Aapke symptoms dekhkar yeh zyada tar post Ksharasutra healing process lag raha hai, especially Sentinel tag cutting Multiple Ksharasutra procedures Thread jaldi nikal jana Thoda sticky ya halka fluid discharge In sab ke baad 3–6 weeks tak halka discharge aur raw feeling reh sakti hai. Agar: severe pain nahi hai swelling nahi hai fever nahi hai bad smell ya pus zyada nahi hai toh fistula ka strong indication kam lagta hai. Normal ultrasound aur colonoscopy bhi reassuring hain. Fissure healing slow ho sakti hai because repeated procedures se local tissue irritation aur sphincter spasm rehta hai. Take Triphala Guggulu 2 tab din me 2 baar after food Gandhak Rasayan 1 tab din me 2 baar Jatyadi taila local application ya gauze dressing Warm sitz bath 10–15 min din me 2–3 baar Constipation bilkul na hone dein Spicy food, hard stool, prolonged sitting avoid karein. Agar discharge increase ho, pus aaye, external hole bane, fever ya swelling aaye to MRI fistulogram karwana better rahega to rule out fistula track DR RC BAMS MS ANO-RECTAL SURGEON
Sir, abhi aapke symptoms me pain, fever, pus ya swelling nahi hai, aur discharge clear/minimal hai, isliye ye Kshar-sutra/tag cutting ke baad normal healing discharge ho sakta hai. —Lekin fissure abhi heal nahi hua, isliye apne ano-rectal/Kshar-sutra doctor se follow-up proctoscopy zaroor karwa lijiye. — Tab tak sitz bath 2–3 baar, constipation avoid, fiber diet, pani zyada, spicy/fried food avoid karein. Pus, badbu, swelling, pain ya fever aaye to turant doctor ko dikhayein. — pus ko trifla water s clear krke…sitz bath continue, and uspr jatyadi taila apply kre
Hello, Aapki condition aur treatment history ko samajhte hue, aaiye aapke sawal ka jawab aayurvedic perspective se aur bohot hi short me samajhte hain. Healing Process vs Fistula: Kaise Pehchane? Kshara Sutra treatment ke baad thoda chipchipa (sticky) aur smell-less fluid discharge hona normal healing process (Ropa-Kriya) ka hissa ho sakta hai, kyunki wahan abhi naya tissue ban raha hai. Fissure ko poori tarah heal hone me thoda waqt lagta hai. Lekin, agar yeh discharge badhne lage, isme se badboo (foul smell) aane lage, ya anus ke aas-pass koi naya dardnak foda (boil/abscess) ya chota hole dikhe jahan se pus nikle, toh yeh Fistula (Bhagandara) ka sanket ho sakta hai. Aapki ultrasound aur colonoscopy reports normal hain, jo ki ek bohot acchi baat hai aur bade complication ko rule out karti hain. Phir bhi, correct assessment ke liye aapko apne doctor se physical examination (per rectal exam) karwana chahiye. Ayurveda me Fissure ko Parikartika aur Piles ko Arsha kaha jata hai. Aapka discharge Vrana Srava (wound healing discharge) ho sakta hai. Non-healing fissure ka mukhya karan Apana Vayu ka prakopa aur Agni (digestive fire) ka mand hona hai, jisse kabz (constipation) hoti hai aur zakhm jaldi nahi bharta. Treatment ka main aim Agni ko sudharna aur Vayu ko shaant karna hai. Ayurveda Medicines & Dosage 1. Dusparshakadi Kwath (Liquid): 15 ml kwath ko 60 ml gungune paani (warm water) ke sath milakar din me do baar, khana khane se pehle lein. Yeh bleeding aur inflammation ko kam karta hai. 2. Abhayarishtam (Liquid): 20 ml adhe cup gungune paani me milakar raat ko sone se pehle lein. Yeh constipation ko door karega jisse fissure par pressure nahi aayega. 3. Triphala Guggulu (Tablet): 1-1 tablet din me do baar, khana khane ke baad gungune paani se lein. Yeh infection ko rokta hai aur wound healing me madad karta hai. 4. Jatyadi Keram (Oil): Is oil ko din me do se teen baar (aur bowel movement ke baad) anal area par local application ke liye use karein. Yeh fissure ko jaldi heal karne me sabse best hai.
