after that surgery. Now i had another surgery to a different doctor. He placed a seton and this helps me a lot! Now i can leave At least normally with my life. Pls for those people who’s having this sickness. U better have 1st, 2nd even third opinion with doctors before u decide to have any procedure. Because at the end, if the doctor is not good. everything will get worst and it will be hell jn ur life.

[@Chorkymom]

Any tips for aftercare, like essential oil baths?

[@PagKAINgpinaSARAP]

@@Chorkymom no.. dont use any oils.. after my surgery i just did sitzh bath with 10ml betadine 2x a day for 3days. After that onwards 1 to 2x a day sitzhbath with just warm water without anything. Don't do salt in ur sitzh bath as it worsen my situation with my first surgery. I had blisters at my bottom end. Till it worsen my fistula. All of this are based only with my own experiences. Our body still has different reactions to anything. I still suggest consult ur surgeon dont do self medication. But find the best doctor to save ur life. PRAYING FOR ALL OF US WHOSE SUFFERING WITH FISTULA. 🙏

[@rizwanabatool7281]

@@Chorkymom i had my fistulotomy couple of weeks. dr suggest me only cleaning it with water specially after bowel movement . daily change dress. wear loose triuser. apply cream over it 3 times a day. eat fiber rich food avoid spicy food and nothing else. what i experience . bed rest keeps u calm and soeedy recovery for 2 weeks. i had 3.5 cm fstula. it is painful. but not that much as people complain. only treatment is surgeory

[@OrientRamshan]

Thank you doctor for your invaluable advice...

[@wg8290]

I’ve had mine for 19 years and have been very active throughout. I would consider a cutting seton if I ever had it repaired but have no reason to do so right now.

[@tysons8759]

Is it always open???

[@wg8290]

@@tysons8759 it actually completely closed up for a year about two years ago. It is now back. It seems to be “open” now. I barely even remember I have it.

[@smoker420la]

Thanks

[@jeffreyquek4083]

@wg8290 how do U cope with it pls

[@wg8290]

@@jeffreyquek4083 at this point, it barely has any drainage. I clean the area daily. It is just not something I really notice.

[@ivzbonete138]

I have this few years now and I’m living it normally , never had surgery because I watch one of your video that getting surgery might cause another fistula. So now it normal for me it will just drain by itself

[@nataliachamera734]

Thank you! Found your channel yesterday. Had absccess on cruise ship trip in Sep. that popped itself after 3 days on antibiotic from nurse.2 Medicover surgeons ignored after, only hygiene with Octenisept and Anusir, 3rd recommended anoscopy and I have high fistula 40%.Recommended seton+LIFT. I feel fine, a bit of pus once in few weeks, no blood or poop or reappering abscess. Will discuss with specialist if operation is needful as the one from anoscopy did not gave me any other option. I'm 35, work sitting, train pole dance, travel. Great to know that its not an easy operation and maybe not needful at all!

[@nataliachamera734]

Sorry had transrectal ultrasound not anoscopy. I'm from Poland, so just checked english term for 'USG transrektalne' :)

[@robisonfogaca33]

Thanks , Doc. Hugs from Brazil

[@diamondheat9]

I started to have tailbone pain last November and it took me till February to finally see a physician about it. I took about a month or 2 seeing this guy before I diagnosed myself and pointed out to it might be a cyst. Well I was sent to a surgeon where he confirmed it was a pilonadial cyst and got it removed. After a month and a half of still trying to recover, he told me today how serious it was. I had a cyst that caused the rectal fistual which is why I was still having drainage and he mention the Seton installed. He tightened it today and restarted my pain cycle so I just hope this fixes my issue.

[@ChristineSpeller01]

My brother has quite a few fistulas. He just had his second surgery and the surgeon found the fistula that is causing severe problems. He had surgery a few months ago for the other fistulas. He also takes a liquid opium since he has diarrhea as well as pain medication. His Crohn’s is severe and he’s only going to be 50 in April. He’s been having problems since his mid twenties.

