Emergency Room Wait Times
Home > Healthy Living > Health Library > Anal Fistulas and Crohn's Disease
Crohn's disease may cause sores, or ulcers, that tunnel through the intestine and into the surrounding tissue, often around the anus and rectum. These abnormal tunnels, called fistulas, are a common complication of Crohn's disease. They may get infected. Crohn's disease can also cause anal fissures. These are narrow tears that extend from the muscles that control the anus (anal sphincters) up into the anal canal.
An anal fistula can often be treated with medicines. But sometimes surgery to repair the fistula may be needed. Conservative treatment with antibiotics and medicines to reduce pain and inflammation is usually tried before surgery. Surgery for an anal fistula sometimes does not heal well or takes a long time to heal. So it is usually done only if there is a complication such as an abscess.
Anyone with an unusual anal fistula that does not respond to conservative treatment should be examined for Crohn's disease. A fistula is often the first sign of Crohn's disease. An exam may include anoscopy or sigmoidoscopy. These are tests that allow a doctor to view the lower rectum and lower large intestine through a viewing scope. Complete evaluation may require sedation because the exam can cause discomfort.
Current as ofMarch 27, 2018
Author: Healthwise StaffMedical Review: E. Gregory Thompson, MD - Internal MedicineAdam Husney, MD - Family MedicineArvydas D. Vanagunas, MD, FACP, FACG - Gastroenterology
Current as of:
March 27, 2018
Medical Review:E. Gregory Thompson, MD - Internal Medicine & Adam Husney, MD - Family Medicine & Arvydas D. Vanagunas, MD, FACP, FACG - Gastroenterology
To learn more about Healthwise, visit Healthwise.org.
© 1995-2018 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Disclaimer: The information contained in this website, and its associated websites, is provided as a benefit to the local community, and the Internet community in general; it does not constitute medical advice. We try to provide quality information, but we make no claims, promises or guarantees about the accuracy, completeness, or adequacy of the information contained in or linked to this website and its associated sites. As medical advice must be tailored to the specific circumstances of each patient and healthcare is constantly changing, nothing provided herein should be used as a substitute for the advice of a competent physician. Furthermore, in providing this service, Adventist HealthCare does not condone or support all of the content covered in this site. As an Adventist health care organization, Adventist HealthCare acts in accordance with the ethical and religious directives for Adventist health care services.
Find an Adventist HealthCare affiliated doctor by calling our FREE physician referral service at 800-642-0101 or by searching our online physician directory.
Set Your Location
Setting your location helps us to show you nearby providers and locations based on your healthcare needs.