Fistula - Symptoms, Diagnosis And Treatment

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Fistula - Symptoms, Diagnosis And Treatment
Fistula - Symptoms, Diagnosis And Treatment

Video: Fistula - Symptoms, Diagnosis And Treatment

Отличия серверных жестких дисков от десктопных
Video: Anal Fistula: Symptoms & Treatment- Apollo Health City 2023, January


A fistula is a tubular connection between two hollow organs or between a cavity in the body and the surface of the body. It can be congenital, develop through pathological processes or be created artificially for medical reasons.


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  • What are the causes of a fistula?
  • What are the symptoms?
  • ">How is the diagnosis made?


  • How is a fistula treated?
  • Whom can I ask?
  • How are the costs going to be covered?


What are the causes of a fistula?

The congenital fistula is caused by developmental disorders in the unborn child. Connections remain open that normally close before birth. For example, there can be a connection between the bladder and the navel.

A pathological fistula develops during inflammatory processes - either when an abscess has formed, e.g. in the anal area (anal fistula), or when a purulent inflammation has developed in a body cavity, e.g. in the case of a chronic inflammatory bowel disease.

An artificial fistula is surgically created, e.g. a feeding fistula. A direct access is created through the abdominal wall into the stomach or small intestine so that the food can be fed with a probe. Part of the digestive tract is bypassed.

What are the symptoms?

A fistula that ends on the surface of the body usually appears as a small pimple-filled pimple. Typical symptoms of inflammation occur, such as redness, swelling and pain, and possibly also a local feeling of pressure. After spontaneous or surgical opening, however, unlike an abscess, there is no healing, but continued leakage of pus or bloody secretion over weeks or months. However, long-standing fistulas often do not cause any further symptoms. Internal fistulas often lead to fever and fatigue.

How is the diagnosis made?

Fistulas opening on the body surface are usually easily recognized by the doctor during the examination due to their appearance. If internal fistulas are suspected, imaging procedures such as contrast x-rays or ultrasound are usually required.

How is a fistula treated?

In the case of congenital fistulas, the therapy depends on the symptoms. It is often closed surgically. Fistulas opening on the body surface and internal fistulas are usually removed surgically. Inflammation is often treated with antibiotics.

Whom can I ask?

If you have fistulas, you can contact the following offices:

  • General Practitioner,
  • Specialist in dermatology and venereology,
  • Specialist in other specialties and
  • Special departments in the hospital depending on the location and cause of the fistula.

How are the costs going to be covered?

The e-card is your personal key to the benefits of the statutory health insurance. All necessary and appropriate diagnostic and therapeutic measures are taken over by your responsible social insurance agency. A deductible or contribution to costs may apply for certain services. You can obtain detailed information from your social security agency. Further information can also be found at:

  • Right to treatment
  • Visit to the doctor: costs and deductibles
  • What does the hospital stay cost?
  • Prescription fee: This is how drug costs are covered
  • Medical aids & aids
  • Health Professions AZ
  • and via the online guide to reimbursement of social insurance costs.

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