Fistula

Clinic

• Fistula is an abnormal connection between two hollow spaces such as blood vessels, intestines, or other hollow organs.
• Types of fistula can be described by their location.
  • Anal fistulas connect between the anal canal and the perianal skin.
  • Anovaginal or rectovaginal fistulas occur when a hole develops between the anus or rectum and the vagina.
  • Colovaginal fistulas occur between the colon and the vagina.
  • Urinary tract fistulas: An abnormal connection between the urinary tract and another organ such as between the bladder and the uterus in a vesicouterine fistula, between the bladder and the vagina in a
  • Vesicovaginal fistula, and between the urethra and the vagina in urethrovaginal fistula.
  • Enteroenteral fistula: When occurring between two parts of the intestine, it is known as an , between the small intestine and the skin as an enterocutaneous fistula, and between the colon and the skin as a colocutaneous fistula.

Signs and symptoms

• Skin maceration
• Pus, serous fluid and/or (rarely) feces discharge (Bloody/ Purulent)
• Pruritus / Itching
• Pain/ Tenderness
• Swelling
• Fever
• Unpleasant odor

Note

• Most of its Sign / Symptoms are post-node due to the location. The only dynamic Sign / Symptom is chronic inflammation which ends in chronic discharges and fistulation

Miasms

• MTB
• CMV

Remedies

Banerji protocols
First line	Hyper C200 + Ars C200, Two doses daily Psor C1000 one dose every 10 days Acute pain: Hyper C200 one dose every 2-3 hours
Second line	Sil C200 every 3 days Hep C200 + Ars C200, two doses daily
Third line	Psor C1000 one dose every 14 days CS 6X, SIL 6X four doses daily

Tissue Salt Remedies

• SIL: Main remedy
• CP: Also may be needed
• CS

• CF