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Anal Fissure Tips

Kshar Sutra & Fistula - How Can Former Handle The Latter?

Kshar Sutra & Fistula - How Can Former Handle The Latter?

The modern lifestyle, along with providing comfort, has also made us susceptible to a host of diseases and ailments. The regular and indiscriminate intake of junk foods, high-salt content foods, and sugar-laden fizzy drinks deprives the body of necessary fiber and essential nutrients. These habits can cause the condition known as the fistula. What more, stress and sedentary lifestyles also figure among the primary causes of the disease.

Problem
Fistula can generate extreme pain and bleeding during or after passing stool, blood spots in the stool, and an uncomfortable feeling of something hanging from the anus. The disease can trigger a discharge of pus from the anus or the anal region, along with itching and a burning sensation. Constipation is an associated symptom.

Therapy
Traditional medicines, such as Ayurveda, recommend the Kshara Sutra treatment which is designed to offer both preventive care and relief from fistula. Kshara Sutra is a minimally invasive surgical procedure which helps patients and Ayurvedic practitioners to manage anorectal diseases. It is a safe and cost-effective means to treat fistula, hemorrhoids, and other similar diseases. Indian sages such as Sushruta and Charaka have attested to the efficacy of such Ayurvedic interventions. In modern times, the efficacy of the procedure has been re-evaluated by the Department of Shalya Tantra in the Benaras Hindu University. The technique is widely practised in India and some other countries.

Procedure
Patients undergoing Kshara Sutra are anesthetized with either local or general anesthesia. Then a malleable probe is passed through the external opening of the fistula to the internal aperture in the anal canal. The probe is taken out gently through the anal opening along with the Kshara Sutra. Later, both ends of the sutra are tied together. The process is repeated once every week and gradually helps in healing the infected tract.

Benefits
The treatment helps to cut, drain, and heal the fistulous track which causes the discomfort. It also destroys and helps in the removal of unhealthy tissues, thereby facilitating fast healing of the fistula tract. The Kshara Sutra therapy also controls infection through its microbicidal action. It separates the debris and completely cleans the wound.

Also, this simple and safe para-surgical process is ambulatory, and patient need not stay overnight in the hospital. They may freely pursue their day to day activities immediately after the process is administered. The treatment does not trigger any complications, such as incontinence or stenosis, or strictures. This makes it suitable for patients of all ages.

The procedure being natural, and promises prevention and cure, is recommended to patients that suffer from fistula. However, patients must be advised to seek consultations from trained medical practitioners.

Anal Fistula - How To Tackle It?

Anal Fistula - How To Tackle It?

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

  1. Pain- Constant pain which gets worse when sitting down
  2. Irritation around the anus, like swelling, redness and tenderness
  3. Discharge of blood or pus
  4. Constipation or pain while evacuation
  5. Fever

Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

  1. Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
  2. Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.

Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone-shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes in continence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

Fissure Or Fistula, What Is It? - Know More!

Fissure Or Fistula, What Is It? - Know More!

If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.

So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.

What is anal fissure?
An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.

What is anal fistula?
Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.

Symptoms of anal fissure and anal fistula -
Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.

For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.

Treatment options -
To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.

Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly.
 

Can Fistula Be Treated Without Surgery?

Can Fistula Be Treated Without Surgery?

Anal fistulas or fistula-in-ano generally cause discomfort due pus or watery discharges and sometimes pain. This is a condition where a nodular swelling appears in area surrounding the anal opening. Intermittent pus discharged is noticed from this nodular swelling. Instead of a nodular swelling; there might be simply an opening in this region. An anal abscess is one of the most common causes for this condition. Here are seven things you should know about these anal fistulas:

