Prior operations, MRI, seton, Crohn’s, continence, stenosis and complexity signals.
For adults: educational guidance to understand your next step and prepare for examination. An urgent warning appears immediately; you may continue documenting your history, but do not delay urgent care to finish the questionnaire.
Put the history in order: first abscess, openings and drainage, each operation, and what improved or changed afterward. Original MRI images and operative reports help more than technique names alone. Record changes in control even if embarrassing; describe them in your summary without uploading intimate images. Operation count alone does not select the next treatment.
A next-step guide, discussion points, preparation list and a summary to copy or save for any clinician you choose.
No account, name or intimate images. Answers are temporary within the page. Booking does not send answers; sharing is your choice.
Checks for emergency symptoms that take priority over the fistula history. A positive answer changes urgency; completing the questionnaire or report must not delay care.
Establishes whether the adult pathway applies. Children need age-appropriate assessment and consent arrangements rather than automatic use of this pathway.
Connects fever with increasing pain or swelling to flag urgent examination for infection or a collection. No fever does not by itself exclude a deep abscess.
Distinguishes recurring drainage from pain alone and directs examination to its source. An opening’s appearance cannot establish its connection with the anal canal.
Places symptom onset on a timeline beside abscesses, procedures and scans. Duration alone does not define tract complexity or choose an operation.
Separates drainage episodes from attempts at fistula closure. Repeated abscesses at the same site make the earlier drainage details important to review.
Identifies the need for previous operation reports. “Three operations” does not say whether these were drainage, seton placement or repair, so procedure type is asked separately.
Establishes whether a seton is intentionally maintaining drainage. Drainage around it is not automatically a failed repair; its purpose and follow-up plan matter.
Establishes whether imaging is available for review rather than inferring muscle involvement from symptoms. Having no MRI does not mean every case requires one.
Separates established or clinician-suspected Crohn’s disease from a fistula without a known inflammatory cause. This may change team involvement; the questionnaire cannot diagnose Crohn’s.
Records whether more than one area is involved. Several external openings do not automatically mean several internal tracts; examination and appropriate imaging clarify this.
Records current bowel control before another intervention is discussed. This is a baseline for balancing treatment with function, followed by separate gas, liquid and solid stool questions.
Identifies evacuation difficulty requiring assessment alongside drainage. A tight sensation does not prove scar narrowing; pain, stool consistency or evacuation mechanics may contribute.
Adds smoking and diabetes control to preparation and healing considerations. They do not establish why a fistula recurred or justify a guaranteed outcome after modification.
Distinguishes swelling followed by drainage and relief from constant pain without drainage. Timing matters because temporary relief can conceal ongoing disease.
Records known drainage sites so they can be matched with examination and MRI. If the number is uncertain, saying so is more useful than guessing.
Clarifies what each procedure addressed: drainage, seton, fistulotomy or attempted closure. The objective changes how current drainage and reported recurrence are interpreted.
Places symptoms in the postoperative timeline. Drainage soon after a procedure differs from drainage returning after months of improvement, interpreted against that procedure’s instructions.
Checks whether the scan follows the latest important change. A preoperative scan may not reflect current anatomy; its date helps assess usefulness without automatically repeating it.
Broadens the history beyond the fistula when unexplained bowel symptoms exist. These prompt discussion of further assessment rather than turning a common symptom into a Crohn’s diagnosis.
Establishes previous investigation for bowel inflammation and available records. Having undergone colonoscopy is not the same as a normal result; the report and any biopsies matter.
Records difficulty retaining gas relative to your earlier function. Separating this from stool leakage describes the problem more accurately than a single “incontinence” label.
Distinguishes liquid stool leakage and supports discussion of diarrhea or laxative effects. This answer cannot establish muscle injury without assessment.
Documents formed stool leakage separately because it describes a different functional burden. It is not converted into a validated severity score or a confirmed cause.
Separates uninterrupted drainage from return after a dry, healed interval. This clarifies the previous outcome’s timeline without determining its cause.
Clarifies whether drainage is described as pus, blood or stool-like material. Appearance contributes to the history but cannot replace examination of its source.
Captures a change in an existing seton, such as displacement or increasing pain, rather than simply its presence. Do not reinsert or tighten it yourself; discuss changes with the team.
Relates control changes to the period before or after procedures. The sequence documents baseline function but does not prove that an operation caused the change.
Separates a documented collection from the tract description alone. The finding, scan date and current symptoms inform urgency; an old scan does not automatically describe today’s condition.
Records current treatment relevant to coordination between fistula and bowel disease teams. It does not advise stopping treatment or changing doses.
Adds other operations or radiation that a patient may not count as fistula surgery. This avoids assuming the tissues and function have had no previous treatment.
Distinguishes gas or stool passing through an unusual route from ordinary skin drainage. This warrants targeted assessment of a possible other connection without diagnosing its location or cause online.
Guidelines and official patient information support the medical principles. Question wording and priority categories are educational adaptations, not a society-validated instrument. No ASCRS, ECCO or NICE endorsement is claimed. Referral and testing systems vary by country. Reference-link checks: 9 September 2026; this is not human clinical review or clinical performance validation.
Questions run on this page without requiring your name, phone number or intimate images. You may add a first name for the displayed report; it stays on your device and is not sent to AI. Optional AI assessment sends your answers and text to Cloudflare only with your consent; files are sent when you request extraction. Remove identifiers before upload. The app creates no permanent medical record and no clinician reviews the output. Answers do not persist after reload and are not sent automatically to the clinician. WhatsApp is an external service; the booking button does not attach medical answers. Saved or copied reports contain health information: review them and choose who to share them with.
App files may be cached locally for offline use; this does not include assessment answers. Hosting services process ordinary web requests under their policies. Guidance is automated education, not a diagnosis, prescription or clinician-issued report.
Dr. Mohammed Hatem Alsubaih