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An anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid. A fistula is an abnormal connection between an organ and another structure. They are a very common complication of inflammatory bowel disease (ibd), occurring more frequently in crohns disease than ulcerative colitis. 1 they are especially common when the colon and rectum are involved. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. Fistulas are much less common in people with ulcerative colitis (uc). This is because the inflammation in crohns disease tends to penetrate the whole thickness of the bowel wall. pain and irritation are common symptoms of many types of fistulas. You may experience pain and swelling around anus, genitals, or the area between the genitals and anus (the perineum). Fistulas involving the vagina may cause pain during sexual intercourse. Anal fistulas are also associated with other conditions that can lead to their formation. Anal fistulas are generally common among those who have had an anal abscess. Treatment is usually necessary to reduce the chances of infection in an anal fistula, as well to alleviate symptoms. An anal fistula is defined as a small tunnel with an internal opening in the anal canal and an external opening in the skin near the anus. Find out what causes them and what complications could develop as a result. You can get one if the abscess does not heal properly after the pus has drained away.