Pranam. Ek Ayurveda practitioner ke nate aapki takleef aur chinta ko mai puri tarah samajh sakta hu. Ano-rectal procedures ke baad thoda sa bhi aswabhavik (unusual) discharge hona chinta paida karta hai, par sahi samay par ise samajhna aur sambhalna zaroori hai. 1. Discharge ka Vishleshan: Healing Fluid vs Fistula Aapko jo halka, bina smell wala, chipchipa (serous or mucoid) discharge ho raha hai, uske do mukhya kaaran ho sakte hain: Normal Healing Process (Ropaṇa Kriyā): Aapke do Ksharsutra procedures hue hain aur hal hi me (lagbhag 2-3 hafte pahle) sentinel tag cut karke nikala gaya hai. Kisi bhi open wound ya ksharsutra track se healing ke dauran serous fluid (jo chipchipa aur bina badbu ka hota hai) nikalna 100% normal hai. Yeh sharir ka apna tarika hai wound ko saaf rakhne ka. Fissure ka Na Bharna: Fissure ka matlab hai anal canal me ek cut. Jab tak fissure poori tarah heal nahi hota, wahan ke mucus glands thoda extra secretion bana sakte hain, jisse wo area chipchipa rehta hai. Kya yeh Fistula (Bhagandara) ho sakta hai? Aapka yeh sochna swabhavik hai, kyunki ksharsutra ke baad secondary fistula ka risk hota hai. Halanki, fistula hone ka chance abhi bohot kam lag raha hai kyunki: Aapka discharge “smell-less” (bina badbu ka) hai. Fistula me aamtaur par thick, foul-smelling pus (peeb) nikalta hai. Aapki Colonoscopy aur Ultrasound (USG) reports bilkul normal hain. Agar koi active ya bada fistula track hota, to wo USG (ya specialist Perianal USG/MRI) me pakad me aa jata. 2. Piles Thread ka 3 Din Me Nikalna Aur Fissure Ka Na Bharna Thread ka 3 din me nikalna: Piles mass agar chota ho ya uspar ksharsutra tight bandha gaya ho, to kabhi-kabhi tissue jaldi cut jata hai. Par agar mass poori tarah slough off nahi hua aur thread nikal gaya, to wahan residual tissue ya non-healing ulcer reh sakta hai, jo discharge ka kaaran ban sakta hai. Fissure abhi tak heal kyu nahi hua? Parikartika (Fissure) ke heal na hone ka sabse bada kaaran hota hai Anal Sphincter Spasm (wahan ki muscles ka tight hona) aur Constipation (Vibandha). Agar aapka pet halka sa bhi saaf nahi hai ya stool hard hai, to wo fissure ke wound ko baar-baar chheel deta hai, jisse healing ruk jati hai. 3. Agla Kadam: Aapko Kya Karna Chahiye? (Management Plan) Aapko darna nahi hai, par is healing ko promote karne ke liye kuch zaroori steps lene honge: A. Sthanik Chikitsa (Local Wound Care) ••Sitz Bath (Avagaha Sweda): Din me 2 se 3 baar gungune paani me Sphatika Bhasma (Alum powder) ya Panchvalkal Kwath dalkar 10-15 minute baithein. Yeh sphincter muscles ko relax karega, dard kam karega aur fissure ko jaldi heal karega. ••Jatyadi Taila / Ghruta: Sitz bath ke baad anal area ko dry karein aur Jatyadi Taila ko halka sa andar aur bahar lagayein (syringing ya cotton se). Jatyadi taila Ayurveda me Vrana-ropana (wound healing) ke liye sabse best mana gaya hai. Yeh chipchipapan bhi kam karega aur fissure ko heal karega. B. Abhyantara Chikitsa (Internal Ayurvedic Herbs) ••Mridu Virechana (Stool Softener): Fissure ko jaldi bharne ke liye stool ka makhan jaisa soft hona zaroori hai. Iske liye raat ko sote samay 1-2 chammach Triphala Churna ya Gandharva Haritaki Churna gungune paani ke sath lein. ••Triphala Guggulu / Saptamrit Loha: Apne doctor ki salah se inflammation kam karne aur healing badhane ke liye shuru kar sakte hain.
Sir as u mentioned u are having symptoms of smelly secretion then it might be pus that can be due to abscess or fistula . You should go for anorectal examination first . Fissure healing don’t take this much time but if you are passing hard stool that might bt hampering its healing process . Consult a surgeon first , till then you can take 1. Tab gandhak rasyana 1tid 2. Tab triphala guggulu 2 bd 3. Arogyavardhini vati 1tid 4. Syp abhyarishta 4tsp bd with warm water If you are having fissure these medicines will definitely heal that.
