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Surgery Recovery
Question #33775
133 days ago
1,320

Pain due to cut after ksher sutra - #33775

Abhimanyu

Sir Maine ksher sutra treatment kiya tha 3din pehle mujhe 2masse the hemmoriuds aur aaj ek mass gir Gaya par actually go thread loose hua jab Kyunki Iwas moving in house uski wajah se nikal Jayanagar thoda sa so I though ye normal hai and overnight uski wajah se right side pe outer layer par cut lag Gaya jisse of course sujan ho gai although doc has givendressing and applied medicine par main kyaghar mein sitz bath le sakta hu aur kya remidy ya ointment lagau taaki I can helpfast please tell !

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Hello Abhimanyu, Ksharsutra treatment se jaroor fayda hoga aap ko.Diet aur activities per dhyan dena chahiye. Nonveg agar khate ho toh bandh karo, Spicy khana bhi band karna padega Stool accha pass hona chahiye agar constipation ka thoda bhi hai to triphala tablet, ya doctor ke suggest Kiya huva laxative medicine lijiye. Sitz bath twice daily karo, warm water potassium permanganate dal kar. Kasisadi oil vaha din mein 2-3 bar lagaye.

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नमस्ते अभिमन्यु,

आपकी स्थिति को समझना -समयरेखा: क्षार सूत्र उपचार के बाद आप तीसरे दिन पर हैं। -अवलोकन: एक पिंड (“मास्सा”) निकल गया है, धागा ढीला और आंशिक रूप से बाहर है। -लक्षण: ढीले धागे के कारण उस स्थान पर असुविधा।

क्या यह सामान्य है? -धागे का हिलना: क्षार सूत्र के बाद धागे का ढीला होना या थोड़ा हिलना सामान्य है, क्योंकि इसे धीरे-धीरे ऊतक को काटने और पुनः प्राप्त करने के लिए डिज़ाइन किया गया है। -पिंड का निकलना: यदि कोई पिंड निकला है, तो यह सामान्य हो सकता है, खासकर यदि यह एक छोटा सा ढेर (या बवासीर का ऊतक) था। कभी-कभी, प्रक्रिया धीरे-धीरे ऊतक निकालती है, और कुछ पिंड समय से पहले ही निकल जाते हैं। -ढीले धागे के कारण दर्द: हल्का दर्द, जलन या बेचैनी सामान्य है। तेज दर्द, भारी रक्तस्राव, मवाद या बुखार असामान्य है और संक्रमण या जटिलता का संकेत हो सकता है।

ज़्यादातर मामलों में, धागा तब तक अपना काम करता रहेगा जब तक कि वह बचे हुए ऊतकों को चीर न दे।

आयुर्वेदिक क्षार सूत्र के बाद की देखभाल 1. स्थानीय देखभाल (शोधन और रोपण) -सिट्ज़ बाथ (वस्ति स्नान): दिन में 2-3 बार गुनगुने पानी का प्रयोग करें। हल्के एंटीसेप्टिक प्रभाव के लिए आप त्रिफला चूर्ण (1 चम्मच गर्म पानी में) या हिमालयन नमक मिला सकते हैं।

-सफ़ाई: मल त्याग के बाद गुनगुने पानी से धीरे से धोएँ। तेज़ साबुन का प्रयोग न करें। हल्के से थपथपाकर सुखाएँ; उस जगह को कभी भी रगड़ें नहीं।

2. आयुर्वेदिक मलहम / औषधीय तेल -बाहर लगाने के लिए निर्गुंडी तेल (पतली परत, धीरे से)। -हरिद्र (हल्दी) का लेप कम मात्रा में लगाया जा सकता है; यह रोगाणुरोधी है और जल्दी ठीक करता है।

3. आहार (अग्निदीपन और वात-पित्त संतुलन) - उच्च फाइबर वाले खाद्य पदार्थ खाएँ: साबुत अनाज, हरी सब्जियाँ, पपीता, अमरूद जैसे फल। - प्रतिदिन 2-3 लीटर पानी पीने से कब्ज से बचाव होता है।

- मसालेदार, तैलीय, तले हुए खाद्य पदार्थों से बचें; भारी मांस और शराब का सेवन कम करें। - मल त्याग पर नियंत्रण के लिए त्रिफला चूर्ण (रात को सोते समय गुनगुने पानी के साथ 1 चम्मच) लें।

4. मल और कब्ज नियंत्रण - मल त्याग में ज़ोर न लगाएँ; मल त्याग में देरी न करें। - यदि आवश्यक हो, तो मल को नरम करने के लिए 1 चम्मच पानी में इसबगोल की भूसी का उपयोग किया जा सकता है। - गर्म पानी का एनीमा या गोक्षुरादि वटी का हल्का काढ़ा स्वास्थ्य लाभ में सहायक हो सकता है।

