18 September, 2021

Vaginal Fistulas

What is a fistula?

A fistula is an abnormal connection or channel or passage way connecting one internal organ to the other or to outside of the body.

Where all can fistula form?

Fistulas can form between anal passage and skin (back passage to surface of skin) called perinatal fistula.

  • Bladder to bowel called enterovesical or colovesical fistula 
  • Bowel to vagina – recto education or enterovesical fistula 
  • Bowel to skin – enterocutaneous fistula 
  • Bowel to bowel – enteroenteric or enterocolic fistula
  • Bladder to vagina – vesicovaginal fistula 

What is vesico-vagina fistula?

Vesico-vaginal fistula is an abnormal connection between the bladder and vagina. When you have this fistula urine will constantly leak from vagina as vagina is not drained to hold urine like bladder.

What are the symptoms of fistula

Vaginal fistulas does not cause pain but it can cause some problems that will need medical care for example if there is vesico vaginal fistula- due to constant leak of Irvine genital area may get infected or sore. You can even experience pain during sexual intercourse. Sometimes fever, pain in the tummy, loose motions, weight loss, nausea and vomiting can happen. Most of the time quality of life is affected due to embarrassment of leaking that can lead to lot of psychological problems 

What are the reasons & why some women develop fistula?

Most often child birth is the reason especially if very prolonged labour and difficult delivery. Other reasons or causes include abdominal surgeries like caesarean or hysterectomies.

  • Cancers- cervical or colon cancers 
  • Radiation treatment 
  • Bowel disease like crowns or diverticulitis 
  • Infections after episiotomy or deep perineal tears at child birth
  • Traumatic injury like after a road traffic accident 

How do I know if I have a fistula?

If you have any of the above said symptoms your doctor will do internal examination and can also perform some tests.

Due test where your bladder will be filled with a floured s ok union and a tampon is placed in the vagina. If you have a fistula dye will leak into the vagina and tampon will be coloured. 

Sometimes X- rays, camera tests like cystoscope or sigmoidoscope, CT scan of MRI will be used to diagnose fistulas. 

What treatments are available for fistulas?

Some fistulas may heal on their own especially if it is very small. 

A small tube or catheter is passed into your bladder so that urine is drained constantly allowing fistula to heal.

Sometimes special hours or plugs can be used to seal or fill the fistula. 

Antibiotics might be used to treat infect caused by fistula. 

Many people might need surgery. The type of surgery depends on the type of fistula, where it is located and the size of the fistula. 

It could be done laparoscopic (key hole) or Abdominal (through a cut in your tummy) or through vagina. Special patches can be seen over the fistula of tissues from another place be used to close the fistula especially if fistula is between back passage and vagina. 

What will happen if I don’t get treated for fistulas?

  • Vaginal or urinary tract infections can keep coming back 
  • Hygiene problems 
  • Stool or gas can leak through vagina and anus
  • Pus can collect called access 

Fistulas can sometimes comeback despite treatment. Women who have crowns disease are especially at high risk of this recurrence.


blog featured image

12 January, 2024

Benefits of Homemade Baby Food

The journey of introducing solid foods to infants is a significant milestone, and many parents find solace in preparing homemade baby food. Not only does it allow for a hands-on approach to a child's nutrition, but it also offers cost-effective and nutritious alternatives to commercially available options. In this article, we will explore the benefits of making baby food at home, delve into key nutritional considerations, and provide a variety of recipes to help parents create wholesome meals for their little ones.Benefits of Homemade Baby Food:Making baby food at home comes with a myriad of advantages. This section will discuss the benefits, including control over ingredients, customization based on the baby's needs, and the potential cost savings compared to store-bought options. Emphasizing the joy of actively participating in a child's nutritional journey, it encourages parents to embrace the process of preparing homemade baby food.Getting Started: Essential Tools and Ingredients:To embark on the homemade baby food journey, parents need a basic set of tools and ingredients. This section will outline essential equipment such as blenders or food processors and discuss key ingredients like fruits, vegetables, grains, and proteins. Practical tips on choosing organic produce and preparing homemade baby
blog featured image

12 January, 2024

Essential Nutrients for Brain Development in Infants

The first few years of life are critical for brain development, laying the foundation for a child's cognitive abilities and future success. Nutrition plays a pivotal role during this period, providing the essential building blocks for the intricate process of brain development. In this article, we will explore the key nutrients crucial for optimal brain development in infants, understanding their roles and the impact of a well-balanced diet on cognitive growth.Omega-3 Fatty Acids:Omega-3 fatty acids, particularly docosahexaenoic acid (DHA), are fundamental for brain development. This section will delve into the importance of DHA in building neural connections and supporting overall cognitive function. We'll talk about sources of omega-3 fatty acids, such fatty fish, flaxseeds, and chia seeds, and how to include them in an infant's diet.Iron:For hemoglobin to be produced, iron is essential, which carries oxygen to the brain. This part of the article will explore the relationship between iron and cognitive development, emphasizing the increased need for iron during the first two years of life. Foods rich in iron, both heme and non-heme sources, will be highlighted, along with tips for enhancing iron absorption.Zinc:Zinc is a
blog featured image

12 January, 2024

Benefits of Breastfeeding Beyond 6 Months

Breastfeeding is a remarkable journey that goes beyond the initial months of a baby's life. While many mothers may choose to introduce complementary foods around six months, continuing to breastfeed beyond this point offers numerous benefits for both the baby and the mother. In this comprehensive exploration, we will delve into the advantages and considerations of breastfeeding beyond six months, addressing the nutritional, emotional, and developmental aspects of this unique and valuable relationship.The World Health Organization's Recommendations:Before delving into the benefits, it's essential to understand the recommendations provided by the World Health Organization (WHO). This section will outline the WHO guidelines, which recommend exclusive breastfeeding for the first six months of life and continued breastfeeding alongside appropriate complementary foods for up to two years or beyond.Nutritional Benefits for the Baby:Breast milk is a dynamic and ever-changing source of nutrition. Beyond six months, it continues to provide essential nutrients crucial for the baby's growth and development. This part of the exploration will discuss the nutritional benefits of breast milk, including the ongoing supply of antibodies, vitamins, minerals, and customized nutrients that adapt to the baby's changing needs.Continued Immune System Support:
Loading booking..