[@HariAswin-vu3ge]

Hello iam 14yo diagnosed with anal fistula 😅 but I do not get a large number of puss I get it twice in a month just a bit of drops. Should I need a surgery and if not will the hole close naturally or will it will be there through out my life and is there any home remedies? Could anyone please help me?

[@chiefbrownfart]

I was diagnosed with Crohn's disease at 15 after I went to a doctor because of a perianal fistula. I've had surgery on it 3 times total and I honestly won't have another one unless they develop a legitimate fix for it. I'm 34 now and I still get drainage as well as some pain on occasion especially during the summer when it's hot out. But constantly having doctors tell me that they can fix it only to continue having the issue just isn't worth the risks of surgery in my opinion. If I have to live the rest of my life with my fistula the way it is now I'm honestly perfectly fine with that. So I can definitely appreciate your approach of not just jumping into surgery, I wish more doctors/surgeons had that mindset.

[@TheJokerman26]

Unfortunately most doctors are money minded. Mine was more or less a complex one and the doctor recommended fistulectomy surgery. And here I am sitting in a worse condition needing another surgery after 3 months. I feel like they can't really control the outcome of the procedure. Now more suffering awaits me and my family.

[@MakanjuolaOluwatoyin-pg7wm]

Did the open face closed bcos mine have not closed since June 2022

[@drcool56]

Very sensible! That's exactly what I say to my patients!!! But in French :)

[@zaumamagu8341]

Thank you so much for the significant information.

[@yvonnnehoveka3892]

You are amazing Dr really 🙏

[@maxmartins9102]

I was told that if i stayed with the fistula it would branch out. What about this?

[@tototl13]

I think is could be different for everybody

[@tucker579]

Im just watching this cause i want to know how to avoid, i allready have hemorrhoids, I dont want nothing new down there

[@rona899]

Hemorrhoids are a laughingstock in comparison!

[@alexanderthegreat8067]

I’m wondering why doctors don’t just stitch the inside hole of the fistula and leave the outside one open to drain out helped with cleaning it and taking antibiotics? In my mind that’s common sense but I’m not a doctor

[@nsbd90now]

Just got the dx and appreciate your videos while I decide how to respond to it.

[@h.wayneb3495]

Thank you on insights and experiences regarding this.

[@danielsavage8657]

i love this guy

[@magamedaliyev8133]

Hello doctor so seton is best way to do it and avoide abscess .?

[@LessleeEstrella]

Is that safe for our 9months old baby???

[@oludameee8390]

Does laser have any side effects sir you are amazing doctor

[@TobeyMontona]

I've been living with this annoying thing for idk 18 years now. I've had to go to er 4 times over the years to get it popped when it got infection n fevers etc...I keep it clean as I can with hydrogen peroxide and havnt had any flare-ups in awhile but this needs to get fixed someday:(

[@Julia-xf5ps]

Happy New Year, may 2024 be healthy and happy! 🎉

[@princesoni6732]

Guys, he is saying to live with fistulla if it's 10 yrs. old. What about cancer developing becase of it?.

[@lotetikovagone6920]

I live with it for 22yrs now Please Doc help me to get rid of it..

[@imbinu73kumar5]

I have done laser treatment 6 months back and now it comes again. Could you please let us know who is making these tunnel. If the bacteria 🦠 is responsible for making tunnel,then why antibiotics can't kill them.

[@dantelaratapdance]

I second this!

[@patelp5040]

You need puss culture report done to find which antibiotics will and will not work on you

[@razasiddiqui2123]

Does Fistula increase or branch with time if not treated?