  1. It is curable through Ayurveda only: Till date many treatment options are tried to cure Anal Fistula which include Anal Fistula Surgery/ Glu technique/ cutting seton/ Colostomy/ Fistula plug/ VAAFT and many more. But all of these treatment methods have pretty high recurrence rate of about 20-25 %. However with Ksharsutra treatment for Anal Fistula; chances of recurrence are negligible. Other complications generally seen in surgery like bleeding, incontinence (inability to hold stool); are not seen with Ksharsutra Treatment. Clinical trials conducted by Indian Council for Medical Research (ICMR); at AIIMS New Delhi and PGI Chandigarh in 1992 have proved that Ksharsutra treatment is more convenient and more effective than Surgery in the patients of Anal Fistula. 
  2. There are symptoms you can look out for: Some of the symptoms that indicate anal fistulas include appearance of a nodular swelling in area surrounding Anal opening. Intermittent pus discharge is also observed from this swelling. Usually pain subsides and opening closes after the discharges; and patient feels relief. But after certain interval of time again pus accumulates; swelling re-appears with some amount of pain which is again relieved after the discharge. This cycle is repeated at varying interval in the patient of anal fistula.
  3. Medication can only provide temporary relief: Anti biotics and painkiller might give temporary relief from the symptoms. But after some time there will be again pus formation and associated swelling & pain in area surrounding anal opening. 
  4. Anal fistulas can recur after surgical treatment: As discussed above all the treatment options tried by modern medicine (including most recent treatment VAAFT) have high incidence of recurrence (about 20-25%) Whereas there are negligible chances of recurrence after Ksharsutra Treatment for Anal Fistula. . 
  5. Anal fistulas treated by Graded Ksharsutra do not recur: Ayurvedic treatment for anal fistulas is known as Kshar sutra therapy. This involves the use of medicated thread being ligated in Fistula Tract. The medicines present in this thread act as a strong debriding agent and induces healing of Fistula tract. In few weekly sittings of Ksharsutra change; Fistula gets healed completely and it do not recur. Pt. maintains his normal routine life during treatment period. 
  6. Sitz bath can be beneficial: This involves sitting in a tub filled with warm water so that the affected site is submerged. An antiseptic and astringent agent like Triphala decoction may be added to the water if needed. A sitz bath soothes the skin and provides relief from pain. This also helps keep the area clean and thus reduces chances of infection
  7. Oily and spicy foods should be avoided: When dealing with anal fistulas, you should try and take a diet that keeps your stool soft and regular. Hence use of oily and spicy foods should be reduced. Eat plenty of fiber and drink lots of water. Alcohol should also be avoided. 

Comparative Study: 

Ksharsutra vs Surgery in Anal Fistula Patients- 

  1. Ksharsutra is done under Local Anesthesia. Hence complications of General Anesthesia are avoided. Surgical procedures are done under GA with all impending complications of General Anesthesia. 
  2. Ksharsutra being a parasurgical procedure hence no bleeding/ cutting of tissue is involved. Surgery involves cutting/ bleeding. 
  3. No hospitalization or bed rest is required in Ksharsutra Treatment. In Surgery hospitalization is must. 
  4. In Ksharsutra; patient can continue his normal daily routine Surgery may require bed rest. 
  5. Complications like incontinence (inability to hold stool) and recurrence are seen after surgery
  6. Ksharsutra is a safe procedure and these complications are not seen. 
  7. Ksharsutra Treatment is more economical as compared to VAAFT surgery. VAAFT Surgery is comparatively too expensive.

Fissures - How Efficient Is Ayurveda In Them?

Fissures - How Efficient Is Ayurveda In Them?

Anal fissure or fissures refers to a painful condition wherein there is an anal tear or crack in the lining of the anal canal. At the time of fissure, a person might experience pain during and after a bowel movement, which might result in blood-stained stool. The anal fissures are generally less than one centimetre across but anal being a highly sensitive part of the body, the pain that one has to bear due to this, is quite severe even if the cut is small.

There is a remedy in Ayurveda, through PF2-CURE, if followed in religious manner, can lead to the cure from this painful problem of fissures. Before going into the remedial part, let’s discuss about the symptoms and causes behind fissures.

Symptoms of Fissures
As already mentioned in the earlier segment, a tear or crack in the lining of anal canal is known as fissure, which puts people under severe pain at the time and after bowel movements. Several other symptoms are mentioned below:

  1. You might experience sharp, burning pain in or around your bottom, which can usually last for two hours after you have gone to the toilet.
  2. There might be spasms in anus, a cramped feeling wherein you need to put pressure during bowel movement, ultimately leading to the tear or crack.
  3. You might notice blood oozing out at the time of bowel movement. This happens due to tear caused by extreme pressure put on the anal.
  4. Sentinel pile, which is a tag of skin, can develop at the edge of one’s anus due to fissure.
  5. Now we look ahead to the causes behind the occurrence of fissures.

Causes behind Fissures
Though there are numerous reasons due to which people have anal fissures but usually it is caused by a hard and very painful bowel movement. This leads to the damage of the surrounding skin. Some of the other reasons are:

  1. If you have constipation, you would tend to out strain while doing bowel movement. This is one of the main reasons why fissures take place.
  2. Taking too much protein in your diet and having less of foods containing fibres like oat, wholegrain breads, barley, vegetables like carrots, broccoli can create this problem.
  3. Severe diarrhea can be another major reason behind fissures
  4. Consuming painkillers for a longer, especially those containing opate.

