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Fistulas can present with a variety of signs and symptoms, depending on the location and type of fistula. Here are some common clinical presentations: 1. Abdominal fistulas: Abdominal pain Nausea and vomiting Fever Abdominal tenderness and guarding Drainage of pus or fluid from the abdomen 2. Enterocutaneous fistulas: Drainage of stool or gas from the abdomen Abdominal pain and tenderness Skin irritation and excoriation Fecal odor 3. Rectovaginal fistulas: Passage of stool or gas from the vagina Vaginal discharge or bleeding Pelvic pain or pressure Difficulty controlling bowel movements 4. Vesicovaginal fistulas: Passage of urine from the vagina Vaginal discharge or bleeding Pelvic pain or pressure Frequency and urgency of urination 5. Enterovesical fistulas: Passage of stool or gas from the bladder Hematuria (blood in the urine) Dysuria (painful urination) Frequency and urgency of urination 6. Anal fistulas: Pain or discomfort in the anal area Drainage of pus or fluid from the anus Itching or irritation around the anus Difficulty controlling bowel movements General symptoms: Fever Chills Weakness Weight loss Malnutrition It's important to note that some fistulas may not present with any symptoms at all, and may only be discovered incidentally during a medical examination or imaging study. If you suspect you have a fistula, it's essential to consult a healthcare professional for proper evaluation and treatment.. #Fistula