[@justinmclaughlin1953]

I got an anal fistula when I was 21 years old. I’m 29 now. I combat it with healthy lifestyle and diet - and psylium husk fiber powder in fruit/vegetable smoothies I make. I haven’t tired a surgery. I can basically ignore it with my routine. But sometimes it drains a lot. Hopefully everyone doing alright

[@bratishabiswas5881]

Hi Justin! What was your symptoms of anal fistula??? Please share

[@rizwanabatool7281]

get rid of it. by surgeory. only solution. by the time time fistula got bigger and divided in branches and multiple tracts

[@rizwanabatool7281]

​@@bratishabiswas5881 pain and itching in anal area. become a nod on anal. a pocket become near anal skin full of pus blood. and drain from that skin. sometimes wound heal completely. again it started drain from a hole in skin. a painful. only way to get rid of it is surgeory. if surgeory is fistulotomy. it takes 15 min only. recovery time is 4 to 6 weeks. because wound heal naturally without stitches

[@lubrisys]

Try homeopathy, it helps

[@justinmclaughlin1953]

@@bratishabiswas5881 symptoms are basically what you’d find on google. I have super bad ulcerative colitis so this condition was diagnosed by multiple colonoscopies and doctors. Thing can hurt pretty bad

[@bobbycat13]

Thank you so much doc

[@ibeye]

I'm lucky to have surgery with Thai doctor in Thailand 2 years ago. The doctor said 90% of healing by surgery, 0% with no surgery. Just 2days 1night in hospital and 2 weeks for follow up. Total $4,000 for Anal Fistula and Hemorrhoid in one surgery. The doctor said mine was not complicate case. So chance was 90% in 1 surgery and now I'm 100% good. So happy to make the right decision.

[@rizwanabatool7281]

i am on my 3rd week of recovery. i would recommend surgery. go for it and get rid of this painful disease

[@mazhar4433]

Where to go in Thailand? I mean which hospital and doctor?

[@ibeye]

@@mazhar4433 I was at Bangkok Christian Hospital for the surgery by Prof.Dr. Arun Rojanasakul. You can also see the doctor at Bumrungrad Hospital. Hospitals' details can easily be found by google.

[@ammar-001]

⁠@@rizwanabatool7281 Hi buddy, I had fissure which turned into fistula and had my fistula surgery exactly 2 weeks ago, I can feel sometimes very bad pain like the fissure pain. How are you now.? And how long it takes to get fully recovered.? Pls answer when available

[@rizwanabatool7281]

@@ammar-001 hi hope u are fine. after 3 weeks u will start feeling better and back to routine life. keep ur wound dry and neat. wear loose trouser. i dry my wound with tissue and apply onitment over it. after 3 weeks fluid will stop draining from the wound. i had my surgry on 28th of feb. 2 monthes past no pain. wound is healed but i am facing mild itching in anus. on monday i will visit my surgeon for follow up meeting. during this time i am taking healthy food lots of water juices fiber rich food fruits to avoid constipation. healthy food and sleep heal wound faster. nothing to worry. get well soon 🌹🌹🌹🌹

[@TheJokerman26]

Unfortunately most doctors are money minded. Mine was more or less a complex one and the doctor recommended fistulectomy surgery. And here I am sitting in a worse condition needing another surgery after 3 months. I feel like they can't really control the outcome of the procedure. Now more suffering awaits me and my family.

[@alfredkamunyu735]

thanks from kenya

[@cherrychoudhary-lq4zw]

🙏🙏🙏Please Doctor Make A Video on "HOW TO LIVE WITH A FISSURE WHOLE LIFE" please doctor please

[@lubrisys]

Don't live with , try homeopathy medicine

[@rona899]

@@lubrisys Any suggestions?

[@OberlinMendez-b7y]

No worries I've been having mine for 20 years All u have to do is clean it every day.am glad that I found this video so I feel better

[@ripanmajumder325]

Try homepathy ...it cures many

[@zzuby4276]

Love your videos but I never received a straight answer for a chronic fissure, whether to get the LIS or suffer everyday with pencil thin stool, blood, pain & taking stool softener with restricted diet 😢

[@ishiiiiiiii406]

Same question

[@RBedair5560]

I am having the same story, and adding my muscle is tight and having spasms after each BM. I am afraid having the LIS 😢 The time I have no BM and no pain I say I am good just contiue working on your diet and stool softener and cream but once i have a BM I just wish I get this pain away by any way !

[@ladyhaiti7801]

@@RBedair5560 honestly it’s been a little bit over a year for me and i constantly use a heating pad after my BMs I’m getting the Botox shot later on this month cause all the medical grade creams do not work anymore and yes the anal spams are NO joke I legit have the most psychological breakdowns and but I’m hopeful after the Botox and maintaining my dietary lifestyle all will be be well again. I have faith in the God my understanding..