Treatment through Ayurvedic Remedies
Turn to Ayurveda for a permanent solution for fissure treatment. Ayurvedic medicines are aimed at intensifying the healing process of the fissures. In Ayurveda, medicines are natural herbs. They improve blood circulation to the anal, ease healing, reduce pain, abate constipation, prevent infection from spreading, alleviate the anal spasm, and treat all the symptoms related to an anal fissure in entirety. This stems out the disease from its root and prevents its recurrence. Usually, this problem recurs after allopathic treatment. However, in Ayurveda therapy the chances of recurrence are nil. The ayurvedic approach helps in normalizing the varicose veins inflammation in ano-rectal region. Thus less friction takes place between stools and anal canal, thereby giving instant relief from tremendous pain and burning sensation of anal fissures.

Quick tips to keep your digestive system intact-

  1. Have plenty of fibre intake
  2. Regular exercise
  3. Stay hydrated
  4. Practice healthy bowel habits
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Treatment Of Fistula-In-Ano With Ksharsutra!

Treatment Of Fistula-In-Ano With Ksharsutra!

Fistula-in-Ano is a type of an abnormal hollow cavity that is lined with granulation tissue. It connects a primary opening inside the anal canal to the second opening in the perianal skin. There are certain conventional surgical methods like Fistulotomy and Fistulectomy, which have been used but they involve certain complications like delayed healing, narrowing down of the blood vessels or other tubular organs. Modern surgical techniques also come up with similar kinds of issues. Thus modern surgery cannot provide satisfactory modes of treatment for this problem.
Kshar Sutra is basically an ayurvedic parasurgical treatment that involves management of Anorectal disorders for treating Fistula-in-Ano. The technique is minimally invasive in nature.

Following are some of the tips related to the Ayurvedic Treatment Of Fistula-in- Ano with Kshar Sutra:

1. Safe and Extremely Cost-Effective:
This type of surgery uses a thread, also known as Kshar Sutra, especially prepared by herbal chemical cauterization. Cauterization is the medical practice of getting part of the body burnt, for either removing or closing off a particular part to cure diseases like Fistula-in-Ano. Hence, people can safely go for this treatment procedure because there is absolutely no risk element involved. Moreover, as the use of thread is involved in treating the problem, so basically, the minimum expense is involved. So patients need not pay much.

2. Customized Treatment:
Usually, three kinds of Kshar Sutra get used, depending upon the number of coatings and the quality of materials implemented. Coatings are created with ayurvedic herbs and treatment for each and every patient
takes place in a customized manner depending upon their individual requirements.

3. No Side-Effects:
As the coatings for the Kshar Sutra involve the use of ayurvedic herbs, so there is absolutely no chance of any side-effect as herbs are completely natural, having antiseptic, debridement and healing properties.

4. Can Get Rid of Other Disorders:
While undergoing the Kshar Sutra treatment for Fistula-in-Ano, patients are even routinely investigated with a special type of reference for any other associated disorder like Hypertension, Tuberculosis, Diabetes Mellitus, etc.
So, Kshar Sutra not only helps people to get relief from the problem of Fistula-in-Ano but also assists in getting rid of other associated problems.

5. Maintenance of Diet as Part of Ayurvedic Management:
Those patients, who suffer from the painful disease of Fistula-in-Ano, Ayurveda instructs them to maintain a healthy diet in the form of fruits and vegetables. On the contrary, they must avoid the excess amount of spicy foods, along with items that cause constipation and even make sure to not have too much garlic, and potato.

6. Keep Yourself Hydrated:
Drinking plenty of water is extremely essential as this helps to clear off the channels and also allow people to flush off stools and toxins from the body.

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Fissure - Know How Ayurveda Can Handle It!

Fissure - Know How Ayurveda Can Handle It!

If you observe a small tear/crack or ulcer in the thin, moist tissue that lines the anus in yourself or your child, then it might be an anal fissure. Fissures are characterized by needle pricking sensation, burning sensation and sometimes extreme pain during defecation. An anal fissure is a medico-surgical disorder prevalent among teenagers which can also affect people of any age. But there is no need for concern as the same can be treated using Ayurveda

Symptoms: Patients suffering from anal fissure may experience a sharp itching or burning sensation in the anorectal region after passing stool. This may be accompanied with visible cracks in the skin around the rectal area, spasms and a sentinel pile. Sentinel pile is a tag of skin that develops if the problem of Anal Fissure persists for a longer duration of time. In few cases, patients may notice some amount of bleeding

Causes: There are several factors that can cause anal fissure. However, constipation is the most common medical condition that may lead to the development of anal fissure. Constipation results in hardening and formation of large stools, which strain the rectal muscle. Other causes include persistent diarrhea, Crohn’s disease, anal sex, and childbirth. In rare cases, anal fissures can also be caused due to anal cancer, HIV, tuberculosis, syphilis, and herpes. 

