Fistula: Difference between revisions

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=== Clinic ===
=== Clinic ===
* F'''istula''' is an abnormal connection between two hollow spaces such as blood vessels, intestines, or other hollow organs.
* 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.  
** 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
* Skin maceration
* Pus, serous fluid and/or (rarely) feces discharge — can be bloody or purulent
* Pus, serous fluid and/or (rarely) feces discharge (Bloody/ Purulent)
* Pruritus ani — itching
* [[Pruritus]] / Itching
* Pain
* Pain/ Tenderness
* Swelling
* Swelling
* Tenderness
* 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 fistulization
* 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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* [[CMV, Cytomegalovirus|CMV]] <ref>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.</ref>
* [[CMV, Cytomegalovirus|CMV]] <ref>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.</ref>


== Remedies ==
{| class="wikitable"
|+
! colspan="2" |
=== [[Banerji protocols]] ===
|-
|'''First line'''
|
* [[Hyper, Hypericum Perforatum|Hyper]] C200 + [[Ars, Arsenicum Album|Ars]] C200, Two doses daily
* [[Psor, Psorinum|Psor]] C1000 one dose every 10 days
* Acute pain: [[Hyper, Hypericum Perforatum|Hyper]] C200 one dose every 2-3 hours
|-
|'''Second line'''
|
* [[Sil, Silicea|Sil]] C200 every 3 days
* [[Hep, Hepar Sulphur|Hep]] C200 + [[Ars, Arsenicum Album|Ars]] C200, two doses daily
|-
|'''Third line'''
|
* [[Psor, Psorinum|Psor]] C1000 one dose every 14 days
* [[CS, Tissue Salt Remedy|CS]]  6X, [[SIL, Tissue Salt Remedy|SIL]] 6X four doses daily
|}


=== [[Tissue Salt Remedies]] ===
=== [[Tissue Salt Remedies]] ===
[[SIL, Tissue Salt Remedy|SIL]]: Main remedy
[[CP, Tissue Salt, Remedy|CP]]: Also may be needed


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
  • 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
  1. ↑ 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.
  2. ↑ 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.
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