[@zzuby4276]

@@RBedair5560 exactly same here. Mine started after I took antibiotics for sore throat and ended up with bad diarrhea for 4 days then 3 days of constipation exactly a year ago!

[@dashingdeepika]

Same here

[@zyralex820]

Have my procedure this coming Friday to remove one of two setons

[@fecteaufamily9483]

When will the pain ever go away?????

[@alolkoydesigns]

I used to suffer from this terribly to the point of disability then the problem went away. I wonder if it is because I had dramatic weight loss?

[@dantelaratapdance]

Hey. Wow this is the first success story Ive ever seen on the internet. What supplements were used to heal ?

[@alexanderthegreat8067]

I also lost 75 lbs in 4 months and fissure showed up and than after fistula as well. What did you do to help it go away

[@jameschael5445]

I'm 19, I have 1 fistula before and after surgery I was so happy but after 1 year the fistula comes back in other side and after few months another 1 fistula beside the ano so I got 2 fistula now 😢😢😢😢

[@tmunirathnam9627]

Dear Dr sir IAm suffering from fistula problem lost one year Iam treatment to sum medicine and ailments but not cure sir please tell best treatment

[@cristiflr]

soo many pll dealing with this strange thing,

[@giselsilva]

What are your thoughts on PRP injections on perianal fistula please? Have you heard about it?

[@Therapeutix98]

I have two questions, 1. What if it doesn't doesn't open? 2. Can one use hydrogen peroxide to keep the skin barrier loose and open?

[@gavinnaylor1428]

Dr you are amazing

[@swaraad5667]

Doctor what do you think about the treatment by botox?

[@elainroles7217]

What causes fistulas?

[@dazeofmylife]

What causes fistulas is a watery bowel. Water will always find a way to travel, so when the anal sphincter muscle holds back wet feces or diarrhea, the water will move through the skin and cause a swelling lump filled with liquid which then turns to pus. This abcess must be lanced or stuck with a needle to have the liquid drained out on a daily basis. As long as a person has a liquidy bowel, surgery will not work. If the fistula start place is above the sphincter muscle, you have a chance to heal it, but if the start of the fistula is in the sphincter muscle you are stuck with the damn thing. I came back from Vietnam in 1967 and shortly thereafter I became sick to my stomach with sharp pains and after five days could not move in bed and was taken in for emergency surgery at Presbyterian Saint Luke's Hospital in Chicago where Dr. Jehoom Yang performed emergency laparotomy removing two feet of my terminal ileum due to perforation from Crohn's disease. That was over 50 years ago. What a wonderful surgeon he was and now retired at the age of 92 I spoke with him recently thanking me for saving my life. Nowadays, approximately 25-30 percent of people who go into this surgery DIE from sepsis poisoning! So at the age of 75, I have been squeezing the pus out of my fistula daily for over 50 years after one fistula surgery failed years ago. You asked the very best question of all when you asked "What causes fistula". Dr. Chung did not address your question so I did.

[@rona899]

trauma

[@dazeofmylife2]

WET WATERY BOWEL

[@dazeofmylife2]

wrong@@rona899

[@C11-n7y]

Im have gas vaginales the protologo 3:01 side lm no have rectovaginal fistula Whay lm have gases vaginales lm need help

[@ektatijoriwala6772]

Dr. What to do if you have a blind intersphincteric fistulous tract with perinatal abscess. Already drained once but again came back after 28 days.

[@80sWavrDude]

I have suspicions that I have a fistula. In the past two months I have had ribbon like stools and experiencing leakage after every bowel movement. It has been greenish yellow in color. After walking around a bit, I notice itching around the anus, and I have to go to the bathroom one or two more times to wipe away leakage that has collected there. Sometimes I will see blood with it after wiping. After I wipe a couple of times, it goes away. It is very annoying. I have been experiencing this dilemma for a number of years now, but has gotten worse these past two months. No pain or anything. I am very worried and concerned. Getting my first colonoscopy next month and am both anxious and terrified at what will be found. Praying that it isn't cancer.

