In cases of perianal fistulas, what is a common contraindicated treatment option?

In the management of perianal fistulas, the use of topical corticosteroids is commonly contraindicated due to their potential to impair wound healing and exacerbate infection. While they can provide temporary relief from inflammation or irritation, the use of corticosteroids in an area with active inflammation or a draining tract can lead to complications such as tissue atrophy and delayed healing.

On the other hand, other treatment options like diet modification and antibiotic therapy may be beneficial in managing underlying conditions or secondary infections associated with fistulas. Long-term immunosuppressive therapy can also be considered, especially in cases where immune-mediated disease is suspected. This approach may help to control inflammation more effectively than topical agents.