Ayurveda in the Treatment of Anal Fissure: 
Ayurveda is a well known ancient Indian medical system which also deals with the different surgical disorders including Anal fissure using specialized surgical and para surgical treatment modalities. Surgical specialist of Ayurveda focuses on debridement of the fissures by Kshar Karma and using medicines to improve blood circulation in the affected areas, alleviate pain, prevent infection, treats constipation and relieve anal spasm. In the acute condition, ayurvedic treatment involves Kshar Karma – application of specialized medicines in the affected area; applying herbal ayurvedic oil in the rectal area and herbal medicines to relieve constipation. Sitz bath with lukewarm Triphala kwath is also advised. This is a simple procedure which involves filling up a plastic tub of appropriate diameter with lukewarm Triphala kwath. The patient should sit in such a way that his/her anal region and buttocks remain submerged in the warm medicated water. 

In case the condition becomes chronic and sentinel tag forms, surgical intervention is necessary. This Ayurvedic surgical procedure is called Ksharsutra ligation. It involves ligation of sentinel tag with Ksharsutra. The specialized medicated thread is tied at the root of sentinel tag, which obstructs the blood supply to sentinel piles and causes necrosis resulting in falling of the tag within 5-10 days. Ksharsutra is also the least invasive compared to conventional surgery.

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Fissure Or Fistula - How To Differentiate Them?

Fissure Or Fistula - How To Differentiate Them?

If you think fissure and fistula are the same, you are mistaken. While the term fissure refers to the tear of the skin, fistula refers to the abnormal tube-like passages or connections between organs. Fissures get cured with or without treatment in a few days to few weeks, and do not lead to complications. On the contrary, fistulas when left untreated may lead to complications.

So, read on further to know about the distinction, how to recognize the symptoms and avail treatment.

What is anal fissure?

An anal fissure can occur due to various reason, such as prolonged diarrhea, anal sex, vaginal childbirth, rectum cancer, etc. For majority of the cases, it is usually due to constant constipation or strained bowel movements, that tear down the muscles controlling the sphincters to the inner rectum or the anal canal.

What is anal fistula?

Anal fistulas are not tears but abnormal abscesses near the anus, filled with pus. In fistula, a tunnel is formed under the skin which connects these abscesses to the infected glands. Fistulas are usually the results of present or previous abscesses. If ignored or left untreated, one single fistula can lead to the development of a more complex fistula, where the single fistula tract ends up creating multiple openings.

Symptoms of anal fissure and anal fistula

Some of the common symptoms of an anal fissure are excruciating pain in the anal area every time the bowel movement occurs, constant itching or burning sensation in and around the anus, bloody stool and visible tears and cracks around the anus.

For anal fistula, some of the very common symptoms are a throbbing pain in the anus, which continues to increase, difficulty in sitting down for longer period, swelling and redness around the anus, accompanied by skin irritation, discharge of blood and pus, and at times fever.

Treatment options:

To completely cure anal fissure and fistula, it is the various surgical options that are the most effective ones. However, when diagnosed in its earliest form, medications like antibiotics, analgesics, and antipyretics can often help. It is solely depending on the location, type, and size or severity of the fistula or fissure, the treatments may vary from person to person and so does the recovery time.

Though, these conditions cannot be cured with dietary changes or exercise, following a healthy diet can boost healthy bowel movement, reducing chances of constipation or diarrhea that results in fissures.
Prevention is always better than cure. Therefore, it is essential that you visit the nearest medical facilities once you notice any signs of fissure or fistula , to avail the right treatment and get relief from the symptoms quickly.

2052 people found this helpful

Anal Fissures - How Can They Be Treated?

Anal fissure are the small tears formed in the anal lining. They are also known as anal ulcers. An anal fissure causes a lot of pain and bleeding during your bowel movements. Usually a fissure heals automatically in a few days time. It can be treated with simple home remedies as well.

