Perianal Abscess develops near the anus or back passage. Typically it tends to develop quite quickly and people suffer from pain in the rectum or on the anus. The pain can get accompanied by fever, chills and a feeling as if they are not well at all. There can well be an obvious painful swelling alongside the anus or back passage.
A Fistula is always a follow of a previous abscess. A fistula connects a previously infected anal gland to the skin on the buttocks outside the anus. People can come across a discharge in a persistent manner from an opening or sinus close to the anus. It may well arise at the site of the discharge of a perianal abscess. The natural methods of treatment through Ayurveda can be extremely effective in getting rid of the problems of Perianal Abscess as well as Fistula.
Symptoms of a Perianal Abscess and Fistula
An abscess is normally associated with symptoms of pain and swelling around the anus. Individuals also tend to experience fatigue, fever, chills.
Symptoms related to the fistula include:
Causes behind Perianal Abscess
There are small glands located inside the anus. When the glands get clogged, they can become infected and that can lead to the development of an Abscess. An abscess usually results out of an acute infection in the anal glands, when bacteria or any foreign substance enters the tissue through the gland. There are certain conditions, like colitis or other inflammation of the intestine can lead to the occurrence of these infections.
Causes Leading to Fistula
The causes which lead to Fistula are:
Conditions that affect the intestines, like Crohn’s disease or ulcerative colitis. Almost 50% of people suffering from Crohn’s disease get an anal fistula.
People who are HIV positive, up to 30% off them go on to develop an anal fistula.
Tips to Follow
People can get themselves treated from Perianal Abscess and Fistula through Ayurveda. Ayurveda ensures to treat problems in a natural manner. The following tips need to be followed:
Anal fistula, a challenge for modern surgery, but can be cured with grade ksharsutra in Ayurveda (Indian system of medicine). Anal fistula is a disease for which different methods of treatment have been advocated time to time, even today when we are talking about robotic surgery, this disease has no satisfactory method of treatment in modern surgery. The latest method of video assisted anal fistula treatment (VAAFT) is not satisfactory due to high incidences of recurrence after the surgery. But at Sushruta Anorectal Institute New Delhi; with the help of Graded KsharsutraTM all these patients of complex Anal fistula are being successfully treated.
In Ayurveda about 2000 yrs ago Acharya Sushruta has indicated ksharsutra treatment to treat fistula-in-ano. Late professor P J Deshpandey at the faculty of Ayurveda Institute of Medical Sciences B H U; had done extensive research in this field and established a treatment module to cure this disease. In 1990 Indian council of medical research has clinically evaluated this Ayurvedic treatment module at four premiere institutes in our country including AIIMS Delhi & PGIChandigarh. Subsequently, it was concluded by I.C.M.R. that in the patients of fistula in ano, ksharsutra treatment is more effective& convenient as compared to modern surgery.
Ksharsutra is a thread coated with certain Ayurvedic medicines known for their antiseptic, debridement & healing properties. After u v sterilization this medicated thread (ksharsutra) is used under complete aseptic precautions in the patients. The patient is routinely investigated with special reference to any other associated disorder like hypertension, diabetes mellitus, tuberculosis etc. The next step lies in the proper identification& evaluation of the fistulous tract. It is mandatory to define the fistula tract wrt its depth, direction & branching pattern. This may be achieved by careful probing under expert hands using malleable probes& if required help may be taken from other investigations like x-ray fistulogram or MRI fistulogram.
Once the tract has been clearly defined the Ksharsutra is placed in it with the help of certain instruments, under local anesthesia. This entire procedure is usually completed in ten to fifteen mins. As there is no cutting of tissues hence no bleeding, no pain & patients can go home after half an hr rest in the daycare room. The medicine-coated on the thread is gradually released in the tract. The cumulative effect of the coated drugs exerts a powerful debridement effect on the fistula tract & induces healing by the fresh & healthy granulation tissues. Thus Ksharsutra is the mechanism of drug delivery precisely at the tissues involved.
Every seventh or tenth day the old sutra is replaced with a new Ksharsutra till there is a final cut through. It has been observed that the tract heals @ 0.5-1 cm per week. The post-operative complications like recurrence of the disease, fecal incontinence, bleeding is not seen with Ksharsutra treatment. Further, this therapy is performed as an OPD procedure. No general anesthesia & no hospitalization is required. Patient maintains his normal routine activities as usual during the treatment period.
At Sushruta Anorectal Institute; Rohini - New Delhi, we have been working on this disease including piles fissures & pilonidal sinus for the last 30 yrs. Here we have developed the concept of Graded KsharsutraTM which has given us a more effective & convenient way to treat anal fistula. At Sushruta Anorectai Institute we have treated on record thousands of patients of anal fistula from different states including overseas patients. We have records to prove that the patients of high anal complex fistula, those have been operated two or three times but failed to heal were successfully treated at this institute.