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Should I consider surgery for my fistula issue?
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General Medicine
प्रश्न #40714
3 घंटे पहले
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Should I consider surgery for my fistula issue? - #40714

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Man age is 51 year old have fistula 8cm inner and 4 CM outer and one opening have problem very long have problem regarding sitting have sitting job and there is pus filled in that track cause problems in sitting fever anxiety eating triphla guggulu, vadiwakabati.... Go for surgery or treatment?

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

- More than 6 months

What is the severity of the pain or discomfort when sitting?:

- Severe

Have you noticed any specific triggers that worsen your symptoms?:

- Prolonged sitting
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डॉक्टरों की प्रतिक्रियाएं

Hello I completely understand how distressing and uncomfortable your condition must be — especially since you have been struggling with a long-standing fistula that causes pain, pus discharge, fever, and makes sitting difficult. But dont worry we are here to help you out😊

✅AYURVEDIC PLAN OF TREATMENT

✅SHODHANA CHIKITSA (Purification Therapy)

For chronic or long tract fistula, Shodhana is essential to remove accumulated pus, infected tissue, and to allow healthy granulation.

The best method for your case is:

👉 Ksharasutra Therapy (Ayurvedic Para-surgical Procedure)

Medicated alkaline thread (Ksharasutra) is inserted through the fistula tract. It slowly cuts, drains, and heals the tract simultaneously. Requires weekly thread change till complete healing (usually 4–6 sittings). High success rate (>90%) and minimal recurrence. You can continue routine work after initial recovery.

👉 This is highly recommended in your case instead of open surgical procedure, as it preserves sphincter control and ensures long-term healing.

✅INTERNAL MEDICATION

1 Triphala Guggulu 2 tabs twice daily after food with warm water (Reduces pus, heals tract)

2 Kankayan Vati 1 tab twice daily After meals
(Controls infection & supports digestion)

3 Gandhak Rasayan 1 tab twice daily After food (Antimicrobial, promotes healing)

4 Erand Bhrisht Haritaki Churna 3 gm at bedtime With warm milk (Softens stool, prevents constipation)

5 Abhayarishta + Punarnavasava 20 ml each twice daily With equal water after meals (Improves bowel health & reduces swelling)

✅LOCAL. MANAGEMENT

Sitz bath (Avagaha Sweda): Use warm Triphala kwatha twice daily for 15–20 minutes.

Local application: Apply Jatyadi Ghrita gently on the external opening after cleaning and drying.

If excessive pus: Add a pinch of Haridra Churna (turmeric) in lukewarm water and clean the area twice daily.

✅DIET MODIFICATION

✅ Include

Eat light, freshly cooked meals. Include moong dal khichdi, lauki, tori, karela, dudhi, buttermilk. Drink warm water infused with triphala or cumin seeds. Take regular meals at fixed times. Use cow ghee in moderation – it aids wound healing.

❌ Avoid

Avoid spicy, sour, deep-fried, and fermented foods. Avoid non-veg, alcohol, bakery items, and cold drinks. Avoid sitting continuously for long hours — use a ring cushion for sitting comfort. Avoid constipation — never strain during defecation.

✅Lifestyle & Home Remedies

Practice light yoga like Pawanmuktasana, Vajrasana (after meals), and deep breathing. Avoid cycling or heavy exercise that strains pelvic region. Maintain proper hygiene. Apply aloe vera gel or neem paste around the area to soothe inflammation. Drink Triphala water at night to keep bowels soft.

Since your fistula is long, chronic, and pus-filled, complete recovery through oral medicines alone is unlikely. You should go for Ksharasutra therapy under an expert Ayurvedic Shalya Tantra specialist.

It’s safe, natural, and provides permanent healing without major surgery. Post-procedure, follow internal medicines and local care to prevent recurrence.

Wishing you a good health😊

Warm regards, Dr Snehal Vidhate

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0 उत्तर

FOR FISTULA GO FOR KSHAR SUTRA THERAPY… ITS ANCIENT AYURVEDIC THERAPY USED MEDICATED THREAD FOR NATURAL CUT THE AFFE TRD AREA AND ALSO HALEALING PROPERTY…

IF YOU GO FISTULACTOMY ITS CHANCES TO HAPPEN AGAIN …

SO MY ADVICE GO FOR KSHAR SUTRA FOR THAT… ITS VERY LESS CHANCE TO HAPPENS AGAIN …

THANKS

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0 replies

Hello dear, This is Dr. Vinayak Since the fistula is chronic and length of the tract is also more.

Only Oral medications will not help you as much.

I suggest you to undergo kshara sutra therapy under a Shalya Tantra expert / Ayurvedic surgeon.

Until then,what u can do is Triphala guggulu BD after food Gandhaka rasayana BD after food

Have warm water for drinking. Have fibrous, warm and freshly cooked food. Avoid heavy foods like meat, Maida, soft drinks, chips etc.

Sitz bath with panchavalkala solution for at least 3-4 time a day.

Take care. Thank you.

