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Doctor, I am already doing ksharauthra treatment .its been 1 week .and tomorrow my doctor is planning to cut open .can I remove the tread by my own and discontinue the treatment .please help.

Ayurvedic Doctor, Delhi
Doctor, I am already doing ksharauthra treatment .its been 1 week .and tomorrow my doctor is planning to cut open .ca...
No that requires a skilled handling and nursing so preferably go to your concerned doctor for change or removal.
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I'm taking ksharasutra treatment since 3 weeks how much time will take to recover?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Delhi
I'm taking ksharasutra treatment since 3 weeks how much time will take to recover?
Duration of ksharsutra treatment depends on depth direction and branching pattern of fistula tract. So you should speak to your treating doctor. Only he can help you in this regard.
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Kshar Sutra & Fistula - How Can Former Handle The Latter?

Ayurvedic Doctor, Jodhpur
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.

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.

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.

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.

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.

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Can Fistula Be Treated Without Surgery?

Dr.Arun Singh 90% (308ratings)
BAMS, MD - General Surgery, Phd in Ayurveda
Ayurvedic Doctor, Varanasi
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.
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Treatment Of Fistula-In-Ano With Ksharsutra!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurvedic Doctor, Sri Ganganagar
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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Kshara Sutra In Fistula - Why It Is Better Than Modern Surgery?

MD- Ayurveda
Ayurvedic Doctor, Mumbai
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.

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
3196 people found this helpful

I Have a fistula problem, I went for kshar sutra treatment now it's cleared but I can feel my anal area wet, what should I do any treatment?

Dr.Gaurav Ray 89% (114ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGPP
Proctologist, Panchkula
Some time, it happens that doc didn't tied ksharsutra inside the anal canal .cause they are unable to reach quiet inside the anus and thus they only cure fistula from outer area due to which patient may feel some wetness near anus.
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Sir, May I know, What the procedure of kshra sutra therapy. Please explain in detail, sir.

Dr.R. N. Biswas 93% (2958ratings)
Graduate of Ayurvedic Medicine and Surgery (GAMS)
Ayurvedic Doctor, Delhi
Sir, May I know, What the procedure of kshra sutra therapy. Please explain in detail, sir.
Only ayurvedic kshara sutra therapy is a unique ancient technique, which is proved to be an effective treatment of anorectal disorders. It is commonly recommended in patients suffering from piles. According to world health organization (who, kshar sutra therapy is better than any modern surgery for piles & fistula. This is nonsurgical procedure so no need of hospitalization or bed rest, piles disease will never be again in life.
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Piles - How Can Ayurveda Help?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Delhi
Piles - How Can Ayurveda Help?

Piles are Haemorrhoids which become inflamed and are accompanied with bleeding. Haemorrhoids can be defined as masses or clumps of tissues developing in the anal canal. Haemorrhoids comprise of blood vessels, support tissues, muscles and elastic fibers.

Bleeding piles can be treated using several methods or forms of surgery. The ayurvedic form of treatment called agni karma is an effective, natural cure for bleeding piles. On the other hand, a medical procedure known as infrared coagulation therapy can also be executed for the efficient treatment of bleeding piles or haemorrhoids.

Agni karma- an Ayurvedic Remedy for Treating Piles
In Sanskrit, the word 'Agni' refers to 'Fire'. Agni karma is an ayurvedic therapy, which involves the use of agni or fire. It is also called cauterization. Agni karma is popularly called Dahan Karma. Agni karma is used in the treatment of many diseases of different type. It is a good method for the treatment of bleeding piles.

In this process, any ailing surface of the body or a tissue, such as haemorrhoids, is destroyed and burnt by using a heated instrument using electric current and by freezing. An acidic agent for cutting like kshar karma is also used in the process of agni karma for the treatment of bleeding piles.

The different types of agni karma include:

  1. uchchh dagdha /scarce agni karma
  2. Durdaghda/ inappropriate burning surgery
  3. Aati dagdha /powerful or excess cauterization
  4. Samyak dagdha / appropriate agni karma

Infrared Coagulation Therapy-

Infrared coagulation therapy or infrared photocoagulation is a medical process which is used to treat bleeding piles or haemorrhoids, and can only cure internal haemorrhoids.

During the process, a device is utilized, which produces a beam of intense, powerful infrared light. The heat released by the infrared light causes scar tissue and blood supply to the haemorrhoids to be cut off. This results in the death of haemorrhoid or piles, and a scar forms on the anal canal wall. The surrounding veins are held together by the scar tissue which avoids them bulging into the anal canal.

Agni karma, the ayurvedic treatment, is considered to an effective medical treatment procedure of infrared coagulation therapy. This is because:

  • Agni karma is a much more natural method of treatment for bleeding piles, and no unnatural substance like infrared light beam is used.
  • Agni karma provides treatment without failure, and success is guaranteed. 

Besides, guggulu kshar sutra therapy is also one of the best therapies - No side effects & no chances of recurrence, no hospital stay, no pain, join duty immediately.


Surgical treatment of piles is not necessary; rather it has been observed that recurrence of the condition is experienced by people who usually undertake surgery. Treatment of piles using Ayurveda usually includes dietary and lifestyle changes; making most of the remedies easily implementable. Listed below are some Ayurvedic remedies:

  1. Herbs: Herbs used for ayurvedic treatment of piles include Haritaki and jimikand.
  2. Diet: Permanent moderation of diet is needed for the treatment of piles. Some dietary changes include:
    • Starchy foods such as yellow pumpkin and potato should be avoided and replaced with fibrous foods.
    • Inclusion of mango and sesame seeds adds bulk to the diet and helps in preventing constipation.
    • Natural food softeners such as ‘jambul’, ‘amalaki’, dried figs and papayaare also recommended.
    • Vegetables having larger amounts of roughage, such as turnip, onions, radishginger and bitter gourd should be added to the diet.


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मैं पिछले एक साल से fistula से परेशान हुं। क्या क्षारसूत्र थेरेपी इसके इलाज के लिए सही होगा एवं क्या दर्दभरा ईलाज होता है।

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Sri Ganganagar
Fistula का सबसे उत्तम इलाज़ केवल मात्र क्षारसूत्र से ही संभव है। इस पद्दति से इलाज़ करवाने पर recurrent होने की भी सम्भावना ना के बराबर है। एलोपेथिक सर्जन से fistula की सर्जरी करवाने के बाद इसके दोबारा से उभरने की सम्भावना भुत ज्यादा रहती है। कुछ क्षारसूत्र विशेषज्ञ क्षारसूत्र के साथ सर्जरी का सहारा लेते हैं जोकि उपयुक्त नहीं है। आप जहां से भी क्षारसूत्र विशेषज्ञ से इलाज़ करवाएं; पूर्ण रूप से विशुद्ध क्षारसूत्र पद्दति से ही इलाज़ करवाएं। आपको कोई भी परेशानी नहीं होने वाली। आपको अनावश्यक एलोपेथिक दवाएं खाने की भी जरूरत नहीं, कोई एंटीबॉयोटिक आदि की आवश्यकता नहीं पड़ेगी।
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