Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
How to treat a fistula in ano with active discharge and a 7.2 cm track?
General Medicine
Question #54118
4 days ago
172

How to treat a fistula in ano with active discharge and a 7.2 cm track? - #54118

Dharmendra
$3

Perianal region shows external opening of sinus at 3 o'clock position with active discharge on naked eye inspection. - Under proper aseptic precaution about 20 ml of contrast is instilled through external opening and radiographs are taken in prone and left lateral positions. Findings: Left perianal region shows an irregular fistulous track of about 7.2 cm long passing anteromedially and superiorly from the external opening to communicate with lower part of anal canal. Contrast is freely passing into lumen of anal canal. No side branching from the track seen. IMPRESSION: F/S/O Fistula in Ano shows an irregular fistulous track of about 7.2 cm long in left perianal region, passing anteromedially and superiorly from the external opening to communicate with lower part of anal canal.

How long have you been experiencing symptoms related to the fistula?:

- 1-4 weeks

How would you describe the discharge from the fistula?:

- Clear and minimal

Have you noticed any pain or discomfort in the area?:

- Mild discomfort

Are there any other associated symptoms?:

- No other symptoms

How is your digestive health?:

- Occasional bloating or gas

Have you previously undergone any treatments for this condition?:

- Antibiotic treatment

What is your current diet like?:

- Unsure

How is your stress level currently?:

- Moderate — some stress
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Immediately consulting the ayuevedic surgeon and go for ksharasutra terapy and minimal invasive method less reoccunrnce and complications


0 replies

In Ayurveda, Bhagandara (fistula-in-ano) is considered a chronic tract disorder caused by vitiated Vata + Pitta + Kapha affecting the anal region. A 7.2 cm tract with active discharge indicates a developed fistula that needs definitive treatment, not only medicines. Most effective Ayurvedic management: Kshar Sutra Therapy (para-surgical) Medicated thread is placed in the tract to gradually cut, drain, and heal from inside Safe, minimally invasive, and low recurrence rate Track of 7.2 cm may take 6–10 weeks (or more) depending on healing


0 replies

The Recommended Gold Standard Treatment For a fistula with a track of this length, doctors on the platform strongly advise against relying solely on medicines. The most effective Ayurvedic management is: Kshar Sutra Therapy:---- This is a para-surgical procedure where a medicated thread is placed in the track. It gradually cuts, cleanses, and heals the fistula from the inside out. Why it’s recommended: It has a very low recurrence rate compared to conventional surgery and is minimally invasive. For a 7.2 cm track, the process may take 6–10 weeks or more, as the thread is changed weekly to facilitate gradual healing. Supportive mediciens- 1.Triphala guggulu 2 tab twice daily with water after meals 2.Saptavismshati guggulu 2 tab twice daily with water after meals 3.Abhyaraishta 20 ml with 20 ml water twice daily after meals Vital Lifestyle & Digestive Care Since you mentioned occasional bloating and an “unsure” diet, stabilizing your digestion is critical to prevent pressure on the anal canal: Sitz Bath: Soak in a tub of warm water with a pinch of salt or Triphala Churna for 10–15 minutes twice daily. This reduces discomfort and maintains hygiene. Dietary Fiber: Increase intake of leafy greens, papaya, and whole grains. Avoid spicy food, non-veg, and refined flour (maida), as these cause constipation and aggravate the fistula. Hydration: Drink at least 2.5–3 liters of water daily to keep stools soft.


0 replies

Hello, Your report clearly confirms a fistula in ano with a 7.2 cm tract connecting to anal canal This is not a simple piles issue - it is a track infection, so proper treatment is essential Good thing -no branching -mild symptoms -> This is early/manageable stage Ayurvedic view First truth (important) -fistula rarely heals with medicines alone -best Ayurvedic treatment= ksharasutra therapy (non surgical) -highly effective -minimal recurrence -recommended in your case Internal medication 1) Guggulutiktakam kashaya tablet= 2 tabs twice daily before meals =reduces infection and inflammation 2) Kaishor guggulu= 2 tabs twice daily after meals =helps healing of tract 3) Triphala tablets= 2 tabs at night with warm water =keeps stool soft very important External care (daily must) -Jatyadi taila =apply locally after cleaning= promotes healing and reduces discharge Sitz bath (compulsory) -warm water + turmeric or triphala -10-15 min daily =reduces infection and pain Diet -fiber rich diet -vegetables, oats -warm water -ghee small amount Avoid -spicy, non veg heavy food -fried/ junk food -constipation biggest enemy Lifestyle -don’t sit for long -avoid straining in toilet -walk daily Recovery expectation -symptoms relief= 2-3 weeks -complete healing = difficult with kshrasutra= proper cure in few weeks Medicines will control symptoms but for permanent cure, you should consult for ksharasutra therapy Do follow Hope this might be helpful Thank you


1 replies
Dharmendra Kumar
Client
2 days ago

Thank you for helpful advice.

