HI, In continuation to Queastion and Answer about Anal fistula and abscess, if healing of abscess leads to pus, please suggest remedies - like sits bath and diet and do needs to heal abscess to circumvent fistula from recurring.

Dr. S K SinghAyurveda31yrs exp

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Abscess leading to pus discharge is suggestive of Fistula formation. Anal Fistula can not be managed just by some dietary tips/ Sitz bath etc. Even oral medication - Homeopathic/ Allopathic/ Ayurvedic (what ever it may be) is also not able to completely cure this problem. So usually surgery (Fistulectomy/ VAAFT/ Laser etc.) is advised to manage this problem but it is not a good choice as the chances of recurrence after surgery are very high and other complications like stool incontinence etc. However it can be completely treated by Graded Ksharsutra treatment. Clinical trials conducted by Indian Council of Medical Research (ICMR) at AIIMS New Delhi and PGI Chandigarh have confirmed that Ksharsutra treatment is more convenient and more effective than surgery in patients suffering from anal fistula. In this treatment; Graded Ksharsutra - a specialized medicated thread is placed in Fistula tract. Medicine released from Ksharsutra debrides the fistula tract and induces healing. This medicine works for 5-7 days. So old Ksharsutra needs to be replaced by a new one at a week or 10 days interval. No. Of Ksharsutra changes required for complete healing of Fistula depends on depth, direction and branching pattern of Fistula. It is observed that a fistula tract of 3 cm usually requires 4-5 Graded Ksharsutra changes. No hospitalization or bed rest is required in this treatment. You can continue your normal routine activities as usual during this treatment. For further support and appointment you may call reception at Sushruta Ano Rectal Institute.  

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