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Anorectal Fistula recovery and treatment process
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Question #31071
4 hours ago
37

Anorectal Fistula recovery and treatment process - #31071

Seema Thakur

How to treat anorectal fistula which was occured after normal birth. The stool leaked from the hole near anus. What are the treatment options for this and how long it could take to heal. And what are the success rate of the treatment.?

Age: 35
Chronic illnesses: No
300 INR (~3.51 USD)
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Doctors’ responses

Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
4 hours ago
5

Hello, Please consult a ayurveda surgeon(shalya tantra specialist in your area. They will suggest you an ayurveda procedure called as khara sutra along with some internal medications. Sitting is based on death and/place where the fistula is placed. This procedure has high success rate with no/very tare recurrence (your doctor when examines will be able to tell exactly about the success rate in your case)

Take care, Kind regards.

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For Anorectal Fistula, ayur recommends ksharsutra, which needs to be done at ayurvedic centre by an ayurvedic doctor. Meanwhile you can take Pilex tablet 2-2-2 after food with water Abhayarist 15ml twice daily after food with water Pilex ointment for local application. Avoid heat producing foods like eggs chicken prawns if you are non-vegetarian. Avoid spicy, food Do sitz bath twice daily with warm water and few drops of betadine/ potassium permanganate.

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NO NEED TO WORRY SEEMA JI,

You’ll definitely get Amazing results 😊

NEED PERSONAL CONSULTATION. Please visit nearby ayurvedic physician(BAMS MS SHALYA) for KSHARA SUTRA.

TAKE CARE😊

Kind Regards, Dr.Isha Ashok Bhardwaj.

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
2 hours ago
5

HELLO SEEMA JI, ANORECTAL FISTULA CAN BE CORRECTED THROUGH SURGERY ,SO I RECOMMEND TO CONSULT AYURVEDIC SURGEON [MS SHALYA] FOR THIS. IN AYURVED,THIS SURGERY IS FOLLOWED BY KSHARSUTRA APPLICATION WHICH RESTRICTS RECURRENCE OF FISTULA. THE SUCCESS RATE IS REALLY VERY HIGH AND CHANCES OF RECURRENCE IS ALMOST ZERO. HEALING PERIOD DEPENDS ON THE LENGTH,WIDTH AND DEPTH OF THE FISTULA. AFTER THE SURGERY, AYURVEDIC MEDICINES WILL HELP IT HEAL FASTER. WISH YOU A SPEEDY RECOVERY. TAKE CARE REGARDS,DR. ANUPRIYA

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It’s better to consult ayurvedic practitioner directly so can they examine/l examination properly and recommend

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
2 hours ago
5

​Understanding Anorectal Fistula after Childbirth ​An anorectal fistula is an abnormal tunnel that connects the inside of the anal canal to the skin near the anus. When it occurs after childbirth, it’s often a result of a complicated vaginal delivery that may have involved an injury to the anal sphincter muscles or surrounding tissues. The leaking of stool from the hole near the anus is a classic symptom of this condition.

​Conventional Treatment Options ​Anorectal fistulas almost always require surgical intervention to heal properly. The goal of surgery is to close the fistula while preserving the anal sphincter muscles to prevent incontinence (loss of bowel control). The type of surgery recommended depends on the location and complexity of the fistula, particularly its relationship to the sphincter muscles.
​Common surgical options include: ​Fistulotomy: This is a common and effective procedure for simple fistulas that do not involve a significant portion of the sphincter muscles. The surgeon cuts along the entire length of the fistula to open it up, allowing it to heal from the inside out as a flat scar. This procedure has a very high success rate (up to 98% for simple fistulas), but the risk of incontinence increases if the fistula passes through a large amount of sphincter muscle.
​Seton Placement: If the fistula passes through a significant portion of the sphincter muscles, a surgeon may initially place a “seton”—a piece of surgical thread or rubber drain—in the fistula tract. This allows the fistula to drain and helps it heal, without the immediate need to cut the sphincter muscles. It can be a staged procedure, where the seton is slowly tightened to cut through the fistula over time, or it can be left in place to allow for future, more definitive surgery.
​Advancement Flap Procedure: This procedure is considered when a fistulotomy would carry a high risk of incontinence. The surgeon removes or scrapes out the fistula tract and covers the internal opening with a flap of healthy tissue taken from the inside of the rectum. While it helps preserve the sphincter muscles, its success rate can be lower than a fistulotomy.
​Ligation of Intersphincteric Fistula Tract (LIFT): This is another sphincter-sparing procedure where the fistula tract is closed off between the two sphincter muscles. It has a good success rate with a low risk of incontinence.
​Fibrin Glue or Fistula Plug: These minimally invasive techniques involve injecting a special glue or inserting a plug into the fistula to seal it. While they avoid cutting the muscles, their success rates can be lower than other surgical options.
​Healing Time and Success Rates ​Healing Time: The healing time for an anorectal fistula after surgery varies widely depending on the type of procedure and the complexity of the fistula. For simple fistulas treated with a fistulotomy, you may be able to return to work within a week or two, but complete healing can take several weeks to a few months.
​Success Rates: Success rates vary by procedure and the complexity of the fistula. Fistulotomy has a very high success rate for simple fistulas (94-98%). Sphincter-sparing procedures like LIFT and advancement flaps have varying success rates, generally in the range of 70% to 80%. ​Ayurveda Opinion ​In Ayurveda, an anorectal fistula is known as “Bhagandara.” The condition is believed to be caused by an imbalance of the three doshas (Vata, Pitta, and Kapha), leading to an accumulation of toxins (Ama) and an obstruction of the body’s channels.
​Ayurvedic treatments for anorectal fistula are often referred to as “para-surgical” procedures, meaning they are minimally invasive. The most well-known Ayurvedic treatment is Kshara Sutra Therapy.
​Kshara Sutra Therapy: This is a specialized treatment that involves using a medicated thread (Kshara Sutra) coated with alkaline herbal substances. The thread is inserted into the fistula tract and tied. The medicated thread continuously releases its medicinal properties, which work to gradually cut, clean, and heal the fistula tract from the inside out. The thread is typically changed every 7 days until the fistula is completely healed.
​Advantages of Kshara Sutra Therapy according to Ayurveda: ​Minimally Invasive: It avoids a major surgical incision.
​Low Recurrence Rate: Proponents of this therapy claim it has a high success rate and a low chance of the fistula returning.
​Preserves Sphincter Muscles: This method is said to be particularly effective in healing the fistula without damaging the anal sphincter muscles, thus reducing the risk of incontinence.
​Outpatient Procedure: The procedure and subsequent thread changes are often done on an outpatient basis.
​In addition to Kshara Sutra, other Ayurvedic treatments may be used in conjunction, such as: ​Oral Medicines: Herbal preparations to correct digestive imbalances, reduce inflammation, and support tissue healing.
​Sitz Baths (Avagaha Sweda): Soaking the affected area in warm water with medicated decoctions to reduce pain and inflammation.
​Dietary and Lifestyle Modifications: Recommendations for a high-fiber diet, proper hydration, and avoiding straining during bowel movements to prevent constipation.

