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    What happens if fistula is not treated? Fistula tracts must be treated because they will not heal on their own. There is a risk of developing cancer in the fistula tract if left untreated for a long period of time. Most fistulas are simple to treat. Either the tract or fistula can be opened or the tract and the pocket inside are completely removed.
    Can fissures heal naturally? Although some anal fissures heal without treatment, some do not, and these go on to cause chronic pain problems. By relaxing the muscle so that spasms resolve, blood flow to the area improves and healing can occur. Hot baths and stool softeners can help promote healing.

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