Based on your history, this condition currently appears more consistent with Post-Ksharsutra healing with chronic fissure inflammation Delayed wound healing after repeated procedures. Chronic fissure is still not healed A small sticky or watery discharge can occur during healing of a fissure wound or after Ksharsutra treatment. A fistula becomes more suspicious if you develop: pus discharge foul smell recurrent swelling or boil fever severe throbbing pain visible external opening near anus At present, your symptoms are more suggestive of: Dushta Vrana (chronic non-healing wound) with Vata-Pitta aggravation and impaired wound healing. Root Cause According to Ayurveda The fissure is not only a local problem. The deeper causes usually include: Chronic constipation or hard stool Apana Vayu imbalance Mandagni (weak digestion) Aam accumulation Excess spicy, fried, dry, non-veg or processed food Excess straining during stool Repeated local surgical irritation Rakta dushti and Pitta aggravation Reduced tissue healing capacity Unless these causes are corrected, the fissure may remain raw and sticky for a long time. 1) Internal Medicines Triphala Guggulu – 2 tablet twice a day Gandhak Rasayan – 2 tablet twice a day Kaishor Guggulu – 2 tablet twice a day Vrana Shodhan Vati – 2 tablet twice a day With lukewarm water After Lunch and Dinner At Bedtime (Very Important) Avipattikar Churna – 1 teaspoon Gandharvaharitaki churna – 1 teaspoon With warm water. The stool must remain completely soft. Even slight hard stool can delay fissure healing. 2) Local Treatment Panchavalkal Sitz Bath 2–3 times daily: Warm sitz bath using Panchavalkal Kwath for 10 minutes. Benefits: reduces discharge decreases inflammation improves wound healing reduces burning and irritation Local Application After sitz bath: Apply Jatyadi Taila gently over the fissure area using sterile gauze or finger cot. If excessive rawness or burning is present: Yashtimadhu Ghrita can be used alternatively. 3) Diet Protocol Strictly Avoid - Spicy food Fried food Bakery products Maida Alcohol and smoking Excess tea/coffee Red meat Constipation-causing foods Prefer - Warm water Ghee Moong khichdi Papaya Soaked black raisins Coconut water Soft fiber-rich diet The key factors for successful healing are: soft stool correction of Apana Vayu proper wound cleansing and healing avoiding repeated irritation to the anal region.
Aapka jo treatment hua hai usme khar sutra procedure aur sentinel tag removal ke baad tissue ko andar se heal hone me kaafi time lag sakta hai especially jab fissure purana ho ya repeated procedures hue ho Aapne bataya ki discharge bahut minimal hai clear hai aur pain fever swelling ya chills nahi hain to ye zyada tar healing tissue ka serous discharge lag raha hai jo fissure aur operated area se kuch weeks tak aa sakta hai Fissure completely heal hone me kabhi kabhi expected time se zyada bhi lag jata hai because anal area me continuous movement aur stool passage ki wajah se healing slow ho jati hai Agar fistula hota to usually recurrent pus discharge bad smell swelling throbbing pain ya ek choti opening repeatedly noticeable hoti Aapki ultrasound aur colonoscopy reports normal aana bhi reassuring sign hai Abhi sabse important cheez stool ko bilkul soft rakhna hai aur anal area me irritation kam karna hai Garam paani sitz bath regular kariye especially motion ke baad Paani achha lijiye Spicy oily dry aur very hot foods avoid kariye Long sitting aur straining avoid kariye Area ko gently clean rakhiye without harsh rubbing Ayurvedic perspective se dekhen to repeated local procedures ke baad wahan pitta aur vata dono aggravate ho jate hain jiski wajah se delayed wound healing aur halka discharge continue reh sakta hai Proper diet rest local care aur bowel regulation se dheere dheere healing better hoti hai Agar discharge future me yellow green ho jaye smell aaye pain swelling fever ya continuous wet opening feel ho tab MRI fistulogram jaise further evaluation ki zarurat pad sakti hai Filhal jo symptoms aap bata rahe hain woh zyada healing phase ke hi lag rahe hain
From your description (minimal clear/sticky discharge, no pain, no fever, normal ultrasound/colonoscopy), this sounds more consistent with ongoing healing after Kshar Sutra + sentinel tag removal, rather than a definite fistula. Points in favor of healing: Small amount of clear discharge No fever No increasing pain/swelling Reports normal What to do: Keep stools soft (avoid constipation) Warm sitz bath 2–3 times/day Maintain local hygiene and continue follow-up with your treating doctor Warning signs for fistula: Persistent pus-like discharge with bad smell New swelling/lump Increasing pain or fever Recurrent discharge from one fixed opening If discharge continues beyond 2–3 more weeks or increases, re-examination is advised. Regards, Dr Raghuveer (Ayurvedacharya)
