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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 is a small tunnel that connects an abscess, an infected cavity in the anus, to an opening on the skin around the anus. The anus is the external opening through which feces are expelled from the body. Just inside the anus are a number of small glands that make mucus. an anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. Anal fistulas happen when perianal skin, the skin around the opening of anus, forms an irregular connection with the outside of the anal canal. Anal fistulas might include anorectal fistula, which frames between anal chanal and the skin encompassing anal opening rectovaginal fistula, which happens when a gap creates. Bloody, foul-smelling pus that comes from an opening in your skin near your anus irritation around your anal skin more than one anal abscess feelings of fatigue fever diagnosis of anal fistulas. If youre experiencing any of the symptoms, your doctor does a physical exam.