Friday (23 May  2025). According to the UN General Assembly's decision, this day will be celebrated every year to increase public awareness about delivery fistula. This day is also celebrated in Bangladesh in various programs. Among the many causes of fistula in Bangladesh, childhood, superstition, illiteracy, poverty, minimum communication system, living in remote areas. Although the fistula problem in Bangladesh is bigger, it is now clear, but it is currently clear.

 

According to a national survey regarding national maternal health and maternal illness conducted in the 2016st, the total number of patients with female fistula in Bangladesh is 19,500. That is, 4 out of every 10"000 women who have been married once in life in Bangladesh suffer from fistula disease.

 

The United Nations has announced the end of the fistula in this generation. The simple meaning of this is to free the world fistula by 2030. The government of Bangladesh has set a specific strategic goal in the light of this goal of the United Nations.

 

The target is- since 2030 years, women will not be infected with new delivery fistulas. And to ensure medical care to all those who are currently suffering from fistula, be it delivery and surgery. To ensure rehabilitation facilities for those who need rehabilitation benefits for fistula patients who have been good after treatment. To reunite those who have been separated from the family or society. For women who are not good after treatment or are unlikely to be good, to arrange a series of services. 

Fistula disease is called the most prevalent bondar disease in BengalMany suffer from painful diseases called fistula. It is a complex disease of the anus. Fistula or abscess in the anus is a known disease. Occasionally, one or more boils inside the rectum are occasionally emitted. 

 

And fistula or fistula disease is well known to doctors from the beginning of medical science. There are different types of fistula. The complexity depends largely on how deeper the drain has entered or deepened in the anus.

 

There are different techniques and methods for the treatment of different types of fistular. Patients think that fistula in our country is very high.

 

> Fistula or History of Black Disease:-

 

Fistula has also been discussed in the booklet 2000 years ago. Usually the gland next to the anus is closed and infected with poisoning and the poison burst and produces the drain. About 50 % of patients with poisoning in the anus are fistula. Many times fistula and poison are expressed simultaneously.

 

In addition, fistula is caused by rectum tuberculosis, large inflammation and rectum cancer. Children are usually not fistula. According to a study, eight to nine in every one lakh people suffer from fistula disease.

 

Men (almost twice) are affected than women.

 

The patient came to the doctor with the pain of the previous operation for the pain of the previous operation for the pain of the anus, swollen along the anus and bursting by himself. The pain is reduced when the pain is reduced and the patient feels comfortable and the patient gets better for a while. The disease can be seen again from two months to dormant. Hypocrates (approximately 430 AD) is the first fistular surgical treatment. From the end of the 19 th century to the beginning of the 20th century, Surgeongan made significant contributions to the treatment of Goodsel, Miles, Milligan and Morgan, Thompson. The class of Parks Fistular in the 1976 th is still well -known. Later, many methods have been discovered in fistula treatment. However, doctors have not yet come to consensus on which is best or appropriate. 

 

> What is the cause of the fistula disease and what is done

 

The disease originates due to special infections in the anus. There are many glands inside the rectum due to their infection. The abscess burst at one time and came out of a hole in the quadrilateral, one place of the anus and began to emit. This infection causes a lot of pain in the anus. The patient is in pain all day. The pain begins to decrease after the capital comes out. At times in a place in the anus, we are called fistula or fistula with one or more mouths.

 

Anal cancer and inflammatory inflammation and fistula are caused by fistula. Fistula can also be caused by tuberculosis in the anus.

 

> What type of fistula

 

General fistula: It does not enter the vessel's muscles too deep, so treatment is easy.

 

> Complex fistula: It has different types of phases and depends on how deep the anal meat has entered and how much a friend's path comes to the outer mouth. Their treatment is truly difficult. Then if the drain is more than one, then there is no point. The main obstacle to the operation of the disease is that if the patient fails to perform the operation properly, the patient may lose the ability to hold the stool.

 

> Fistula or symptoms or symptoms

 

Symptoms of the disease are basically three. For example- 1. Following, II. Pain and 3. Extraction or pouring and adhesive substances.

 

Most patients said that the anus had been absorbed earlier. The inside is swollen for the abscess and the pain is. When some of them burst through the mouth, the pain and swelling decrease. Reading emissions or capital is usually occasionally. Sometimes the disease is dormant for 2-4 months.

 

Sometimes the mall and mango read with the mall. Patients often think that I will probably get better because the problem is not continuous. But after two to four months, when the same problem arises again, what can be done now sir?

 

> The key to the key test requires

 

* Protoscopy, Sigmodscopy * Colonoscopy

 

* Berium Xor * Anal endosonography.

 

> Way of domestic-

 

_ Use hot water three to four times a day to get rid of fistular pain. In a large pot, sit in light hot water for 5 minutes. This will reduce the pain.