Follow some simple lifestyle changes and dietary changes and you will see results for your problem. ??Do’s?? Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. ?Don’ts:? Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake. ??Medication ?? Tab. Ampachak Vati 2 tabs twice a day before food. Tab.Gandhak Rasayan 2 tabs twice a day before food. Tab. Kutaj parpati vati 1 tab twice a day before food. Syp. Abhayarishta 2 tsp with half a cup of warm water after food. Castor oil 2 tsp at bed time with a cup of hot water.


2 replies
Dharmendra Kumar
Client
2 days ago

Follow above advice and Precaution, My fistula will heal without ksharsutra?

Not completely heal. As it is a big tract you should go for ksharsutra for better result. A combo of kshar sutra and the above mentioned medicines and changes will help your recovery quick.

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


What are the alternatives to Nisha Amalki Churna for diabetes if I'm having allergic reactions on my skin?
How to reduce uric acid levels in joints and manage Vata and Kapha dosha for back pain and fatigue in a 55-year-old male using Ayurveda?
How to use Vanshlochan as a calcium substitute and what are its side effects for adults?
Can I give my 16-year-old son Arjun Ashwagandha juice for high blood pressure and stress while he's on thyroid medication?
How to treat abdominal pain and discomfort in a 60-year-old with no prior medication history?
Is it safe to use chaulmoogra oil in arthritis cream for my 92-year-old aunt?
What to do if my 9-year-old daughter is experiencing recurring hallucinations after stopping risperidone?
How to reduce skin pigmentation and increase energy while dealing with pimples and scalp sweating?
Can I take Jatamansi, Shankhpushpi, and Brahmi together for better mental health?
How to treat fungal infection that worsens in summer and hasn't improved with homeopathy or allopathy?
How to use 15 mls of supplement in a fruit smoothie for breakfast?
Can I continue taking Arjuna and Parthadyarishtha together for heart health at age 69?
What is causing my breathlessness, weakness, and pain near the liver with reduced alkaline phosphatase levels?
How much vacha and ashwagandha powder can I give to my 7-year-old child?
Can I give my 6-year-old child with mild autism any treatments or therapies?
Can I take Krishna's prostirid juice with my blood pressure medication TELMISARTAN and Cilnidipine?
What to do if my right kidney is enlarged and what diet should I follow?
Can I give liver amrit to my 5-year-old child for constipation, and what dosage is safe?
How long should I take Livamrit tablets from Patanjali for cholesterol 225 and fatty liver?
Can I start using Kalmegh again for gout relief after it worked 5 years ago?
Can I use Nausadar to remove stones in my pancreas and duct? How to use it with club soda?
How to treat external hemorrhoids naturally when Anusol causes burning sensation?
Is it safe for a 60-year-old man to take nutmeg powder in warm water at bedtime for better sleep and digestion?
Can I take Ashoka powder while breastfeeding?
How to use Khadirarishta and Mahamanjishthadi for best results?
Is Pithorin Imis safe and effective for treating gallbladder stones?
How to increase my height as a 16-year-old girl?
What is the treatment for my 19-year-old son who has never sweated since birth?
Can Medha Vati affect blood sugar levels in my father with heart disease and thyroid issues?
Can I use Shilajit for proteinuria and does AMLA help with clogged arteries and erectile dysfunction?
Can I take fresh neem powder with warm water while on Metformin 500 mg once daily?
How to treat severe insomnia and migraines with neck pain and nausea?
How to treat persistent pain and lump in the lower abdomen for 4-5 days?
Can I give liver amrit to my child for constipation, and if not, what should I do?
Can I start taking a Kashaya with Yavasa, Brahmi, Shankhpushpi, Pipali, Ashwagandha, Green Tea Leaves, and Tulsi?
What Ayurvedic medicine should I take for headaches as a 35-year-old married woman working from home?
What to do about a low pulse rate of 50 in an 80-year-old diabetic with a history of heart surgery?
Can Ayurveda help with recurring sebaceous cysts on my back after multiple surgeries?
How to treat elevated GGT levels in my liver function test report?
Can I drink Jeera, Saunf, Ajwain & Methi water in the morning if I have rheumatoid arthritis and take allopathy medicines?
What causes swelling on the face, hands, and feet in the morning for four days?
How to treat toe numbness and constipation in a 70-year-old with hypertension?
What to do for cervical spondylitis and allergy after gastritis treatment with IBS medication not helping?
Can I use Sesbania Grandiflora while taking anticoagulants for blood thinning?
Can I take Chyawanprash and liver cleaner while on antidepressants?
How to treat abdominal pain and occasional constipation in my 9-year-old daughter?
How to increase my height at 17 years old, and what supplements should I take?
How to treat constipation and high ammonia levels in my son with cerebral palsy and a tracheostomy?
How to treat hemifacial issues without Botox or surgery?
Can I take Patanjali Arjunarista syrup while on Amlovas, Mentat, and Harde at 66 years old?
How to determine the right dosage of Brahmi capsules for stress and memory loss in a 67-year-old?
What is the best herbal medicine to help recover from quitting ice after 2 weeks?