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Anorectal fistula is a chronic and recurrent condition. It is best managed in ayurveda by ksharasutra procedure.

Consult a ayurvedic surgeon for this procedure. The procedure is somewhat painful, but the recurrence is minimal when compared to surgery. This mostly takes 1 month to recover but can’t say exact time. It mostly depends on how fast the tract cut

The procedure is passing a thread which is medicated through the tract and tied at both ends. Overtime the thread cuts the tract and heals it gradually.

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Hello. U need to Stop spicy oily heavy foods. Milk and milk products . Avoid fusión foods. Consulta an Ayurvedic surgeon for Shara sutra. Till that take Saptavinshati gugul 2 tabs 2 times a Day. Tab triphala gugul 2 tabs 2 times a Day. Have sitz both of triphala decocción + 20 ml jatyadi oíl.

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Dr. Isha Bhardwaj
I am someone who kinda learned early that medicine isn’t just about protocols or pills—like, it’s more about people, right? I did my BAMS with proper grounding in both classical Ayurveda and also the basics of modern med, which honestly helped me see both sides better. During internship, I got to work 6 months at Civil Hospital Sonipat—very clinical, very fast paced—and the other 6 at our own Ayurvedic hospital in the college. That mix showed me how blending traditional and integrative care isn't just theory, it actually works with real patients. After that I joined Kbir Wellness, an Ayurvedic aushdhalaya setup, where I dived into Naadi Pariksha—like really deep. It’s weird how much you can tell from pulse if you just listen right?? Doing regular consultations there sharpened my sense of prakriti, vikriti and how doshas show up subtle first. I used classical Ayurvedic texts to shape treatment plans, but always kept the patient’s routine, mental space and capacity in mind. Also I was part of some health camps around Karnal and Panipat—especially in govt schools and remote areas. That part really stays with me. You get to help ppl who dont usually have access to consistent care, and you start valuing simple awareness more than anything. I kinda think prevention should be a bigger focus in Ayurveda, like we keep talking about root cause but don’t always reach people before it gets worse. My whole method is pretty much built around that—root-cause treatment, yes, but also guiding patients on how to live with their body instead of fighting symptoms all the time. I rely a lot on traditional diagnostics like Naadi, but I mix that with practical therapies they can actually follow. No point in giving hard-to-do regimens if someone’s already overwhelmed. I keep it flexible. Most of my plans include dietary changes, natural formulations, lifestyle corrections and sometimes breathwork, daily rhythms and all that. I’m not here to just “treat illness”—what I really aim for is helping someone feel like they’ve got a handle on their own health again. That shift from just surviving to kinda thriving... that’s what I look for in every case.
5
499 reviews

Latest reviews

Carter
10 hours ago
Appreciate the practical advice doc. Simple steps and clear instructions, feeling more hopeful now. Just what I needed!
Appreciate the practical advice doc. Simple steps and clear instructions, feeling more hopeful now. Just what I needed!
Grace
10 hours ago
Thanks for the in-depth response! Your explanation on doshas and how they relate to mental health really helped put things into perspective. Got a lot from this!
Thanks for the in-depth response! Your explanation on doshas and how they relate to mental health really helped put things into perspective. Got a lot from this!
Abigail
10 hours ago
That response was just the boost I needed! Clear, compassionate, and really helpful. Such a relief to have a plan. Thanks a ton!
That response was just the boost I needed! Clear, compassionate, and really helpful. Such a relief to have a plan. Thanks a ton!
Elizabeth
10 hours ago
Thanks a ton! Your guidance was super detailed and clear, feeling more relieved and confident about managing this now. 🙌 Really appreciate it!
Thanks a ton! Your guidance was super detailed and clear, feeling more relieved and confident about managing this now. 🙌 Really appreciate it!