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
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5

Hello thanks for contacting me in ask ayurveda You had fistula and if u had severe pain and having fever Then I will recommend to meet general surgeon because some times it will become complicated. You may get sepsis. Meanwhile ayurvedic medicines 1) triphala guggulu two times a day 2) arogya vardhni Vati three times a day 3)abayha arista 4sp with warm water after meals twice a day 4) Hinguvstak churna 1 spoon with warm water before bed time 5) take high fibre diet 6)avoid spicy , sour , cold foods

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 replies
Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
2 घंटे पहले
5

Should be gor dor ayuevedic ksharasutra terapy it’s have less recurrence,less bleeding,less pain no hospital stay and affordable last no sphinter damage should be consulting ayuevedic surgeon

Dr RC BAMS MS (shalya) Ano rectal surgeon

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 replies

A fistula that is 8 cm internal and 4 cm external with one active opening pus discharge pain while sitting, fever episodes and long-standing duration is considered a complex fistula in the state medicines alone-Ayurvedic Cure Alpa cannot close the track Triphala guggulu and vriddhibhadika vati or helpful for inflammation and digestion, but they cannot eat or drink and already for long fistulous tract

A long track with person, fever means infection is active. If this continuous the track becomes deeper and branching can start because he has sitting job and the area is continuously pressed, natural healing becomes even more difficult

The safest and most effective option for this type of fistula is surgical management In ayurveda, the preferred procedure is ksharasutra because it gradually cuts and heels the track without damaging the spinchter In modern surgery, options include Fistulotomy or fistulectomy depending upon contract position Both approaches have good success when done by an experienced surgeon Medicines can support recovery, but cannot replace surgical removal or lsharasutra a track of this size

If you delay intervention risk, recurrent abscess formation new openings, more pain while sitting and chronic infection affecting general health

You can share his MRI fistulogram report that will confirm the exact type of fistula and guide, which procedure is safest

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

0 replies

1.Triphala Guggulu 2 tab twice daily with water after meals 2.Vaidyanath Vati (Vati Vaka) 2 tab twice daily with water after meals 3.Gandhaka Rasayan 2 tab twice daily with water after meals 4.Jatyadi Taila-Apply gently on the openings

Panchavalkala Kwath (for Sitz bath)-for 15-20 mi in warm decoction twice daily

Adv: Visit a near by Ayurvedic Surgeon for Kshara sutra

Ksharasutra Therapy (Ayurvedic Parasurgery) - What it is: A medicated thread inserted into the fistula tract to gradually cut, heal, and disinfect. - Why it helps: Minimally invasive, outpatient-based, and effective for long tracts like yours (8 cm).

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

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418 समीक्षाएँ
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I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
667 समीक्षाएँ
Dr. Sneh Deep Pargi
I am someone who really ended up settling deep into the whole reversal space—chronic disorders, lifestyle chaos, all the long-haul stuff people usually carry around for years without much shift. Over the last 4+ years in clinical practice, I’ve worked a lot with type 2 diabetes, high BP, obesity cases, thyroid things (esp. subclinical or fluctuating TSH), PCOS, hormonal imbalances, and weird in-between patterns that don’t always fit textbook categories but clearly show metabolic distress. Most of my work revolves around getting to the *why* underneath—why is the sugar staying high despite meds, why is the weight stuck despite diets, why the cycle is irregular even when scans look "normal". Once we catch that core disruption, I use a combination of proper Ayurvedic detox (when required), internal herbal meds, food corrections, and small lifestyle shifts—nothing fancy but consistent stuff that’s aligned to that person’s nature and stage. I’ve seen many patients who came in frustrated, stuck in loops of test-repeat-dose-adjust and just kinda tired of being ‘managed’ rather than understood. Honestly, a lot of that changes when digestion gets strong again, sleep starts coming on time, or energy returns mid-morning without 2 coffees... those are the cues I track more than just lab values. My focus isn’t just removing meds fast—it’s about actually getting the body to *not need* them over time, which takes clear follow-ups, adjusting plans as things shift, and teaching people how to read their own signals. I don’t use one-size fits all panchakarma either—if detox makes sense, we do it right. If rebuilding is needed first, we wait. Gut healing, liver regulation, insulin sensitivity, cycle rhythm—all those have very specific Ayurvedic pathways that I like to apply carefully, not blindly. And yeah, some cases do surprise me with how fast they respond when the direction’s right. My work feels most real when a patient slowly starts feeling like *themselves* again... not just "treated". That’s what I aim for every time.
0 समीक्षाएँ
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
288 समीक्षाएँ
Dr. Nisha Bisht
I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.
5
284 समीक्षाएँ

नवीनतम समीक्षाएँ

Jack
8 घंटे पहले
Appreciate the straightforward explanation! Didn’t know isabgol worked like that with digestion. This is super helpful info while I figure out what's best for me. Thanks for breaking it down so clearly.
Appreciate the straightforward explanation! Didn’t know isabgol worked like that with digestion. This is super helpful info while I figure out what's best for me. Thanks for breaking it down so clearly.
John
8 घंटे पहले
Thanks a ton for the detailed advice! It's always overwhelming to deal with both bronchiectasis and lupus. Your suggestions on warm tips and natural remedies are so practical and sound easy to include in my routine. Feeling a bit more hopeful. 💡
Thanks a ton for the detailed advice! It's always overwhelming to deal with both bronchiectasis and lupus. Your suggestions on warm tips and natural remedies are so practical and sound easy to include in my routine. Feeling a bit more hopeful. 💡
Amelia
8 घंटे पहले
Really appreciate the detailed breakdown of my symptoms and the suggested remedies! Feeling more hopeful about managing this now. Thanks!
Really appreciate the detailed breakdown of my symptoms and the suggested remedies! Feeling more hopeful about managing this now. Thanks!
Victoria
8 घंटे पहले
This answer was super helpful! Really appreciate the detailed guidance and dosage info. It's a relief knowing how to properly use these herbs for my kid.
This answer was super helpful! Really appreciate the detailed guidance and dosage info. It's a relief knowing how to properly use these herbs for my kid.