Fistula-in-ano is treated surgically. No definitive medical therapy is available for this condition; however, long-term antibiotic prophylaxis and infliximab may have a role in recurrent fistulas, as it takes longer to heal. Sitz baths, analgesics, and stool-bulking agents (eg, bran, psyllium products) are used in follow-up care. The life with a fistula can be normal if sepsis/infection is avoided. Recurrence is common and can sometimes be very frustrating for both patient and surgeon. It is not unusual for some unfortunate patients to have to undergo many repeat examinations under anaesthetic and fistulotomies. keep continue with ur medicines as advised by ur treating surgeon, and do take sits bath as mentioned earlier and get re-evaluated by ur surgeon. It wouldbe much helpful to u if u mentioned ur procedure done for fistula in ano.. thanks tc regards Dr.Syed