Can I use Chandraprabha Vati and Gaufari for uric acid and cholesterol management?
Can I use lemon with my Ayurvedic powder for fatty liver grade 2?
How to treat my daughter's excessive hand sweating with Ayurvedic remedies for Hyperhidrosis?
How to treat abdominal pain in my 9-year-old daughter after normal ultrasound results?
Can I give my 10-year-old daughter Sankhpushpi, Vacha, Satavari, Brahmi, and Ashwagandha for her falling while walking?
What is an effective treatment for hypertension in a 60-year-old active male not improving on Losartan?
How to determine the right dosage of Ayurvedic tablets for my diabetes with a blood sugar level of 160?
What to do if my 22-year-old daughter has white hair, memory issues, weight gain, and anger problems?
How to improve sleep quality after starting Brahmi and other medications?
What is the best bhasma for arthritis, asthma, diabetes, high blood pressure, and skin glow?
Can I use She Care juice while breastfeeding my 20-month-old baby?
Is it safe to take multiple Ayurvedic medicines for high GGT and cholesterol levels?
How long does it take to lose weight and regain it after stopping medication if I weigh 85 kg?
What to do for elevated liver enzymes in a 41-year-old vegetarian woman?
How to use sesame oil for muscle weakness in PSP patients and how often should I apply it?
Can I take Ayurvedic medicine with pineapple juice if I have a Vata imbalance and take osteoporosis and heart medication?
How to increase my height at 20 years old if it hasn't changed in 5 years?
What to do for persistent pain and lump in the lower abdomen for 4-5 days?
How to treat Fatty Liver and Enlarged Prostate in a 42-year-old male?
How to use Navaka Guggulu for high cholesterol while on statins?
What to do for finger stiffness and elbow pain with shortness of breath?
How long does it take for Tantra Max to work for my persistent pain when standing?
What to do if my liver function tests show a slightly elevated AST:ALT ratio?
What to do if I'm 27 and can't gain weight, feel weak, have poor digestion, and forgetfulness?
How to treat sleep issues caused by waking up at midnight to urinate and feeling heavy-headed?
How to control creatinine and uric acid levels with a history of high blood pressure and diabetes?
How long does it take to lose weight and regain it after stopping medicine if I weigh 85 kg?
How to treat toe numbness in a 70-year-old with increasing constipation and flatulence?
How to treat chronic migraine that requires painkillers every morning and evening?
Can I give my 16-year-old child Arjun Ashwagandha juice for high blood pressure and stress while on thyroid medication?
How many tablets should I take daily for my diabetes with a blood sugar level of 168?
How to use Viscovas daily for thagobouda and how many times should I take it?
How to manage high uric acid and fatty liver with diabetes?
Is it safe to take Chandraprabha Vati and other medications for uric acid and cholesterol levels?
What causes leg pain and tingling in feet in a 45-year-old male with abnormal blood test results?
What is the best Ayurvedic treatment for nerve damage and loss of bladder control after spinal dural AV fistula embolization?
What is the best Ayurvedic remedy for lowering blood pressure in someone with CKD while taking Mukta Vats Extra Power?
What causes vertigo, fatigue, and shortness of breath after work?
How to take cholesterol-lowering supplements: one 1000mg pill at breakfast or two at once?
What to do for joint pain and nausea while taking Imuran for lupus?
What to do for my 72-year-old father who has GBS, diabetes, and high blood pressure and can't walk?
How to treat intracranial pressure (ICP) and heaviness with Ayurveda for faster recovery?
What is causing my persistent back pain and weakness with weight loss?
How to treat diabetic neuropathy with numbness and burning in the left heel for a 40-year-old?
What to do for digestion issues, hair fall, dry skin, fatigue, and headaches?
How to improve low blood count naturally without long-term iron injections?
How long does it take to lose weight with this medicine and what happens after stopping it?
Can I increase my height by 1 inch at 19 years old?

Doctors online

Latest reviews

Paris
1 hour ago
Really helpful advice! Finally getting some relief by following these tips. Fingers crossed it keeps improving. Thank you! 😊
Really helpful advice! Finally getting some relief by following these tips. Fingers crossed it keeps improving. Thank you! 😊
Christopher
1 hour ago
Super informative! The breakdown of sugartypes was super helpful. Cleared up my confusion about turbinado vs white sugar. Thanks a bunch!
Super informative! The breakdown of sugartypes was super helpful. Cleared up my confusion about turbinado vs white sugar. Thanks a bunch!
Violet
3 hours ago
Thanks for the advice! Really appreciate how you broke down the options. It’s good to know that I can simplify my medication without impacting my health.
Thanks for the advice! Really appreciate how you broke down the options. It’s good to know that I can simplify my medication without impacting my health.
Grayson
3 hours ago
Thanks for your answer, super helpful! Finally got clarity on how to manage the meds. Appreciate the dosage advice too!
Thanks for your answer, super helpful! Finally got clarity on how to manage the meds. Appreciate the dosage advice too!