Hello, Based on the details you shared, this sounds more like a slow healing fissure/post-kshar sutra healing discharge rather than a fistula, especially because -discharge is minimal and clear/sticky -no fever -no swelling -no severe pain -colonoscopy and ultrasound are normal -symptoms started after repeated prodcedures and sentinel tah excision -occassional constipation is still present (this delays healing) However, because there is persistent discharge and delayed healing, a small superficial tract or incomplete healing area still needs monitoring What is likely happening? After -kshara sutra for piles -sentinel tag removal -chronic fissure inflammation The anal skin and internal wound can remain -moist -sticky -mildly discharge -partilally open for severe weeks The anal region heals slowly because -continuous bowel movements irritate the wound -moisture remains trapped -sphincter spasm reduces blood supply -constipation repeatedly reopens the fissure So a little clear discharge alone does Not automatically mean fistula Features suggesting Normal healing Your symptoms currently fit manyy of these Reassuring signs -minimal clear discharge -no pus -no foul smell -no fever/chills -no increasing pain -no swelling/lump -no recurrent abscess -normal imaging -no difficulty sitting This commonly happens during granulation/healing Features that suggest possible fistula You should suspect fistula if you develop -persistent pus discharge -yellow/green discharge -bad smell -recurrent swelling near anus -boil/abscess formation -pain increasing again -fever -external opening/hole near anus -discharge straining underwear daily -symptoms persisting beyond several weeks without improvement A fistula usually develops after an abscess infection.since you do Not mention abscess or fever, fistula becomes less likely Why fissure may not be healing yet The common reasons are 1) Constipation Even occassional hard stool can repeatedly reopen the fissure 2) Repeated procedures You had -kshar sutra -pile treatment -sentinel tag excision The tissues may still be inflamed 3) Anal sphincter tightness Many chronic fissure patients continue having internal muscle spasm, reducing blood flow and delying healing 4) Moisture/discharge -continuous moisture delays skin closure What you should do now 1) Keep stools soft (Most important) Take -plenty of water -fiber -fruits -lsabgol at night = 1 tsp with warm water -Triphala guggulu= 2 tabs with warm water at bedtime Avoid straining even once 2) Sitz bath= Panchavalkala kwath warm water sitting -10-15 minutes -3-4 times/day -especially after stool This improves blood flow and healing 3) Internal medicine -Gandhak rasayana= 1 tab twice daily after meals = anti - inflammatory -Arshakuthar rasa= 1 tab twice daily after meals = beneficial for arsha External application -Jatyadi taila= externally applied after proper cleaning twice daily These all reduces sphincter spasm and improve healing 4) Keep area dry after washing After cleaning -gently pat dry -avoid excessive wiping -avoid moisture trapping 5) Diet Avoid -constipation -excessive spicy food -dehydration Include -papaya -warm water -vegetables -fiber rich diet How long can healing take? After fissure / tag excision/ kshara sutra -superifical healing may take 4-8 weeks -complete tissue remodeling may take longer Especially if constipation continues intermittently When should you re-consult a colorectal surgeon? If -discharge increases -wound not healing after several more weeks -recurrent swelling -pus -pain -bleeding -fever -new opening appears Then you may need -MRI fistulogram (best test for fistula) rather than ultrasound Small fistulas can sometimes be missed on basic ultrasound Important point about your case The fact that -there is no pain -no fever -no abscess -discharge is minimal and clear -imaging is normal Leans more toward Delyed healing/ post procedure granulation tissue Rather than an active fistula But persistent symptoms should still be followed up clinically For the next 2-3 weeks -maintain very soft stool -continue sitz bath -avoid constipation completely At, present your symptoms do not strongly suggest a dangerous fistula Do follow Hope this might be helpful Thank you
Yeh filhal ek delayed healing aur post-surgical wound ka normal discharge lag raha hai, na ki koi naya fistula. Rx 1.Triphala guggulu 2 goli din m 2 bar pani k sath 2.Gandhak rasayan 2 goli din m 2 bar pani k sath 3.Abhyarishta 4 chammach brabar matra m pani k sath din m 2 bar 4.Jatyadi taila- din m 2 bar lgaye Zaroori Tips aur Post-Care -Sitz Bath (Seka): Agar aap abhi nahi kar rahe hain, toh gungune paani mein thoda sa Sphatika Bhasma (Alum/Phitkari) ya Panchvalkal Kwath daalkar 10-15 minute ke liye sitz bath zaroori lein. Yeh area ko dry rakhega aur fluid discharge ko sukhayega. -Constipation Se Bachein: Aapka fissure tab tak poori tarah heal nahi hoga jab tak constipation rahega. Diet mein fiber badhayein (green vegetables, papaya, oats) aur din mein kam se kam 3-4 liters paani piyein. -Strict Hygiene: Fluid discharge ki wajah se wahan moisture bana rehta hai, jisse itching ho sakti hai. Area ko hamesha clean aur dry rakhein. Cotton pads ka use kar sakte hain agar discharge kapdo par lag raha ho.