[@deepanshu1456]

How are u now ? Was it fistula ?

[@the_chosen_ones_odabrani]

Probably it is anal fisura not fistula 😑

[@arisgolseen2693]

Can you get a Fistula without an open hole outside?

[@KittyKeypurr]

My Google gets an interesting boost after every video these days 🤔 😂

[@jamesrodriguez5799]

Whish he was in my area 😢 am in va and nobody does filac

[@Creative_Lens_Studio]

I have been living with this disease since 2020, I handled it via some ointment such as Hydrocortizone and Ichytol and beside that using bunch of probiotics and fiber to avoid constipation, during recent months and due to my working condition (sitting much and much hours behind the computer my problem botherig me too much and finally I got surgery operation 10 days ago, now I am better but I must deal with new problems such as drainage and using tissue, for how long? I don't know...one more thing,the surgery is easy and fast with spinal anesthesia....hope these information can be useful

[@deepanshu1456]

How are u now ?

[@darthsiddious7469]

Dr. Chung, Is there any research that suggests stress (mental/physical) plays a role in abscesses/fistulas forming like with hemorrhoids? I started doing glute exercises (squats/lunges) in the last year and in the last 4 months have had 3 abscesses. You're providing a great service to us all, very grateful for your videos!

[@sigogglin]

I a man and have pelvic floor issues and I know it contributed to my fissure/fistula combo. I now have a pelvic floor PT

[@jeffreyquek4083]

I wonder could that have led to the formation of more fistula tracts? Following this thread.

[@darthsiddious7469]

@@jeffreyquek4083 Yes, I wish he would have commented. In my case, no fistula was discovered, which is peculiar after so many abscesses in one spot. However, I'm reluctant to resume glute exercises. I have a post Op followup in a few days and will broach the subject again with the doctor.

[@jeffreyquek4083]

@@darthsiddious7469 thank you. Wishing u a good recovery ahead

[@kjsciacca]

Hi doc. 39 yo American male currently working in China. I have fistula that is trans-sphincter. Doctor wants to put me under and determine if seton or lift will be done. I’m just worried because lift procedure isn’t very successful. Would you mind sharing your thoughts? Thanks for your videos

[@deepanshu1456]

How are you now ?

[@kjsciacca]

@ good. He decided to do a fistulectomy. Recovery wasn’t fun but it’s 4 months now and feeling better

[@frankiedoor515]

Love your channel thanks for the laughs when I’m in pain. Laugh out loud.👍👍🤣

[@fuadyassin]

Hey doc! I have the whole for about 4-5 years now and now i am felling a swallowing around the anus that seems like hemorrhoid, but what i am afraid about is that when i follow the fistula tubes trace it leads me directly to the swallowed part.

[@ambijv]

Ive been 2 different doctors. Ever since my hemorrhoid surgery ive been in pain every day, a year and a half. I think it's because i don't close all the way and mucus leaks out. They don't help me, im at the end of my rope

[@romeojudecanlas6005]

I have a fistula about 3years im healed now in tuberculosis drugs

[@Barrytong]

Hi. i am from overseas, how did your fistula heal？

[@waiy.2862]

Can you tell me type of tuberculosis drugs name pls . Thk

[@jeffreyquek4083]

Did U go for surgery?

[@rona899]

Is it correct: you healed your fistula with tuberculosis drugs? If yes, can you pls share more?

[@yvonnnehoveka3892]

share more please

[@isabelotan]

you are the best doc!

[@mikejeff6012]

Jeez man hard work

[@alexmoneni9196]

Hi: I widh you had your office in Toronto, so I could come and see you and get a proper advice for my fistula. The only issue I have is of the various type of drainage (blood or yellowish tan stuff) and changing dressing daily and can not sit on hard surfaces due to severe itching of the skin head. Otherwise I can do my normal daily stuff. I have had this fistula for over 2 years now. Although many times it closed skin head but then opened again or i opened it myself and latley I do not get any bumps even after closure of skin head but when open again leads to alot of drainage (red). So per your advice do I need to get a surgery or not? I do not want surgery and there is laser treatment availabe here but its not covered by insurance and its expensive. Please give me advice on what you think I should do. Also the fistula skin head is about the diameter of a green pea and no drainage from anal at all. Only one sided drainage. Thanks in advance.

