WellSpan Home

Anal Fistulas and Crohn's Disease

Topic Overview

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.

Related Information

Credits

ByHealthwise Staff
Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Adam Husney, MD - Family Medicine
Specialist Medical ReviewerArvydas D. Vanagunas, MD, FACP, FACG - Gastroenterology

Current as ofMarch 28, 2018


Are you sure you would like to cancel?

All information will be lost.

Yes No ×

About the provider search

This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.

×

Schedule Your Next Appointment Online with MyWellSpan

Use your MyWellSpan patient portal any time to view available appointments, and pick the date and time that best suits your schedule.

Go to MyWellSpan

New to this practice?

If you don't have a WellSpan primary care provider and would like to schedule a new patient appointment with a provider who is accepting patients, just log into your MyWellSpan account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to see the offices that are accepting new patients in relation to your zip code. If you are not enrolled in MyWellSpan, go to https://my.wellspan.org, call 1-866-638-1842 or speak with a member of the staff at a participating facility to sign up. New patient scheduling not available at all practices/programs.

Already a patient at this practice?

If you already have a relationship with a WellSpan practice, simply log into your account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to schedule an appointment with any provider or practice that already counts you as a patient. Online scheduling varies by practice/program.

×