Fistula is a small track which connects the inside of the anus to the outside of the skin. This happens in certain individuals. Basically here what is happening here is very often the contents of the stool are acidic. They can cause slight erosions or ulcerations inside like how we have in the mouth. There can ban abscess which can form in the anal region and this abscess may rupture and there can be a track which connects the inside of the anus to the outside of the skin. This track constantly is infected and there is a bacteria and other organism growing as there is bacteria and other organism growing as the motion is passing in little motion, so motion in penetrating into the fistulous track. Also it closes, reopens because he body has an attempt to close but the motion keeps coming, so it reopens. So recurrence is a very common feature of anorectal fistula, whether it happens in teenagers or adults. This is a very common problem. Homeopathic remedies also help in healing this problem. We have to go for a constitutional approach, we have to understand everything about the particular person, including the body nature, the personality type, stress level. Even the stress has got to do a role to play in this. The mind also plays a role in these problems. When you are angry, adrenalin is produced in the body in certain ways. When we are sad, certain other medications chemicals are produced. It affects the body in certain other ways and hence the mind also plays a role in the problem we are facing. Acidity of the stools, the pH of the stools changes the stress levels. The acid secretion inside the stomach changes with the stress levels and hence there is a connection with the fistula and the state of mind of the person. So it is important for us to assess what type of person he is, what is the stress levels, what is his nature and how these problems are connected with the fistulous tract he is having, what all health problems he is having and based on all that we can plan the line of treatment for them.
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