My MRI report shows a perianal fistula with an external opening in the left paramedian gluteal cleft. Can this be treated with medication or will I need surgery?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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In most cases, a perianal fistula with an external opening in the left paramedian gluteal cleft requires surgical intervention to resolve. While medication, like antibiotics, might be used to manage associated infections, they won't cure the fistula itself. Surgery, often a fistulotomy, is needed to open and drain the fistula tract, allowing healing from the bottom up.

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Answered 14/08/2025

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I've been married for 7 years and have two kids a 5-year-old girl from a normal delivery and a 5-month-old boy via C-section. I have an umbilical hernia and diastasis recti, and my belly still looks like I'm 9 months pregnant. What should I do? Is surgery my only option?

surgery opinion .

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Had a laparoscopic appendectomy 5 months ago but now getting pain on the right side of my abdomen again - what could be causing this? The pain just started recently and I'm not sure if it's related to the surgery or something else

It's possible the right-side abdominal pain you're experiencing 5 months after your laparoscopic appendectomy could be due to stump appendicitis, a rare complication where a remaining part of the appendix becomes inflamed. Other potential causes include scar tissue, hernias, or other abdominal issues. It's crucial to consult with your doctor for proper diagnosis and treatment.

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My dad is 55 years old and has an umbilical hernia with frequent stomach aches. He weighs 95 kg and has a large potbelly clearly overweight. One doctor suggested he needs to lose weight before surgery so the mesh can be placed properly. Should we wait for him to reduce his weight and belly first, or is surgery urgent? What's the best approach here?

surgery opinion is advised to the patient.

Answered by 1 Apollo Doctors

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