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How do you cope with yours? Do you notice pain from fistula or rectal disease in general? I don't think I have much pain with fistula just vaginal discomfort. My Gync gave me Premarin cream to use as needed and a steroidal/ anti fungal cream as needed. I have problems with rectal fullness and not fully being able to evaluate. This also comes from sphincter problems but the fullness is worse and I was wondering if fistula could be cause? I have also had [wiki2="Proctitis"]proctitis[/wiki2].