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White anal discharge due to fistula. Not eating properly. Need a remedy

sir my brother has anal fistula whenever he excretes some hard white substances are found well not mucous but small size particles
he almost eats nothing
approx. 2 glasses of milk and on iv glucose and salts 2 bottles
some carbohydrate which is very difficult to swallow and he spits out most of the food
he is so thin
his muscles are all dissolved
please help
whatever problems he is having first evaluate the problem that he is unable to consume food
thank you
Asked On : Tue, 2 Apr 2013
Answers:  1 Views:  74
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Your query indicates that you are suffering from anal fistula and inability to swallow solid food and fluids.
The cause for the anal fistula has to be found out.
In developing countries, tuberculosis is the most common cause of fistulas in the peri-anal region.
In western countries, crohns disease is the commonest cause of peri-anal fistulas.
The tract needs to be excised and examined microscopically to look for the disease process in the eurrounding soft tissues.
Secondly, the inability to swallow ffod and fluids can be due to obstruction at the upper gastrointestinal tract.
An upper gastrointestinal tract endoscopy needs to be done to find out the cause for the symptoms. A biopsy may also be required at the same time.
Enteral or parenteral nutritional need to be given to maintain the nutritional status of your brother.
You need to consult a gastroenterologist and gastrosurgeon for excision of the fistula, upper gastrointestinal endoscopy and biopsy.

Thanks and take care
Dr Shailja P Wahal
Answered: Fri, 12 Jul 2013
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