Diet recommendation for fistula patients?

[June]

Hello, a 58-years-old male friend of mine with perianal pain was sent to hospital. Multiple perianal wound and abscess discharge occurred during the last 9 years. It became milder at the beginning and the pain was severe just after eating spicy food. As time went on, perianal symptom became worse, and fistula number increased in the bottom position, leading to a vicious cycle with continuous throbbing pain. Especially, discharged abscess increased in last week. He accepted fistulectomy 9 years ago at the local hospital, but the disease recurred soon. He also did not sought medical help, because the recrudescent disease made tiny influence in his daily life firstly, so it came to today’s intractable situation. Please suggest some diet recommendation for fistula patients.

[Junaid A]

@june A high-fiber diet is recommended as part of a complete treatment program for anal fistula. Fiber bulks up the stool and makes bowel movements convenient to pass, decreasing strain on the anal sphincter and avoiding painful constipation. Drinking a huge amount of water and other noncaffeinated drinks all through the day may soften stool and ease bowel movements. Your doctor may suggest adding psyllium seed or any other natural fiber supplement to support bowel activity and soften digestive wastes. Fruits, nuts, and vegetables provide vitamins and minerals which support your immune system and support wound healing. Beta carotene which is a plant-based compound in orange, yellow, red vegetables and fruits and in green leafy vegetables, changes to vitamin A when food is digested. Vitamin A maintains the integrity of the skin and the tissues that line body cavities. Vitamin C that occurs in citrus fruits, tomatoes, and some other fruits and vegetables improves the immune system and helps your body resist infection. Almonds, cashew nuts, and peanuts have zinc, a mineral that supports new cell formation and wound curing. Raw produce holds a high amount of water-soluble nutrients, like vitamins B and C than cooked fruits and vegetables. However, if you don’t like raw food, eating baked, steamed or roasted foods that are high in fiber may also be helpful.