Gail...my first fistula (I am in denial that there will be a second!) was before I knew what a fistula was so I neveer saw the starting signs until I had a lot of leakage.
I currently get what seems like pimples near the same area as the fistula was. But, they keep going away. I also have what I am guessing is an abcess as it seems like a small sac that is liquid filled. But, that comes and goes too. I found both stay away more the more often I clean in warm water and the less I use harsh wipes or wiping. I am hoping mine are actually just skin issues....hope yours are not a fistula, but get 'em looked at by a pro!
By the way I rarely had any pain with my fistula because it was in the "fleshy" part of my tushy-mostly fat, limited muscle involvement
Dx'd '90 (emergency rupture), symptoms ignored long before that, '03 fistulas and bad flagyl reactions, B12 weekly, Pentasa [until I surrender to the bigger meds]
I'm riding on the escalator of life....