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What to do if I have pus and discharge after Ksharsutra treatment for 13 days?
Surgery Recovery
Question #54505
12 days ago
344

What to do if I have pus and discharge after Ksharsutra treatment for 13 days? - #54505

Client_b49e66
$3

Sir maine 13din or 1 april ko ksharsutra karwa hai complete honeke baad bhi puss or discharge aaraha hai ek or chota hole dikh raha kya karu

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Doctors' responses

Hello, Ksharsutra treatment ke baad 13 din par thoda discharge hona kaafi had tak normal hai, kyunki ye process dheere-dheere “tract” (rasta) ko saaf karta hai. Lekin agar naya hole dikh raha hai, toh ye secondary tract ya healing process ka part ho sakta hai. ​Ghabraye nahi, par ise ignore bhi na karein. ​ ​Ayurveda ke mutabiq, ye “Dushta Vrana” (non-healing wound) ya fistula tract ki cleansing stage ho sakti hai. Pus nikalna body ka cleansing mechanism hai, lekin agar pain badh raha hai, toh inflammation (Shotha) zyada ho sakti hai. ​Ayurveda Medicines ​Aap ye medicines try kar sakte hain (par ek baar apne doctor se zarur puchein jaha aapne Kshar Sutra krvaya Hai): 1. ​Guggulutiktam Kwath (Tablet/Liquid): 2 tablets ya 15ml liquid (equal water ke saath) din mein do baar khana khane se pehle. Ye infection ko andar se sukhane mein best hai. 2. ​Triphala Guggulu: 2 tablets din mein do baar khane ke baad. Ye pus formation ko kam karta hai aur healing fast karta hai. 3. ​Jatyadi Keram (Oil): Is tel ko cotton swab ki madad se affected area aur hole par din mein do baar lagayein. Ye wound healing ke liye gold standard hai. ​ ​Lukewarm water mein thoda sa Triphala Churna mila kar 10-15 minute baithna continue rakhein. ​ Area ko hamesha dry rakhein. ​ Naya hole dikhne par turant apne Treating Surgeon (Vaidya) ko dikhayein takki wo check kar sakein ki thread sahi position mein hai ya nahi.


2 replies
Client_b49e66
Client
12 days ago

15 din pehle thread nikal gya parso jab saaf kar raha tha tab ghav fistula track ke niche ghav ke ander ek hole dikha pain to pehla tha ab nhi 2 din se

Good. Pain nhi hai wo healing ki sign hai. Aur ghav bhi dhire dhire bhar jayega. Kam se kam 15 din se leke 1 mahine tak thoda problem rehta hai uske bar normal ho jayega. Proper dressing krwate rehna

the healing phase of Ksharsutra, the medicated thread works by cutting and simultaneously healing the tract. This process often involves Serosanguinous discharge (a thin, yellowish, or slightly bloody fluid), which is a sign that the “unhealthy” tissue is being cleared out. However, the appearance of a new small hole or persistent thick yellow pus after 13 days requires specific management to ensure the tract is healing from the inside out. First take the medication, I have prescribed medications for your condition take them consistently , it can take some time because ayurveda works slowly as it acts on roots cause of your problem . Immediate Steps & Management 1. Do Not Panic: Small amounts of discharge are normal for several weeks post-op as the wound heals. 2. Sitz Bath: This is the most critical step. Sit in a tub of warm water with Triphala Guggulu or Panchvalkal Kwath for 10–15 minutes, twice daily. This helps drain the pus and keeps the area clean. 3. Wound Hygiene: After the bath, ensure the area is patted dry gently. Do not use harsh soaps. Dos:✅ • High-Fiber Diet: Ensure your stools are soft , straining will increase your problem • Hydration: Drink at least 2.5–3 liters of water daily. • Sterile dressing Don’ts:❌ • Avoid Spicy Food • No Sitting for Long Hours • Avoid Self-Probing: Do not try to “squeeze” the pus out


0 replies

Go for personal consultation offline for proper evaluation and treatment


0 replies

After Ksharsutra treatment, mild pus/discharge for 2–3 weeks can be normal, as the tract is still healing (Shodhana → Ropana phase). But in your case: Day 13 + new small opening (hole) This may indicate incomplete healing or secondary tract formation What you should do immediately: Visit your surgeon/vaidya for examination (don’t delay) Regular dressing & Ksharsutra follow-up (weekly change if advised) Take Sitz bath (Triphala warm water) 2 times daily → cleans & heals Supportive Ayurvedic care: Triphala Guggulu → infection control & healing Jatyadi Taila dressing → promotes wound healing Diet & care: Light, warm, easily digestible food Avoid spicy, oily, constipation Keep area clean & dry


1 replies
Client_b49e66
Client
12 days ago

2 baar ksharsutra ka operation hogya 15 din pehle apne aap thread nikal gya ab saaf kar tha ghav to fistula track ke niche ghav ke ander hole dikha

Please visit your doctor who performed ksharsutra for better management.