[@hollietherese2114]

Go visit Dr Chung in person, you wont regret it. I drove 23 hours one way, (total 46 hours) for him to assess me and give me options and advice. I got a whole hour of his time and he answered all the questions I've had for 3 years and made me feel so at ease. I wish I had done it sooner!

[@zainroyan1556]

I had fistulla two surgeriea and i cant say IAM SO REGRETED IT!! Normally before surgery i got 3 months or 6 months reccurence no big deal. But after surgery this shit never closed its always drain puss. Im so pissedddd to the doctor for ruining my lifeeeee i wish i can turn back the time

[@Tecun-p7g]

Do anal fissures that turn into anal fistulas bleed all the time

[@RoSieRosie-yp1th]

Is it normal if your external hemorrhoids got wounded? While putting some ointment?

[@billcrampton4476]

Yeah my quality of life is suffering because of mine ruins my days

[@Juststayhopeful]

I just learned about my anal fistula and I'm just 19😭 i had it more than a year i thought it was boil doctor told to take the test whether it is simple or complicated I can't risk surgery i never did pls help me

[@triwijaya3713]

same, pain in the ass

[@Energy11111]

I live with it since 2020 all I did when it started to drain and itch I just poured hydrogen peroxide on that son of a bitch and it went away for an year but t ever since November 2023 it doesn’t work anymore and I keep having discharge and itchiness or pain when it gets blocked temporarily.

[@ramonavan9386]

How do i know if i have a anal fistula and not just a boil or anal abscess , is there a way to identify those clearly?

[@XYZUSER2007]

Yes, MRI will show whether there is a fistula or not.

[@ramonavan9386]

@@XYZUSER2007 thank you

[@AlignWithDivine1]

A fistula comes after the abscess due to trauma.

[@pag8879]

Hi Doc. I am 29 years old. On december 2022 i found out i have crohn diseasse and an perianal abces. On 14 december i had surgery, the doctors drain the abces but on 17 january 2023 i had another surgery, a fistula. I have a seton wire and since then untill now i have surgery every month. Is this normal ? I asked them about stem cells and the answer it was " we will see" . Can you please answer me ? Thank you

[@gbxmusicchannel3836]

I had my first operation with a seton last week and they said same to me. Depending on how MR looks for mine they said maybe LIFT of stem/fat cells but could not know if it would work until after operation.

[@rona899]

@@gbxmusicchannel3836 My first surgery with stem cells didn't work :(

[@gbxmusicchannel3836]

@@rona899 Did you fix it any other way? My MRI looked good and doctor said in 2-10 weeks from now new operation and both LIFT and cells was only 60% to work. When yours failed what was the next steps? new seton?

[@rona899]

@@gbxmusicchannel3836 Yes and 2nd surgery the "flap solution", outcome still pending :/

[@MyThoughtsImJustSaying]

How do you restore damaged anus skin? I have a rash caused by soap that won’t heal :(

[@l.g.8028]

Please go to a proctologist and he/she will be able to help. For decades and due to skin issues, I use two different soaps for the face, one for the body, and a different one for genital area. It sounds boring, but at the end, you will feel a lot more comfortable within your own body.

[@MyThoughtsImJustSaying]

@@l.g.8028 I’ve gone to proctologists, dermatologists, and colorectal surgeons… none were able to help me. Why would you assume I haven’t done the most basic of things?

[@MyThoughtsImJustSaying]

@@l.g.8028 what kind of soaps do you use?

[@sarahnormally5508]

I am allergic to soap. Water and cloth. Air drying helps

[@noelraras379]

I'm living with it a year..I undergo surgery last April 29 2024

[@DRUMMER-j-u2x]

What causes anal fistulas??

