FAQ - Bronchial Fistula
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Do I have a fistula and what does one look like?


I have had a fistula a when i was a baby on my butt. I have a recurring pimple that won't go away on a different location on my behind. Is this a fistula?
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A fistula is an abnormal opening, for example you can have a fistula between the vagina and anus. A pimple is definitely not a fistula.  (+ info)

How can I heal a colon fistula naturally without surgery?


I have a fistula between my colon and my bladder. I am not sick nor is it causing any urinary tract infections. I am just passing gas through my bladder. I am looking to find out if my colon will heal naturally. If no, then how will cutting the section of colon out and stapling it back together, how will that heal??
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Please be very careful. My sister-in-law and very good friend had a similar situation. She did nothing about it. Soon there were more fistulas . . . and some of them grew out to her abdomen. Presently, she has four fistulas which have grown to her abdomen, and she wears bags to collect wastes. She has had nothing to eat orally for over a year, and they have been waiting to do surgery but must get her protein levels up. Hopefully this will happen in June of this year. If she had done something about this right away, it could have been surgically corrected, and she would not be in the shape she is in now. Have the surgery.  (+ info)

Can doxycycline be used for a bronchial infection?


I have a bronchial infection can this anti-biotic be used for it?
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my doc gave it to me for my bronchial infection and it did help  (+ info)

How can a nephrocutaneous fistula be repaired?


I HAD A PARTIAL NEPHRECTOMY.
NOW I HAVE A FISTULA WITH DRAINGE OF URINE THROUGH MY BACK.
IS HAS FORMED A FUSTULA THAT WILL NOT HEAL.
A NEPHROSTOMY TUBE WAS PLACED TO NO AVAIL.
ANY IDEAS ABOUT WHAT CAN BE DONE BESIDE A NEPHHRECTOMY?
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Boy are you are asking the WRONG crowd!

I am NOT a urologist, but I remember reading an article on this subject during a rotation on that service. The only thing I can recall is that it was a persistent fistula and that fibrin glue was used in an attempt to close the tract. Don't recall if it worked, don't recall if it further excascerbated the problem. This is best left to your surgical team, as you may not be a candidate for certain therapies. Good luck to you.  (+ info)

How do you use a stethascope to locate a fistula or graft in a dialysis patient?


Do you use the large side or small side? What type is best to dialysis fistulas and grafts?
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You listen for bruits with the bell (small part) of the stethoscope.

Here's a comprehensive resource on dialysis fistulas: http://www.fistulafirst.org/pdfs/BeathardAVFPhysicalExam.pdf  (+ info)

What are the symptoms of a fistula between the bladder and vagina?


Also, how are they caused and how are they diagnosed?
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Lost of control  (+ info)

Sanjay K What is the fistula. I am his out of state daughter?


Sanjay K, Thanks for the quick answer. I am not a medical person. Just one of his concerned children. I don't know what the fistula is.
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For questions directed specifically at a certain person, you would be far better to send that person an email.

Your last question that "Sanjay K" answered was not posted in this forum, so its possible that Sanjay K may not even ever see this second question of yours  (+ info)

What is the most common cause of a fistula in a third world country?


I am researching fistulas for a university project and was wondering if anyone knew? And also if they are curable?
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Poor medical care during childbirth, especially in cases in which the woman giving birth is very young because she was forced into marriage at a young age.  (+ info)

I have bronchial tightness and coughs, can I work out with that?


I've been having what feels like bronchitis for a couple days now, and was wondering if its safe to exercise. I get tightness in my chest, mucus production, and coughs. However, I got no fever, no energy or appetite loss and feel completely normal except for the said symptoms. Should I be fine working out?
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  (+ info)

How likely is it that a bladder fistula is cancerous? Should I worry?


I had never even heard of one and had no sense of urgency when I started showing symptoms. Embarrassing... but for other women who should know to contact the Dr...passing air when urinating is Dr warranted. I finally called the Dr thinking it just isn't normal and she skipped the office visit and set an appt. with a urologist. I don't have Crohn's disease and I haven't had any recent surgeries. Just by process of elimination I've really narrowed down the possible reasons. Ovarian, Uterine, and colon cancers run in my family. Is it a pretty high chance that it is cancer? Should I pack my bags for the next life or is it pretty common and easily taken care of? Is surgery the next step?
I am waiting to see a urologist. So, I am going to see a Dr. My mind is just going nuts and thought maybe someone had some knowledge while I wait.
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Pneumaturia (passing air through the urethra while voiding) can be caused by three general things. 1. Recent instrumentation of the bladder (e.g. having a catheter) - this usual on lasts a most a few hours; 2. An infection with gas forming bacteria; and, 3. a fistula to the bladder.

For there to be air in the bladder, the fistula need to connect to a structure that normally contains air. This makes the bowel the most likely cause. Although the uterus and vagina are possible; it is pretty ruled out be lack of total incontinence. Ovarian cancer would be unusually. But possible. It could set up a fistula involving colon and urinary tract.

In my experience the most common possible cause of an entrovesical fistula is diverticulitis (an inflammatory disease of the colon - most in those older the 45). The second most common in my experience is a surgical mishap such a hysterectomy. There are many other benign causes of entrovesical fistulas. An example of a usual cause is called Fraley Syndrome; this occurs when a stone in the appendix (usually inflamed) digs its way into the bladder.

Colorectal cancers are well known to cause enterovesical fistulas. It needs to be considered in the diagnosis - but inflammatory causes are more common.

It is also possible to have a fistula between the gut and upper ureter. This is rare, in my career I may not seen this.

In answer to your final question - do not pack your bags. It is fairly common and most the time is easily treated (obviously depends on what the cause is). The step(s) are to see what is going on. The first steps frequently include a urine analysis and culture, plus a CT scan of the abdomen and pelvis. A cystoscopy is also needed. Other tests based on the findings from the above include colonoscopy, barium enema or a charcoal swallow.

Good luck!  (+ info)

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