What to do if pus is still coming from a fistula after surgery and there's a new hole appearing? - #54531

Your symptoms suggest that the fistula tract is still active and not completely healed. Persistent pus discharge, a new opening near the previous tract, and internal discharge sensation indicate either an incomplete tract cutting, secondary tract formation, or infection persistence after Ksharasutra therapy. This is not something to ignore. You need proper reassessment by a surgeon experienced in Ksharasutra. Ayurvedic management: Internal medicines: Triphala Guggulu 500 mg twice daily after food Kaishore Guggulu 500 mg twice daily after food Gandhak Rasayan 250 mg twice daily after food For infection and healing: Mahamanjishthadi Kwath 15 ml with equal water twice daily before food Local treatment: Daily sitz bath with warm water mixed with Panchavalkal Kwath for 10 to 15 minutes After cleaning, apply Jatyadi Taila inside and over the wound If pus is more: Use Nimbadi Kwath 15 ml twice daily before food Do not leave the tract untreated if thread has come out early There may be a residual or branching fistula tract You may need re-threading or re-evaluation with probing Dr Ravi Chandra Ano Rectal surgeon

Fistula surgery (Ksharsutra) ke baad kuch hafton tak discharge aana normal hota hai, lekin 15 din baad bhi pus aana aur naya opening dikhna is baat ka sanket ho sakta hai ki tract abhi poori tarah heal nahi hua ya secondary tract develop ho raha hai. Is stage par self-treatment se zyada regular surgical follow-up bahut important hai. Thread ka apne aap nikal jana bhi proper tracking ke bina healing ko affect kar sakta hai. Area ko hamesha clean aur dry rakhein. Roz 2–3 baar warm water sitz bath (10–15 min) karein, isse infection aur discharge kam hota hai. Zyada der baithna, constipation aur strain avoid karein. Diet halka rakhein aur bowel smooth rakhein. Paani zyada piyein. Triphala guggulu – 1 tablet din me 2 baar after food Gandhak rasayan – 1 tablet din me 2 baar after food Panchvalkal kwath (wash ke liye) – din me 1–2 baar Yeh healing aur infection control me madad karega, lekin yeh sufficient nahi hai without examination. Aapko apne surgeon ya Ayurvedic Ksharsutra specialist ko jaldi dikhana chahiye, taki: Track properly assess ho Zarurat ho to dubara thread placement ya correction kiya ja sake Agar pain badhe, fever aaye, ya discharge zyada ho jaye to turant check karwana zaroori hai. Regards, Dr Raghuveer (Ayurvedacharya)