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What are the symptoms? The most common symptoms are pain redness swelling around your anus you might also notice bleeding painful bowel movements or urination fever. Anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract (anus). Symptoms of an anal fistula can include skin irritation around the anus a constant, throbbing pain that may be worse when you sit down, move around, poo or cough smelly discharge from near your anus. The signs and symptoms of an anal fistula include frequent anal abscesses pain and swelling around the anus bloody or foul-smelling drainage (pus) from an opening around the anus. What are the symptoms of an anal fistula? Anal fistulas can cause unpleasant symptoms, such as discomfort and skin irritation, and wont usually get better on their own. The symptoms of an anal fistula can include skin irritation around the anus. Extrasphincteric fistula what causes an anal fistula? Around 50 of the anal fistulas arise from an anal abscess. Other causes of anal fistula include abscess an abscess constantly gets filled with body fluids such as stool, urine which acts as a breeding site and infective bacteria continues to flourish. The most common symptoms of an anal fistula include irritation of the skin around the anus pain around the anal region that gets worse while sitting, walking, coughing redness of the skin around the anus. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. An anal fistula can either be a single tunnel or, occasionally, a network of tunnels. An anal fistula is a painful and often unpleasant long-term (chronic) condition. Symptoms include discharge, skin irritation, anal discharge and, in some cases, bowel incontinence.