5. जीवनशैली / सावधानियां - लंबे समय तक न बैठें; कम दूरी तक पैदल चलें। - मुलायम सूती अंडरवियर पहनें; तंग कपड़े न पहनें।

-2-3 हफ़्तों तक भारी वज़न न उठाएँ।

**ख़तरे के संकेत - तुरंत डॉक्टर से मिलें -गंभीर या बढ़ता हुआ दर्द जो दवाओं से कम न हो। -मवाद या बहुत ज़्यादा रक्तस्राव। -दुर्गंध, सूजन, या बुखार।

सारांश -धागा ढीला होना: शुरुआती दिनों में सामान्य; हल्का दर्द हो सकता है। -पिंड का गिरना: हो सकता है, खासकर छोटे पिंडों में; उपचार अभी भी जारी है। -आयुर्वेदिक देखभाल: सिट्ज़ बाथ, हल्दी/औषधीय तेल, आहारीय रेशे, कोमल आंत्र देखभाल, और विश्राम। -संक्रमण पर नज़र रखें और अगर ख़तरे के संकेत दिखाई दें तो अपने सर्जन से मिलें।

उम्मीद है कि यह मददगार होगा।

धन्यवाद

डॉ. मैत्री आचार्य

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Pain is normal during ksharasutra. Internal cutting is taking place and healing of tract simultaneously. Don’t worry about it.

Continue sitz bath. Apply jatyadi ghrita over that area. I don’t know which medicine is prescribed by your doctor. Always keep in touch with your doctor who did ksharasutra and you can take antibiotic by his guidance.

Take care, Dr. Shaniba

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Thank you for reaching out and trusting this platform with your health concern since you recently have underwent kshara sutra treatment, and one mass has already sloughed off , mild cut and swelling your experiencing or common during this period With proper hygiene and care, this will get settled down soon You can do sitz bath twice daily with Ecom water for about 15 minutes after his bath, gently, pat, dry and apply Jatyadi taila Also, you need to keep your bowels regular to avoid straining take Triphala churna 0-0-1 tsp with warm water at bedtime Include fibre rich food, drink, plenty of fluids Avoid sitting for long, heavy, lifting and spicy, very hot food If the pain is increasing, if there is any bleeding fever or first discharge, please consult your surgeon

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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.
133 days ago
5

Yes slightly and tolerable pain don’t worry

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Hello Abhimanyu ji, Thank you for sharing your concern. I understand your discomfort after Kshar Sutra treatment. Sometimes, when the thread comes out or rubs against the skin, it can cause a cut, local inflammation, and pain. Don’t worry – with proper care, it usually heals well.

✅ Why It Happened

Friction of thread with outer skin causes cut. Chemical action of Kshar (alkaline coating) mild burning, irritation, inflammation. Improper hygiene or sweat may increase redness and discomfort.

✅ IMMEDIATE CARE AT HOME

1. Sitz Bath: Yes, you can definitely do sitz bath.

Use warm water with a pinch of turmeric or triphala decoction. Sit for 10–15 minutes, 2–3 times daily. This reduces pain, swelling & keeps area clean.

2. Local Application (after sitz bath, pat dry area):

Jatyadi ghrita ointment – promotes wound healing & reduces burning. Panchavalkal ointment – soothing & anti-inflammatory. Apply alternatively

If not available, apply pure coconut oil with turmeric powder as a natural alternative.

3. Hygiene:

Keep the area dry, avoid tight clothing. Wash with mild lukewarm water after passing stool.

✅ Internal Ayurvedic Support

Triphala Guggulu 1 tab twice daily after food – for healing & reducing infection risk.

Gandhak Rasayan 1 tab twice daily after food – for faster wound healing.

✅ Diet & Lifestyle Tips

Avoid spicy, oily, deep-fried food (increases burning).

Favor light, easily digestible food (khichdi, green moong dal, cooked vegetables).

Drink warm water, avoid constipation – use Triphala powder if needed.

Wishing you a smooth and quick recovery

Warm regards, Dr. Snehal Vidhate

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Apply jatyadi oil over the affected area and visit to your doctor.

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After ksher sutra treatment, it’s common to experience some discomfort and tenderness, especially if the thread shifts or becomes loose. With a small cut and swelling, sitz bath can indeed help with relief and healing. Warm water sitz baths, specifically twice a day for about 15-20 minutes, can promote healing and reduce any swelling. Make sure the water is comfortably warm, not too hot, to avoid irritaion.

