Q1) Why does pus discharge happen near the anus in a fistula in ano?

Ans: Pus discharge happens because there is a small tunnel, called a fistula, between the inside of the anal canal and the skin outside. This tunnel allows infected material to escape repeatedly.

Q2) How does it usually start?

Ans: It often starts with a small infection or abscess near an anal gland. Even after the swelling settles, the tunnel may remain open, so pus may continue to drain from time to time.

Q3) What symptoms can a patient notice?

Ans: A patient may notice wetness, itching, pain, bad smell, or discomfort near the anus. Some people also feel irritation while sitting, walking, or passing stool.

Q4) Why does the discharge keep coming back?

Ans:The discharge may decrease for a few days, then return because the fistula is still open. If pus collects inside, swelling and pain can return.

Q5) Can medicines alone cure it?

Ans: Usually, no. Medicines may reduce infection for a while, but they do not completely close the tunnel.

Q6) What should a patient do?

Ans: If you have repeated pus discharge near the anus, do not ignore it. Early treatment can prevent repeated infection and help you recover faster.

Dr. Kamal Gupta

Karan Hospital, Kapurthala Chowk, Jalandhar

Contact: 8725048415