[@dazeofmylife]

Watery bowel! Water is the enemy. Water will always find a way to flow. The anal sphincter holds the water and than the water finds a way directly next to the anus and pushes out and causes pain. Lance it with a scalpel or needle and squeeze the pus out daily. How do I know? Crohn's disease, anal fistula for past 50 years!

[@rona899]

trauma

[@jutoyzkavlog3354]

How about in medical examination from applying a job is it not a problem?

[@gilb-s1s]

Dr. Chung can u pls help me? I had my surgery in fistula in ano last 2 weeks ago. Today, I pooped kinda hard and it bleed. Should i worry so much for this? Or is it normal? The blood stopped actually but i am afraid to pooped now because of phobia. It was too much blood. Pls notice me. Thank you

[@tarikhelo4269]

Normal i had mines 6 years ago and still bleed from time to time

[@TKFOH]

​@@tarikhelo4269Did you heal fully? What kind of surgery? And total recovery time? I'm almost 4 mos post fistulotomy. At 12 week follow-up CRS said I looked fully healed. I explained I have overnight drainage, that's either sweat, water, or clear thin mucus. He said I couldn't possibly know that it's coming from the fistulotomy site, and basically laughed at me and said I have a sweaty ass. This doesn't follow normal sweaty ass patterns and the spots on my boxers that I wake up to are centered where my underwear would be closest to my anus.

[@gilb-s1s]

@@tarikhelo4269 thank u but did u had surgery already?

[@tarikhelo4269]

Yes I did a few years ago and did it 2 times as 1st didnt work

[@gilb-s1s]

@@tarikhelo4269 this is sad to hear by the way can u tell me more about why u had to second time surgery? Thank u so much

[@DocVits]

It has been 3 years with 5 recurrent episodes of abscess, now have been diagnosed with fistula. Its a transphincteric, anterior, horshoe fistula now im confused what treatment plan should I follow. I want to opt for laser treatment, but I dont know where is it performed and is it trustworthy?

[@deepanshu1456]

How are u now ??

[@akraghav92]

Thank you Doc From India ! Could you help me with a few doubts sir ? I have been getting a heat boil on my buttocks very near to Anus , initially I used to think because of to much heat this is forming and I left it to mature and drain out by itself . But It has no become a recurring boil at the same place . This boil or bump is not painful , I have no problem passing my stool , I can sit comfortably without any pain and neither there is any blood or pus oozing out . I am really confused as to what condition is this ? Some are saying fistula some are pilonidal sinus and my dermatologist thinks it’s just normal furuncle . I am really confused with the diagnosis being done with no clarity on what the condition is for proper treatment . Could you please help me sir ?

[@tysons8759]

Don’t live with a fistula like I did for two years. Get the damn surgery. It’s an outpatient procedure and not that bad at all. I was out of surgery, on a plane, and back home in less than 5 hours. I was so afraid of fly home the same day I was having anxiety attacks leading up to the surgery. It was a waste of time. I felt no pain leaving the hospital and felt no pain till two days later. Advil every 6 hours did it for me. It worked fine. I was so afraid of the pain during recovery I had my surgeon prescribed oxycodone just in case. The surgeon prescribed me 12. I didn’t take one. I was tripping out of my mind. Don’t let being afraid of pain/recovery stop/postpone your surgery. It’s not that bad.

[@dantelaratapdance]

hey I have a bad anal fistula and have some questions. What kind of surgery and where? The "best doctor" in Los Angeles told me the surgery's rarely work...And every facebook group says its a slow painful recovery. Please help me

[@tysons8759]

@@dantelaratapdancefear and anxiety of what i saw and read online is what made me wait for two years. If you can be awake for multiple abscess drainage in a UC/ER, you can deal with the pain. All I needed was Advil for pain.

[@linzt2319]

Didn’t hurt to sit? I keep reading stories of people taking off for a week and not being able to sit and I just can’t do that again!! My (what I suspect) fistula doesn’t hurt at all and I’m so scared to mess with it and make it actually hurt. The pain I had from the abscess and the draining of it is one of the worst ever and I’m traumatized. I’m soooo scared of the recovery of the fistula surgery!