Adding a teaspoon of turmeric powder or little of triphala churna to the water may bolster healing due to their antimicrobial properties. However, remember to pat the area dry gently afterward to prevent any moisture build-up, which can risk infection.

For topical application, consider an Ayurvedic ointment like Jatyadi Taila. This classical preparation is known for its wound healing properties. Apply a thin layer to the affected area after washing, ensuring cleanliness to aid the healing process. If Jatyadi Taila is unavailable, coconut oil, with its anti-inflammatory and antimicrobial properties, can serve as alternative but less potent option.

Diet plays a pivotal role in recovery, too. Focus on keeping your diet light and fiber-rich to avoid constipation, which can aggravate hemorrhoids. Include warm, cooked vegetables, soups, and whole grains. Drink plenty of warm fluids, like herbal teas with ginger or fennel, to aid digestion and maintain softness of stools.

Certainly, continue with regular follow-ups with your doctor to monitor healing and adjust treatment if necessary. If you experience increased pain, swelling, or symptoms of infection such as fever, seek immediate medical attention. Remember, your comfort and safety should always be prioritized in recovering process.

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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.
131 days ago
5

Do not worry, sitz bath is must , but after that keep the area dry And apply some medicated oil or simple coconut oil over that area , it will heal by its own But take some laxative so that you will not strain much while passing motion and it should not create further discomfort

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I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
712 reviews
Dr. Aparna Kumari
I am someone who honestly grew a lot during my time at Choudhary Brahm Prakash Ayurved Charak Sansthan. Spent almost a full year working there—just one year, but felt like ten in terms of what I learned. The place is one of Asia's most respected Ayurvedic hospitals, and I got lucky getting that exposure so early. Worked under some seriously experienced doctors and expert faculty... like, they didn’t just teach, they lived Ayurveda, you know? Every day was full of clinical rounds, detailed case discussions, n watching complex therapies get carried out with this mix of tradition & precision. There’s something about learning in that kind of environment—it makes you rethink the way you observe even basic symptoms. I got to be involved in treatments for so many different conditions—digestive stuff, joint issues, skin disorders, neuro problems... and I’d say the biggest gain wasn’t just textbook learning, but knowing when not to rely on books. I picked up how to do proper Ayurvedic diagnosis using things like Nadi Pariksha, Prakriti analysis and real-time observation, which I know sounds obvious but trust me—doing it under pressure or with 5 patients waiting isn't the same as what you do during college viva. I messed up a few times, not gonna lie. But I was mentored closely and that helped a lot... Also learned how team-based care works in bigger institutions, which matters more than ppl admit. Sometimes your decision affects other therapists’ work or vice versa. All this helped shape how I now approach patient care—more aware, more grounded. Working there gave me this foundation I keep going back to, especially when I’m treating complex cases or making tough calls during Panchakarma planning. Looking back now, that year was short, but the learning curve—pretty steep and totally worth it.
0 reviews
Dr. Kavita Sharma
I am an Ayurvedic physician with hands-on clinical experience from two well-regarded institutions. I completed six months of practical training at Patanjali Ayurved Hospital, where I was actively involved in patient consultation, Ayurvedic diagnosis, and implementation of classical Panchakarma therapies. My time there helped me strengthen my understanding of traditional formulations, personalized diet and lifestyle guidance, and integrative approaches rooted in ancient Ayurvedic principles. Following that, I served for another six months at the Government Hospital in Bahadrabad, Haridwar. During this tenure, I worked in a fast-paced environment, managing a diverse range of cases under the supervision of senior medical officers. This role sharpened my diagnostic skills, improved my ability to handle acute and chronic conditions, and gave me a broader view of how Ayurvedic treatments can be effectively integrated into public healthcare systems. These experiences have allowed me to develop a balanced and holistic approach to patient care, combining classical Ayurvedic wisdom with practical clinical acumen. I place a strong emphasis on thorough patient history-taking, root-cause analysis, and long-term wellness planning. I am especially focused on building trust and communication with patients and continuously learning from both traditional texts and real-world practice. My clinical exposure has given me confidence in managing common ailments such as digestive issues, stress-related disorders, joint pain, skin conditions, and seasonal illnesses, while tailoring treatments to each patient's unique constitution (Prakriti). With a foundation built on authentic Ayurvedic principles and reinforced through practical experience, I am committed to offering genuine, compassionate, and effective care to every patient I meet.
5
3 reviews
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
546 reviews
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
296 reviews
Dr. Jatin Kumar Sharma
I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.
5
85 reviews

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