 

_ To avoid this problem, you must eat fiber -rich foods. Junk food cannot be eaten at all. Besides, make the habit of eating honey regularly in hot water on an empty stomach. You can also eat tokama grains or bhubagul. 

 

_ You can also use Origeno oil or coconut oil in a fistula place. These oils contain antibacterial, anifungal, anibiotics and antiinflammatory ingredients. Which will act as an anti -inflammatory of the wound.

 

Drink plenty of water. Drink ginger tea, yellow milk as well. This will reduce the problem of constipation.

 

Do not sit in the same place for a long time. Use the pillow when sitting in the chair if needed.

 

_ Maintain personal protection. Be aware of every time you use the toilet.

 

Take healthy foods to increase the body's immunity. Take regular fish, olive oil, omega 1, omega 1, vitamin. 

 

If the fistular problem is increasing, then of course, take the medicine according to the doctor's advice.

 

> Allopathy Medical Management:-

 

Surgery is the only treatment for fistula. The abnormal connection is to be completely lifted through the operation. If any part remains, then there is the possibility of the disease. Can even have complex shapes. Since/high type fistular treatment is a little complicated. So in this case fistulactomy and seton are used. In the case of high fistula, the full fistula connection will be cut off by the patient's anal spraying and the stool will drop. So in this case the seton is used. The results of this method are extremely satisfactory. In cases where fistulactomy and seton cannot be used, Andorectal Advancement Flap is used in those cases. This method is very popular and popular in the developed world. Festolotomy. * Festulectomy. * Siton method. * Fistula Plug. * Fistula glue. * Use of flap. * Use of radiofriceny. * Laser use. * Use of stem cells. * Close the drain in the middle of the anus muscle. * Endoscopic fistula surgery.

 

> Homeopathy Medical Management:-

 It is best to treat fistula or phasa medicine. Because the anus is a sensitive place, most of the cases can occur after the operation. When the place is infected, the complications increase. It is possible to get rid of the disease by consuming and using regular drugs for three to four months. Therefore, these complex and distressing diseases of the anus have many homeopathic medicines for treating different energy. A homeopathic physician basically applies the patient's history and considering its subordinate condition and genetic condition for a certain amount of time to the specific medicine. According to the symptoms, experienced physicians use the following drugs. Medorinum: Medorinum is useless when the meat is washed from the malls. Pain in the time of fence or during the outside. * Belladonna: In the first state of the fistula, the rectum of the anus, extremely painful pain, the patient is needed if the patient is blood -dominated. * Barbaris: Pain in touch, trouble in sitting, anal haircut* Sulfur: In the anus, the stools, after leaving the stool, the knife is like a pain. * Hipper sulf: Fistula is very painful and has pain for some time. Later, when it suddenly becomes a spark, the pain is reduced to the explosion quickly and the patient feels relieved. * Myoristica: The pain of its pain is more stronger than the hipper. If the pain is extremely high, it is applied if the hip is not relieved.* Phosphorus: If there is any fault of the lungs with fistula. Phosphorus is the rectum of the metal to the rectum of the wounds and the blood. * Costicum: Sudden pain in the anus, pain in touch, itching in the anus. * Hydrustis: Constipation with hemorrhoids, wounds and odor stools with wounds. * Ratanahia: All the rectum drops the juice. The irritation is useful if the irritation is relieved in cold waterIt looks like the anus is being dumped by glass pieces. * Not acid: It is useful for terrible irritation during and after the external irritation, the anus burst and woundsThe rectum has long -term pain, the anus does not cause severe pain, blood is mixed with the mall. *Graphitis, rectum cracked wounds, blood-juice reading. * Aram Murer: Puj does not dry soon. Puj is a thin splash or a kalatani, mixed with blood, extremely odor. *Sidam RC: It can be a less familiar homeopathic medicine, but Seedam RC is suitable for the compression pain of the fistula anus. * Netrum miur: The mall has become smaller, after the renunciation, the anus is torn, blood falls, tonton, pain. Homeopathic drugs help when the netram peacock is stiff and dry* El Psychotrina: Like the grape of the grapes, the sacrificial blue color, the pain of pushing, the bloodshed can not be touched, the hot feeling in the anus, comfort in cold water. Without the doctor's advice, no one will use the drug themselvesFinally, it is possible to say that the homeopathy with a fistula patient is possible through a homeopathy physician and fistula is good for proper treatment. 

 

Finally, in the experience of life, I see that most of those who come to us fistula problems come to us in various fields. It may also be seen that they may use a chemical product that eventually damage the anus. Wounds The anus becomes so narrow that the toes cannot be done. When it comes to a very bad situation, come to us.

So if fistula, you should seek proper treatment at the right time. The disease is at risk for longSo do not be ashamed of the disease and talk openly with the doctor, stay healthy.