0 replies

do sitz bath with tripala kwath 2 times day


0 replies

Hello, After ksharsutra treatment (fistula/abscess), your situation Pus + discharge even after 13 days + new small opening First- Don’t panic (important) This is common during healing phase of ksharasutra Because -ksharasutra works by gradually cutting + healing the tract -Discharge (pus/serous fluid) continue until tract is fully cleaned What your symptoms suggest -ongoing discharge-> tract still healing -small new hole-> may be –secondary opening (branch of fistula) –or drainage point (sometimes created naturally) Not necessarily a complication, but needs monitoring When it becomes a concern If you notice -increasing pain -foul smell -fever -excess swelling Then infection or improper healing possible Internal healing 1) Guggulutiktakam kashaya tablets= 2 tabs twice daily before meals =deep tissue healing + infection control 2) Kaishor guggulu= 2 tabs twice daily after meals =reduces pus formation + inflammation External care -Triphala kashaya sitz bath =sit in warm water decoction 2 times daily 10-15 min =cleans wound + reduces discharge -Jatyadi taila= local application after cleaning =promotes wound healing Daily care routine -clean area after every bowel movement -keep area dry -change dressing regularity Diet -light, easily digestible food -fiber to avoid strain Avoid -spicy, oily food -constipation Healing timeline Ksharasutra healing takes -3-6 weeks= sometimes longer depending on tract Discharge during this period= normal Most important advice Follow up with ksharasutra doctor is mandatory Because -thread may need tightening / change -new opening needs evaluation Don’t self manage completely at home Ksharasutra is slow but effective healing method Discharge= part of cleaning process Your case sounds healing stage, not failure Do follow Hope this might be helpful Thank you नमस्कार, क्षारसूत्र उपचार (फिस्टुला/फोड़ा) के बाद आपकी स्थिति: 13 दिन बाद भी मवाद और स्राव + एक नया छोटा छेद सबसे पहले - घबराएं नहीं (महत्वपूर्ण) क्षारसूत्र के उपचार के दौरान यह सामान्य है क्योंकि -क्षारसूत्र धीरे-धीरे घाव को काटकर और भरकर काम करता है -जब तक घाव पूरी तरह से साफ नहीं हो जाता, तब तक स्राव (मवाद/सीरस द्रव) जारी रहता है आपके लक्षण क्या संकेत देते हैं: -लगातार स्राव -> घाव अभी भी भर रहा है -एक छोटा नया छेद -> संभवतः -द्वितीयक छेद (फिस्टुला की शाखा) -या जल निकासी बिंदु (कभी-कभी प्राकृतिक रूप से बनता है) यह जरूरी नहीं कि कोई जटिलता हो, लेकिन निगरानी की आवश्यकता है चिंता का विषय कब बनें: यदि आप ध्यान दें: -बढ़ता दर्द -दुर्गंध -बुखार -अत्यधिक सूजन तो संक्रमण या अनुचित उपचार की संभावना है आंतरिक उपचार 1) गुग्गुलुटिक्टकम कषाय टैबलेट = 2 टैबलेट दिन में दो बार भोजन से पहले =गहरे ऊतकों का उपचार + संक्रमण नियंत्रण 2) कैशोर गुग्गुलु = 2 गोलियां दिन में दो बार, भोजन के बाद = मवाद बनने और सूजन को कम करता है बाहरी देखभाल - त्रिफला कषाय सिट्ज बाथ = गर्म पानी के काढ़े में दिन में दो बार 10-15 मिनट बैठें = घाव को साफ करता है और स्राव को कम करता है - जात्यादि तेल = सफाई के बाद लगाएं = घाव भरने में मदद करता है दैनिक देखभाल - हर बार मल त्याग के बाद प्रभावित जगह को साफ करें - प्रभावित जगह को सूखा रखें - नियमित रूप से ड्रेसिंग बदलें आहार - हल्का, आसानी से पचने वाला भोजन - जोर लगाने से बचने के लिए फाइबर युक्त भोजन इन चीजों से बचें - मसालेदार, तैलीय भोजन - कब्ज ठीक होने की समय सीमा क्षारसूत्र के ठीक होने में समय लगता है - 3-6 सप्ताह = कभी-कभी मार्ग के अनुसार इससे अधिक समय भी लग सकता है इस दौरान स्राव होना सामान्य है सबसे महत्वपूर्ण सलाह क्षारसूत्र विशेषज्ञ से फॉलो-अप अनिवार्य है क्योंकि - धागे को कसने/बदलने की आवश्यकता हो सकती है - नए घाव की जांच आवश्यक है पूरी तरह से स्वयं देखभाल न करें होम क्षारसूत्र एक धीमी लेकिन प्रभावी उपचार विधि है। स्राव = सफाई प्रक्रिया का एक हिस्सा। आपका मामला उपचार के चरण में प्रतीत होता है, विफलता नहीं। कृपया इसका पालन करें। आशा है यह सहायक होगा। धन्यवाद।


