Fistula: Difference between revisions
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=== Clinic === | === 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. | * 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. | ** 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. | ** Colovaginal fistulas occur between the colon and the vagina. | ||
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** Vesicovaginal fistula, and between the urethra and the vagina in urethrovaginal fistula. | ** 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. | ** 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 === | === Signs and symptoms === | ||
* | * Skin maceration | ||
* Pus, serous fluid and/or (rarely) feces discharge | * Pus, serous fluid and/or (rarely) feces discharge (Bloody/ Purulent) | ||
* Pruritus | * [[Pruritus]] / Itching | ||
* Pain | * Pain/ Tenderness | ||
* Swelling | * Swelling | ||
* Fever | * Fever | ||
* Unpleasant odor | * Unpleasant odor | ||
=== Note === | === 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 | * 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 | ||
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=== [[Banerji protocols]] === | === [[Banerji protocols]] === | ||
|- | |- | ||
|First line | |'''First line''' | ||
| | | | ||
* Hyper C200 + Ars C200, Two doses daily | * [[Hyper, Hypericum Perforatum|Hyper]] C200 + [[Ars, Arsenicum Album|Ars]] C200, Two doses daily | ||
* Psor C1000 one dose every 10 days | * [[Psor, Psorinum|Psor]] C1000 one dose every 10 days | ||
* Acute pain: Hyper C200 one dose every 2-3 hours | * Acute pain: [[Hyper, Hypericum Perforatum|Hyper]] C200 one dose every 2-3 hours | ||
|- | |- | ||
|Second line | |'''Second line''' | ||
| | | | ||
* Sil C200 every 3 days | * [[Sil, Silicea|Sil]] C200 every 3 days | ||
* Hep C200 + Ars C200, two doses daily | * [[Hep, Hepar Sulphur|Hep]] C200 + [[Ars, Arsenicum Album|Ars]] C200, two doses daily | ||
|- | |- | ||
|Third line | |'''Third line''' | ||
| | | | ||
* Psor C1000 one dose every 14 days | * [[Psor, Psorinum|Psor]] C1000 one dose every 14 days | ||
* CS 6X, SIL 6X four doses daily | * [[CS, Tissue Salt Remedy|CS]] 6X, [[SIL, Tissue Salt Remedy|SIL]] 6X four doses daily | ||
|} | |} | ||
=== [[Tissue Salt Remedies]] === | === [[Tissue Salt Remedies]] === | ||
CS | * [[SIL, Tissue Salt Remedy|SIL]]: Main remedy | ||
* [[CP, Tissue Salt, Remedy|CP]]: Also may be needed | |||
* [[CS, Tissue Salt Remedy|CS]] | |||
CF | * [[CF, Tissue Salt Remedy|CF]] | ||
Latest revision as of 03:20, 11 November 2023
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
Remedies
Banerji protocols | |
|---|---|
| First line | |
| Second line | |
| Third line | |
Tissue Salt Remedies
- ↑ Gupta PJ. Ano-perianal tuberculosis--solving a clinical dilemma. Afr Health Sci. 2005 Dec;5(4):345-7. doi: 10.5555/afhs.2005.5.4.345. PMID: 16615850; PMCID: PMC1831950.
- ↑ Gill RS, Taylor G, Penner RM, Logsetty S. Enterocolic fistula: A rare presentation of cytomegalovirus infection. Can J Infect Dis Med Microbiol. 2012 Summer;23(2):e41-3. doi: 10.1155/2012/314384. PMID: 23730319; PMCID: PMC3403671.