Causes:

1. You can suffer from an anal fissure if you pass hard and large stools. 

2. Also strained childbirth.

3. Suffering from violent spells of diarrhoea might get you an anal fissure. 

4. Chronic constipation may also be cause of a fissure. 

5. Other rare causes may be anal cancerHIVtuberculosis or herpes, ulcerative colitis, irritable bowel disease etc.

Individuals of all age groups can suffer from anal fissures. It is not a very serious problem and heals on its own in a few weeks. Although it can heal itself, there are certain treatments which can help relieve the pain you get from an anal fissure.

Symptoms:
An anal fissure has quite a lot of symptoms for you to understand what you are suffering from:

1. There will be a very visible tear around the anal region. You will be able to spot the tear on the skin very easily.

2. A small lump of skin may form next to the tear.

3. When you will be undergoing your bowel movements, you will feel a very sharp pocking pain in the anal region.

4. You will find spots of blood on the stool passed.

5. You will also feel a burning or an itching sensation in the anal region, which may last for few minutes to whole day.

Treatment:
Although most fissures do not require treatment, there are a few remedies that will help cure them faster:

1. Stool softeners: You get certain medicines at the chemist, which are known for their stool softening functions. These stool softeners help to soften the hard stools and initiates smooth bowel movements.

2. Eat fibrous foods: Eat foods rich in fibre like fruits, whole grain cereals, raw vegetables, etc.

3. Take warm baths: fill a tub of warm water and sit in for 10 min after every motion. Don’t add any salt, Dettol, betadine any solution to it. 

4. Use ointment: Topical pain relievers to promote blood flow to the anal region and to relieve discomfort from the region respectively.

If even after the above remedies, the fissure problem persists, then it is time to think about surgery or BOTOX treatment for fissure. A visit to your proctologist is recommended now.

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Kshara Sutra In Fistula - Why It Is Better Than Modern Surgery?

Kshara Sutra In Fistula - Why It Is Better Than Modern Surgery?

Anal fistula is an anorectal disorder for which different treatment methods have been advocated from time to time. Certain conventional surgical methods like Fistulotomy and Fistulectomy have been used but they are associated with complications like delayed healing, the risk of stenosis (abnormal narrowing of the blood vessels or other tubular organs) etc.

Modern techniques of surgery like the ‘lay-open' method and ‘anorectal pathology' come with a similar number of intricacies like high rates of recurrence and anal incontinence, prolonged hospitalization etc. Therefore, even today this particular disease has no satisfactory method of treatments in modern surgery.

However, in Ayurveda, about 2000 years ago, the great Indian Surgeon Acharya Sushrata first narrated about the ‘Kshara', which was later, compiled into the work ‘Sushrat Samhita'. Kshara Sutra is a minimal invasive ayurvedic parasurgical technique, effective for the treatment of anorectal disorders like hemorrhoids, fistula-in-ano, Anal fissure and pilonidal sinus.

Why is it used to treat Fistula-In-Ano?
In this technique of surgery, a thread also called a Kshar Sutra thread is specially prepared which acts by herbal chemical cauterization (the medical practice of burning a part of the body to remove or close off a part) and cures diseases. Hence, this is the safest and cost-effective method to treat Fistula-In-Ano.

Procedure-
The Kshar Sutra is a surgical linen thread of size 20 is coated with ayurvedic herbs with no side effects. There are three types of Kshar Sutra based on the number of coatings and the quality of materials used. Each patient gets customized treatment as per his or her own requirements.

First, a malleable probe is made to pass through the external opening of the fistula to the internal aperture in the anal canal. It is then taken out gently through the anal opening along with the Kshar. Later both the ends are tied together.

A cumulative effect of the drugs coated on the Kshar exerts a powerful debridement effect on the fistula tract & prompts healing by new & healthy granulation tissues. Thus, this mechanism of drug delivery directly heals the tissues involved in an optimal time period.

The thread is changed once every week that gradually helps heal the infected tract. As a result, the chances of recurrence are minimal.

Benefits of Kshar Sutra over modern surgery techniques-

  1. An out-patient treatment, it is mostly conducted under local anesthesia
  2. The most significant benefit of Kshar Sutra therapy over conventional modern surgeries is that the muscles that support the anus and controls bowel movements are not dissected and hence the chances of anal inconsistency are lowered.
  3. The probability of anal stenosis (narrowing of the anal canal after treatment) are almost nil
  4. There is no damage done to Anal Sphincter
  5. Minimal chances of recurrence and bleeding
  6. Hospital stay is only for 4-5 hours
  7. There is no need for antibiotic coverage.
  8. The patient can get back to routine life after 3-5 days of the surgery
  9. Post-treatment recovery is speedy and without any complications
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