Generally, low-position simple anal fistulas may not be very serious and can usually be treated well. High-position complex anal fistulas can be more severe and challenging to treat, requiring timely diagnosis at a formal hospital. Low-position simple anal fistulas may arise from decreased immunity due to prolonged smoking and alcohol abuse, leading to local infections. If the symptoms are not particularly severe, patients may not experience significant physical discomfort. Without timely treatment, symptoms such as local redness, swelling, pain, and rupture may occur. The treatment is relatively straightforward, and patients can undergo surgeries such as anal fistula incision or distal anal fistula laying-open at formal hospitals to alleviate symptoms.
High-position complex anal fistulas may be caused by the untimely treatment of low-position simple anal fistulas or local abscesses. Patients may experience recurrent local ruptures, discharge of pus, itching, and may also suffer from systemic symptoms such as fever and fatigue, causing severe stimulation to the body. Patients need to promptly undergo thread-drawing and fistulotomy at formal hospitals to improve symptoms and prevent damage to tissue and organ functions. It is essential to closely monitor the body's recovery and ensure smooth bowel movements. After bowel movements, proper cleaning is necessary to avoid irritation of the internal opening of the anal fistula by feces. If symptoms recur, medical attention and diagnosis are required promptly.