0 replies

Din mein do baar sitz bath, betadine drops dalkar kijiye. Triphala tablet 0-0-2 after food with warm water Jatyadi oil ksharsutra kiya jagah per 2-3 bar lagaye. Nimbakwath tablet 1-0-1 after food with water. Kanchanar guggul 1-0-1 after food with water Avoid spicy, foods, nonveg food if non-vegetarian. Drink adequate amount of water during the day. Pilogest capsules 1-0-1 after food with water


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ADV_ Sabse zaroori kaam ye hai ki aap apne treating surgeon ya Vaidya ko turant dikhayein. Naya hole dikhne ka matlab ho sakta hai ki koi secondary tract (fistula ki ek aur shakha) khul rahi hai ya healing ke liye drainage point ban raha hai. Doctor check karenge ki ksharsutra thread sahi jagah hai ya nahi. Rx 1.Saptavinashti guggulu 2 goli din m 2 bar khane k bad pani k sath 2.Guggulutiktam kwath 3 chammach matra m saman bhag pani mila kr din m 2 bar khane k bad 3.Jatyadi taila- Safai ke baad affected area aur naye hole par cotton swab ki madad se din m 2 bar Jatyadi Taila lagayein **Sitz Bath: Lukewarm water mein thoda sa Triphala Churna ya Betadine solution milakar din mein 2 baar 10-15 minute baithne se ghav saaf rehta hai. Parhez aur Savdhani (Diet & Precautions) -Spicy aur Oily khane se bachein: Zyada mirch-masala healing ko dheema kar sakta hai. -Constipation (Kabz) na hone dein: Zyada fiber wala khana khayein aur khub pani piyein takki mal tyag karte samay zor na lagana pade. -Area ko Dry rakhein: Nahane ya sitz bath ke baad jagah ko hamesha saaf aur sukha rakhein.


0 replies

Possible hai ki dusra koi aur tract form hua hai ya ho raha hai. It is adviced ki aap jis doctor se ksharsutra karvaya hai unko jaake dikhao. physical examination mein better samjhega kya hua hai. Till than aap Sitz bath kare.


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Namaste. Main samajh sakta hoon ki Ksharasutra ka lamba treatment complete hone ke baad naya hole dekh kar aapko kitni pareshani aur tension ho rahi hogi. Aapko jo yeh naya chota hole aur pus (discharge) dikh raha hai, yeh Bhagandara (Fistula-in-ano) ka ek classic complication hai. Fistula ek ped (tree) ki jadon (roots) ki tarah hota hai jisme aksar multiple branches hoti hain. Jab Ksharasutra se main tract cut ho kar heal ho jata hai, lekin agar uske andar ki koi chhoti “hidden branch” ya internal opening puri tarah se band nahi hui hoti, toh bacha hua infection bahar nikalne ke liye skin par ek naya rasta (chota hole) bana leta hai. Ise hum Ayurveda aur modern science dono mein Recurrence ya Branched Tract kehte hain. Yeh koi aisi samasya nahi hai jise sirf gharelu nuskho se theek kiya ja sake; is par turant medical dhyan dene ki zaroorat hai. Immediate Action Plan (Aapko ab kya karna chahiye) 1. Turant Doctor Se Milein (Physical Check-up) Aapko bina deri kiye apne us Ayurveda Surgeon (Shalya Chikitsak) ke paas wapas jana hoga jinhone aapka Ksharasutra kiya tha. Unhe is naye hole ki probing (check) karni hogi taaki pata chal sake ki yeh naya rasta kitna gehra hai. 2. MRI Fistulogram (Pelvis) Agar doctor ko probing mein rasta clear nahi milta hai, toh aapko ek MRI Fistulogram karwana padh sakta hai. Yeh test exactly bata dega ki pus kahan jama ho raha hai aur yeh naya hole purane tract se kahan juda hua hai. Interim Care (Jab tak aap doctor ke paas nahi jaate) Naye hole ko saaf rakhne aur infection ko rokne ke liye yeh steps follow karein: Sitz Bath (Avagaha Sweda): Ek tub mein halke gungune (warm) paani mein 1 chammach Triphala Churna ya Panchavalkal Kwath daal kar usme din mein 2 se 3 baar 10 minute ke liye baithein. Yeh pus ko naturally bahar nikalega aur naye hole ke aas-paas ki sujan ko kam karega. Triphala Guggulu & Gandhak Rasayan: In dono dawaaiyon ki 2-2 tablets din mein do baar (khana khane ke 30 minute baad) gungune paani ke sath lein. Yeh dono Ayurveda ke sabse behtareen natural anti-biotics hain jo pus formation ko rokne aur wound healing mein madad karenge. Strict Rule: Naye hole par khud se koi cream, ointment ya tel (oil) bilkul mat lagaiye. Agar aapne use bahar se block kar diya, toh pus andar jama hokar dard aur fever paida kar dega. Regards Dr Gursimran Jeet Singh MD Panchakarma


0 replies

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